首页|内补黄芪汤对经尿道前列腺等离子切除手术患者术后恢复的影响

内补黄芪汤对经尿道前列腺等离子切除手术患者术后恢复的影响

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目的 回顾分析行经尿道前列腺等离子切除手术患者术后应用内补黄芪汤的效果.方法 62 例行经尿道前列腺等离子切除手术的患者,通过随机分配法分为对照组及观察组,每组 31 例.对照组仅实施手术治疗,观察组术后给予内补黄芪汤治疗.比较两组患者的最大尿流率,生活质量评分,满意度,临床相关指标[国际前列腺症状评分(IPSS)、下床活动时间、住院时间].结果 观察组术后第5 天、2 周、4 周、12 周的最大尿流率分别为(13.98±3.26)、(17.33±2.83)、(21.03±3.22)、(22.37±2.89)ml/s,均大于对照组的(12.32±2.02)、(13.02±3.09)、(16.21±2.10)、(18.39±2.74)ml/s,差异具有统计学意义(P<0.05).观察组生理机能、生理职能、一般健康状况、精力、社会功能、情感职能、精神健康评分分别为(82.52±12.97)、(74.91±5.78)、(91.86±3.95)、(98.19±4.79)、(72.90±2.93)、(81.94±3.91)、(82.94±4.91)分,均高于对照组的(73.13±4.11)、(65.21±3.27)、(83.25±2.31)、(89.09±2.25)、(67.03±1.16)、(75.03±1.17)、(73.16±1.08)分,躯体疼痛评分(122.03±3.13)分低于对照组的(142.30±1.12)分,差异具有统计学意义(P<0.05).观察组满意度100.00%高于对照组的87.10%,差异具有统计学意义(P<0.05).观察组PISS评分(7.04±0.64)分低于对照组的(8.23±0.83)分,下床活动时间(1.51±0.55)d、住院时间(7.01±0.63)d短于对照组的(2.34±0.60)、(9.10±0.69)d,差异具有统计学意义(P<0.05).结论 术后给予内补黄芪汤有助于经尿道前列腺等离子切除手术患者治疗工作顺利开展,能够对患者术后最大尿流率与临床指标进行改善,有利于改善患者生活质量,在提升患者满意度与术后恢复效果方面有着重要意义.
Effect of Neibu Huangqi Decoction on postoperative recovery of patients after transurethral plasma prostatectomy
Objective To retrospectively analyze the effect of Neibu Huangqi Decoction on postoperative recovery of patients after transurethral plasma prostatectomy.Methods 62 patients who underwent transurethral plasma prostatectomy were randomly divided into a control group and an observation group,with 31 cases in each group.The control group only underwent surgery,while the observation group was treated with Neibu Huangqi Decoction after surgery.The maximum urinary flow rate,quality of life score,satisfaction,clinical related index[International Prostate Symptom Score(IPSS),ambulation time,and hospital stay]were compared between the two groups.Results The maximum urinary flow rates of the observation group at the 5th day after surgery,2nd,4th and 12th weeks after surgery were(13.98±3.26),(17.33±2.83),(21.03±3.22)and(22.37±2.89)ml/s,which were higher than(12.32±2.02),(13.02±3.09),(16.21±2.10)and(18.39±2.74)ml/s of the control group,and the difference was statistically significant(P<0.05).The scores of physical functioning,role-physical,general health status,energy,social functioning,role-emotional and mental health in the observation group were(82.52±12.97),(74.91±5.78),(91.86±3.95),(98.19±4.79),(72.90±2.93),(81.94±3.91)and(82.94±4.91)points,which were higher than(73.13±4.11),(65.21±3.27),(83.25±2.31),(89.09±2.25),(67.03±1.16),(75.03±1.17),and(73.16±1.08)points in the control group;the observation group had lower bodily pain score of(122.03±3.13)points than(142.30±1.12)points in the control group;the difference was statistically significant(P<0.05).The observation group had higher satisfaction of 100.00%than 87.10%in the control group,and the difference was statistically significant(P<0.05).The observation group had PISS score of(7.04±0.64)points,which was lower than(8.23±0.83)points in the control group;the observation group had ambulation time of(1.51±0.55)d and hospital stay of(7.01±0.63)d,which were shorter than(2.34±0.60)and(9.10±0.69)d in the control group;the difference was statistically significant(P<0.05).Conclusion Postoperative administration of Neibu Huangqi Decoction is conducive to the smooth development of the treatment of patients undergoing transurethral plasma prostatectomy.it can improve the maximum postoperative urinary flow rate and clinical indicators of patients,which is conducive to improving the quality of life of patients,and is of great significance in improving the satisfaction of the patients and postoperative recovery effect.

Neibu Huangqi DecoctionTransurethral plasma prostatectomyPostoperative recovery

邱树波

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527400 新兴县中医院

内补黄芪汤 经尿道前列腺等离子切除手术 术后恢复

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(9)
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