首页|良性前列腺增生症患者的中医体质辨识调查与临床进展危险因素分析

良性前列腺增生症患者的中医体质辨识调查与临床进展危险因素分析

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目的:调查良性前列腺增生症(BPH)患者的中医体质,并分析导致BPH发生临床进展的危险因素,提出应对措施。方法:选取中山陈星海中西医结合医院 2021 年 1 月至 2023 年 12 月期间来体检、看诊、住院的202例BPH患者,对所有患者进行中医体质辨识调查。另以是否出现BPH临床进展,将所有患者分为进展组(44例)与未进展组(158 例),分析BPH临床进展的独立危险因素。结果:经调查,202 例BPH患者的中医体质主要以阳虚质、气虚质为主;多因素logistic回归分析结果显示:国际前列腺症状评分(IPSS)评分>20 分、前列腺总体积(TPV)>30 mL、血清总前列腺特异性抗原(PSA)水平>1。2 μg·L-1 是BPH发生临床进展的独立危险因素(P<0。05)。结论:BPH患者中医体质辨识中主要以阳虚质、气虚质为主,且IPSS评分>20 分、TPV水平>30 mL、血清总PSA水平>1。2 μg·L-1 是BPH发生临床进展的独立危险因素,医护人员可针对上述指标采取有效应对措施,以降低BPH发生临床进展的概率。
Investigation of TCM Constitution Identification and Analysis of Clinical Progression Risk Factors in Patients with Benign Prostatic Hyperplasia
Objective To investigate the traditional Chinese medicine constitution of patients with benign prostatic hyperplasia(BPH),analyze the risk factors leading to the clinical progression of BPH,and propose countermeasures.Methods 202 patients with BPH who came to Zhongshan Chenxinghai Hospital of Integrated Chinese and Western Medicine from January 2021 to December 2023 for physical examination,consultation and hospitalization were selected,and the TCM physique identification of all patients was investigated.In addition,all patients were divided into a progressive group(44 cases)and a non-progressive group(158 cases)to analyze the independent risk factors for clinical progression of BPH.Results 202 cases of BPH patients were mainly characterized by Yang deficiency and Qi deficiency.Multiple logistic regression analysis showed that International Prostate Symptom score(IPSS)>20,total prostate volume(TPV)>30 mL and serum total prostate-specific antigen(PSA)level>1.2 μg·L-1 were independent risk factors for the clinical progression of BPH(P<0.05).Conclusion The identification of traditional Chinese medicine constitution of BPH patients is mainly dominated by Yang deficiency and Qi deficiency.IPSS score>20,TPV level>30 mL,and serum total PSA level>1.2 μg·L-1 are independent risk factors for the clinical progression of BPH.Medical staffcan take effective measures according to the above indicators.To reduce the probability of clinical progression of BPH.

Benign prostatic hyperplasiaTCM constitution identificationYang deficiencyVital energy deficiency essence

徐志驰、张玫洁、苏妹英、陈日连、吴素枝

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中山陈星海中西医结合医院,广东 中山 528415

良性前列腺增生症 中医体质 阳虚质 气虚质

中山市第三批社会公益与基础研究项目(医疗卫生重点项目)

2020B3009

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(11)