中医寒温并用法对慢性前列腺增生症的疗效观察及对IPSS评分的影响  

The clinical effect of cold and warm treatment on chronic benign prostatic hyperplasia and the influence on IPSS scores

作　　者：龚海华 钱良军 

机构地区：[1]临海市中医院泌尿外科,浙江临海317000

出　　处：《中华中医药学刊》2014年第3期675-677,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨中药对慢性前列腺增生症的作用。方法:将符合标准的286例患者随机分为两组。对照组146例采用特拉唑嗪治疗,观察组140例采用中医寒温并用法治疗,以二仙汤合桂枝茯苓丸加减。结果:观察组和对照组显效率分别为67.86%、58.90%,总有效率分别为90.72%、82.19%。组间比较,差异均有统计学意义(P<0.05)。两组治疗后PVR、PSA、前列腺体积、IPSS、SS和VS评分均降低,MFR均增加,与本组治疗前比较,差异均有统计学意义(P<0.01)。治疗后各项指标组间比较,差异均无统计学意义(P<0.05)。结论:中医寒温并用法(二仙汤合桂枝茯苓丸)对缓解前列腺增生症患者的下尿路症状有较好的短期疗效,与特拉唑嗪相当。Objective：To observe the clinical effect of traditional Chinese medicine on chronic benign prostatic hyper- plasia. Methods ：286 patients conformed the standard were randomly divided into control group and observation group. Pa- tients of control group （146 cases） were given terazosin, and patients of observation group were given cold and warm treatment （erxian decoction and guizhi fuling pills to add and subtract）. Results：The excellent rate of observation group and control group respectively was 67.86% ,58.90%, and the total effective rate respectively was 90.72% ,82.19%, and the differences had statistically significant（P 〈0.05 ）. Compare^t with before treatment, the PVR ,PSA ,prostate vol- ume ,IPSS,SS and VS of two groups both decreased, and the MFR both increased ,and the differences in groups had sta- tistically significant （ P 〈 O. 05 ） ; and the differences among groups also had statistically significant （ P 〈 O. 05 ）. Conclu- sion：Cold and warm treatment （erxian decoction and guizhi fuling pills to add and subtract） has good short -term curative effect for easing of urinary tract symptoms of patients with benign prostatic hyperplasia, and equal to terazosin.

关 键 词：寒温并用法 前列腺增生症 二仙汤 桂枝茯苓丸 中医药疗法 

分 类 号：R697.326[医药卫生—泌尿科学]