首页|黄莪胶囊联合坦索罗辛治疗良性前列腺增生症合并慢性前列腺炎随机对照研究

黄莪胶囊联合坦索罗辛治疗良性前列腺增生症合并慢性前列腺炎随机对照研究

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目的 观察黄莪胶囊联合坦索罗辛治疗良性前列腺增生症(BPH)合并慢性前列腺炎(CP)的临床疗效。方法 将150例BPH合并CP患者随机分为坦索罗辛组、黄莪胶囊组(黄莪组)和联合组,每组各50例。坦索罗辛组口服盐酸坦索罗辛每晚0。2 mg;黄莪胶囊组口服黄莪胶囊4粒/次,3次/日;联合治疗组同时口服黄莪胶囊和盐酸坦索罗辛。主要疗效指标包括前列腺体积及国际前列腺症状评分(IPSS)。次要疗效指标包括中医症候评分、最大尿流率(Qmax)、慢性前列腺炎症状评分(NIH-CPSI)及生活质量评分(QOL)。观察各组不良反应。结果 最终坦索罗辛组42例、黄莪组41例、联合组40例患者完成试验并纳入统计分析。与本组治疗前比较,3组治疗后IPSS、中医症候评分、QOL、NIH-CPSI总分、不适症状、排尿症状、生活质量、症状严重程度评分降低,Qmax升高(P<0。05);黄莪组和联合组前列腺体积降低(P<0。05)。与坦索罗辛组和黄莪组同期比较,联合组治疗后IPSS、中医症候评分、QOL、NIH-CPSI总分、不适症状、排尿症状、生活质量评分降低,Qmax升高(P<0。05)。3组间不良反应比较,差异无统计学意义(P>0。05)。结论 黄莪胶囊联合坦索罗辛治疗BPH合并CP可改善前列腺症状、提高生活质量,并改善中医症候评分。
Huang'e Capsules Combined with Tamsulosin in the Treatment of Prostate Hyperplasia Combined with Chronic Prostatitis:A Randomized Controlled Study
Objective To compare the clinical efficacy of Huang'e Capsules(HC)combined with tamsulosin in the treatment of benign prostatic hyperplasia(BPH)combined with prostatitis(CP).Methods A total of 150 patients diagnosed with BPH combined with CP were randomly assigned to tamsulosin group,HC group,and combination group,with 50 patients in each group.The tamsulosin group received oral tamsulosin 0.2 mg per night.The HC group received oral HC,4 capsules per time,3 times per day.The combination group received both tamsulosin and HC.The main therapeutic index included prostate volume,prostate symptoms assessed by International Prostate Symptom Scale(IPSS).The secondary efficacy index included Chinese medicine(CM)symptom score,maximum flow rate(Qmax),National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI),Quality of Life score(QOL).The adverse reactions were observed in the 3 groups.Results Totally 42 cases in tamsulosin group,41 cases in HC group,40 cases in combination group finished the study,and included in the statistical analysis.Compared with before treatment in the same group,IPSS,CM symptom score,QOL,total score,discomfort symptom,urination symptom,life treatment,symptom severity score of NIH-CPSI decreased,Qmax increased after treatment in all groups(P<0.05).Prostate volume decreased after treatment in HC group and combination group(P<0.05).Compared with tamsulosin group and HC group at the same time,IPSS,CM symptom score,QOL,total score,discomfort symptom,urination symptom,life treatment score of NIH-CPSI decreased,Qmax increased after treatment in combination group(P<0.05).There was no statistical significance in adverse reaction between the 3 groups(P>0.05).Conclusion The combination of HC and tamsulosin improve prostate symptoms,quality of life,and CM symptom score in the treatment of BPH combined with CP patients.

Huang'e Capsulestamsulosinprostatitisprostatic hyperplasiaChinese patent medicineintegrative medicinerandomized controlled trial

陈嘉兴、王超洋、胡凌云

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浙江省江山市人民医院 浙江大学邵逸夫医院江山分院泌尿外科(浙江 324100)

黄莪胶囊 坦索罗辛 前列腺炎 前列腺增生 中成药 中西医结合 随机对照试验

2024

中国中西医结合杂志
中国中西医结合学会 中国中医科学院

中国中西医结合杂志

CSTPCD北大核心
影响因子:2.149
ISSN:1003-5370
年,卷(期):2024.44(12)