针刺联合药物治疗非手术意愿良性前列腺增生尿潴留患者的临床效果  

Clinical Effect of Acupuncture Combined with Drugs on Benign Prostatic Hyperplasia with Urinary Retention Patients with Non-operative Willingness

作　　者：蔡珂[1] 王超[2] 孙媛 杜润凤 张帅[4] 罗波[4] CAI Ke;WANG Chao;SUN Yuan;DU Runfeng;ZHANG Shuai;LUO Bo(Department of General Practice,Songshan Hospital,Qingdao University Medical College,Qingdao 266021,China;不详)

机构地区：[1]青岛大学医学院松山医院全科医学科,山东青岛266021 [2]青岛大学医学院松山医院超声科,山东青岛266021 [3]青岛大学医学院松山医院中医科,山东青岛266021 [4]青岛大学医学院松山医院泌尿外科,山东青岛266021

出　　处：《中国医学创新》2024年第19期11-16,共6页Medical Innovation of China

摘　　要：目的:观察针刺联合药物治疗非手术意愿良性前列腺增生(BPH)尿潴留患者的临床效果。方法:选取2021年12月—2024年1月青岛大学医学院松山医院收治的100例BPH尿潴留患者,随机分为A组、B组,各50例。A组给予盐酸坦洛新缓释片及非那雄胺片治疗;B组在A组基础上联合针刺治疗。观察两组治疗前后最大尿流率(Qmax)、国际前列腺症状评分(IPSS)、生活质量(QOL)评分、残余尿量及临床疗效。结果:治疗后,B组Qmax高于治疗前,IPSS、QOL评分、残余尿量均低于治疗前,且B组Qmax高于A组,IPSS、QOL评分、残余尿量均低于A组,差异均有统计学意义(P<0.01)。B组总有效率为89.36%,高于A组的29.17%,差异有统计学意义(P<0.01)。B组不良反应总发生率为4.26%,高于A组的2.08%,但两组间差异无统计学意义(P>0.05)。结论:相比于单独用药治疗,针刺联合药物治疗BPH尿潴留的效果更好,非手术意愿的患者可以尝试。Objective:To observe the clinical effect of acupuncture combined with drugs in the treatment of benign prostatic hyperplasia(BPH)with urinary retention patients with non-operative willingness.Method:A total of 100 BPH with urinary retention patients admitted to Songshan Hospital,Qingdao University Medical College from December 2021 to January 2024 were randomly divided into group A and group B,with 50 patients in each group.Group A was treated with Tamsulosin Hydrochloride Sustained-release Tablets and Finasteride Tablets.Group B was treated with acupuncture on the basis of group A.The maximum urine flow rate(Qmax),international prostate symptom score(IPSS),quality of life(QOL)score,residual urine volume and clinical efficacy of the two groups were observed before and after treatment.Result:After treatment,Qmax in group B was higher than that before treatment,IPSS,QOL score and residual urine volume in group B were lower than those before treatment,and Qmax in group B was higher than that in group A,IPSS,QOL score and residual urine volume in group B were lower than those in group A,the differences were statistically significant(P<0.01).The total effective rate of group B was 89.36%,which was higher than 29.17%of group A,the difference was statistically significant(P<0.01).The total incidence of adverse reactions in group B was 4.26%,which was higher than 2.08%in group A,but there was no significant difference between the two groups(P>0.05).Conclusion:Compared with drug therapy alone,acupuncture combined with drugs is more effective in the treatment of BPH with urinary retention,and patients who do not want surgery can try it.

关 键 词：良性前列腺增生 尿潴留 药物 针刺治疗 随机对照研究 

分 类 号：R697.3[医药卫生—泌尿科学]