前列金丹聯(lián)合坦索羅辛治療濕熱瘀阻型良性前列腺增生癥的臨床觀察
發(fā)布時間:2018-05-14 14:51
本文選題:坦索羅辛 + 前列金丹片。 參考:《山東中醫(yī)藥大學(xué)》2014年碩士論文
【摘要】:目的:本課題選用前列金丹片聯(lián)合鹽酸坦索羅辛緩釋膠囊治療良性前列腺增生癥,觀察其對證候評分、國際前列腺癥狀評分的影響,探討前列金丹片聯(lián)合鹽酸坦索羅辛緩釋膠囊應(yīng)用的臨床療效及安全性。 方法:將臨床診斷為濕熱瘀阻型良性前列腺增生癥的老年患者60例隨機(jī)分為2組,其中單純西藥組30例,口服鹽酸坦索羅辛緩釋膠囊0.2mg,QD;聯(lián)合用藥組30例,聯(lián)合服用鹽酸坦索羅辛緩釋膠囊0.2mg QD和前列金丹片3.24g,TID,兩組均觀察12個月。分別觀察兩組的中醫(yī)證候評分、國際前列腺癥狀評分、生活質(zhì)量評分、殘余尿量、前列腺體積、肝腎功能、血常規(guī)、前列腺特異抗原(PSA)、尿常規(guī)等的變化,進(jìn)行統(tǒng)計分析,判斷療效及安全性。 結(jié)果:臨床觀察發(fā)現(xiàn),,兩組用藥均能改善患者的癥狀,提高生活質(zhì)量,減少殘余尿量,降低中醫(yī)證候評分、IPSS評分。兩組間比較,聯(lián)合用藥組降低IPSS評分、中醫(yī)證候評分效果優(yōu)于單純西藥組。兩組患者的血常規(guī)、尿常規(guī)、大便常規(guī)、前列腺體積、前列腺抗原、肝功能、腎功能無明顯變化。兩組間比較不良反應(yīng)發(fā)生率無明顯差異。 結(jié)論:臨床觀察結(jié)果表明,前列金丹片聯(lián)合鹽酸坦索羅辛緩釋膠囊對于IPSS評分、中醫(yī)證候評分的影響明顯優(yōu)于單用鹽酸坦索羅辛緩釋膠囊,具有良好的臨床療效及安全性,為良性前列腺增生癥治療選擇提供依據(jù)。
[Abstract]:Objective: to study the effect of Qianlie Jindan tablet combined with Tansulosin hydrochloride sustained-release capsule on benign prostatic hyperplasia (BPH) and to observe its effect on syndrome score and international prostatic symptom score. Objective: to investigate the clinical efficacy and safety of Qianlianjindan tablet combined with tansoloxin hydrochloride sustained-release capsule. Methods: sixty elderly patients with damp-heat stasis type benign prostatic hyperplasia were randomly divided into two groups: the western medicine group (n = 30) and the combination group (n = 30). Tansoloxine hydrochloride sustained release capsule (0.2mg QD) and Qianlie Jindan tablet (3.24 g / TID) were used in both groups for 12 months. The changes of TCM syndrome score, international prostate symptom score, quality of life score, residual urine volume, prostate volume, liver and kidney function, blood routine, prostate specific antigen (PSAA) and urine routine were observed and analyzed statistically. To judge the efficacy and safety. Results: the clinical observation showed that both groups could improve the symptoms, improve the quality of life, reduce the residual urine volume, and reduce the TCM syndrome score and IPSS score. Compared with the two groups, the combined drug group reduced the IPSS score, and the TCM syndrome score was better than that of the western medicine group. The blood routine, urine routine, stool routine, prostate volume, prostate antigen, liver function and renal function were not significantly changed in both groups. There was no significant difference in the incidence of adverse reactions between the two groups. Conclusion: the clinical observation results show that the effect of Qianliejindan tablet combined with Tansoloxin Hydrochloride sustained release capsule on IPSS score and TCM syndrome score is obviously superior to that of Tansoloxin Hydrochloride sustained-release capsule alone. It has good clinical efficacy and safety. To provide the basis for the treatment of benign prostatic hyperplasia.
【學(xué)位授予單位】:山東中醫(yī)藥大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2014
【分類號】:R697.3
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