中药定向透药联合神阙穴艾灸对前列腺增生电切术后患者尿流动力学的影响

Effect of Directional Penetration of Chinese Medicine Combined with Moxibustion at Shenque Point on Urinary Flow Dynamics of Patients After Electrotomy for Prostatic Hyperplasia

目的:观察中药定向透药联合神阙穴艾灸对前列腺增生电切术后患者尿流动力学的影响。方法:选取85例前列腺增生电切术患者作为研究对象,采用随机数字表法分为观察组43例与对照组42例。对照组单独应用神阙穴艾灸,观察组应用中药定向透药联合神阙穴艾灸。比较2组尿流动力学、国际前列腺症状评分(IPSS)、中医证候评分、并发症发生率。结果:治疗后,2组最大尿流速、膀胱顺应性、最大逼尿肌压力、强烈尿感容量较治疗前增加(P<0.05),剩余尿量较治疗前减少(P<0.05);且观察组最大尿流速、膀胱顺应性、最大逼尿肌压力、强烈尿感容量均大于对照组(P<0.05),剩余尿量少于对照组(P<0.05)。治疗后,2组IPSS评分、中医证候评分均较治疗前下降(P<0.05),且观察组2项评分均小于对照组(P<0.05)。治疗后,观察组并发症发生率为4.65%,对照组为21.43%,2组比较,差异有统计学意义(P<0.05)。结论:中药定向透药联合神阙穴艾灸治疗,能有效改善前列腺增生电切术后患者尿流动力学状态及临床症状,降低术后并发症发生率,疗效优于单用神阙穴艾灸治疗。

Objective:To observe the effect of directional penetration of Chinese medicine combined with moxibustion at Shenque(RN8)point on urinary flow dynamics of patients after electrotomy for prostatic hyperplasia.Methods:A total of 85 cases of patients after electrotomy for prostatic hyperplasia were selected as the study objects and divided into the observation group(43 cases)and the control group(42 cases)by random number table method.The control group was given moxibustion at Shenque(RN8)point alone,and the observation group was given directional penetration of Chinese medicine combined with moxibustion at Shenque(RN8)point.The urinary flow dynamics,International Prostate Symptom Scores(IPSS),traditional Chinese medicine(TCM)syndrome scores and incidence of complications were compared between the two groups.Results:After treatment,the maximum urine flow rate,bladder compliance,maximum detrusor pressure and strong urine volume in the two groups were increased when compared with those before treatment(P<0.05),and the remaining urine volume was reduced when compared with that before treatment(P<0.05);the maximum urine flow rate,bladder compliance,maximum detrusor pressure and strong urine volume in the observation group were higher than those in the control group(P<0.05),and the remaining urine volume was less than that in the control group(P<0.05).After treatment,IPSS scores and the TCM syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the above two scores in the observation group were lower than those in the control group(P<0.05).After treatment,the incidence of complications was 4.65%in the observation group and 21.43%in the control group,and the difference between the two groups was significant(P<0.05).Conclusion:The directional penetration of Chinese medicine combined with moxibustion at Shenque(RN8)point for patients after electrotomy for prostatic hyperplasia can effectively improve their urinary flow dynamics and clinical symptoms and reduce the incidence of postoperative complications,whose curative effect is better than that of simple treatment of moxibustion at Shenque(RN8)point.