附蝥通癃油膏穴位贴敷治疗老年女性膀胱颈梗阻临床观察
Clinical Observation of Fumaotonglong Ointment Acupoint Application Therapy on Elder Female Bladder Neck Obstruction Patients

作者: 刘绍明 , 息金波 , 赵盟杰 , 周广军 , 李 潇 , 张凯松 :北京中医药大学第三附属医院泌尿外科,北京; 张岳阳 :中国中医科学院望京医院男科,北京; 张修举 :北京市平谷区医院中医科,北京; 于文晓 :北京市朝阳区第二医院泌尿外科,北京;

关键词: 附蝥通癃油膏穴位贴敷老年女性膀胱颈梗阻Fumaotonglong Ointment Acupoint Application Therapy Elder Female Bladder Neck Obstruction

摘要:
目的:评价附蝥通癃油膏穴位贴敷治疗老年女性膀胱颈梗阻的临床疗效。方法:将老年女性膀胱颈梗阻患者44例随机分为为治疗组23例和对照组21例,治疗组与对照组均口服盐酸坦洛新胶囊,治疗组同时采用附蝥通癃油膏贴敷指定穴位,两组治疗前后分别给予排尿指数评分(IPSS)、泌尿症状困扰积分及测定膀胱残余尿量、最大尿流率并观察两组患者临床疗效。结果:两组治疗后排尿指数评分均较治疗前明显下降(P < 0.01),治疗组排尿指数评分治疗前后差值与对照组比较差异有统计学意义(P < 0.05),且两组治疗后的最大尿流率、泌尿症状困扰积分的差异有统计学意义(P < 0.05)。结论:穴位贴敷附蝥通癃油膏联合口服盐酸坦洛新胶囊在改善老年女性膀胱颈梗阻患者的排尿不适症状、最大尿流率及生活质量上较单用盐酸坦洛新胶囊疗效显著。

Abstract: Objective: To assess the clinical efficacy of Fumaotonglong ointment acupoint application therapy on elder female bladder neck obstruction patients. Methods: Forty-four cases of elder female bladder neck obstruction patients were randomized into treatment group and control group, with twenty-three and twenty-one patients respectively. The treatment group and the control group were given orally tamsulosin hydrochloride capsules, while the treatment group used Fumaoton-glong ointment acupoint application therapy at the same time. Before and after the treatment, the Urination index score, urinary symptom distress points, residual urine volume and maximum flow rate had been tested. Result: The Urination index score decreased obviously after treatment in two groups (P < 0.01). Compared to the control group, the urination index scores difference of before and after treatment in treatment group was statistically significant (P < 00.05). The Maximum flow rate and urinary symptom distress points were statistically significant (P < 0.05). Conclusion: The therapy of Fumaotonglong ointment acupoint application combining with orally tamsulosin hydrochloride capsules on elder female bladder neck obstruction patients had significant effect compared with orally tamsulosin hydrochloride capsules only.

文章引用: 刘绍明 , 张岳阳 , 张修举 , 息金波 , 赵盟杰 , 于文晓 , 周广军 , 李 潇 , 张凯松 (2014) 附蝥通癃油膏穴位贴敷治疗老年女性膀胱颈梗阻临床观察。 中医学, 3, 71-77. doi: 10.12677/TCM.2014.33014

参考文献

[1] 周云晓, 等 (2004) 女性膀胱出口梗阻的发病机理研究进展. 国外医学泌尿系统分册, 3, 318-320.

[2] Groutz, A., Blaivas, J.G. and Chaikin, D.C. (2000) Bladder outlet obstruction in women: Definition and characterization. Neu-rourology and Urodynamics, 19, 213-220.

[3] 吴阶平 (2004) 泌尿外科学(下卷). 山东科学技术出版社, 济南, 1311-1319.

[4] 那彦群, 郭震华, 吴阶平, 等 (2011) 实用泌尿外科学. 人民卫生出版社, 北京, 338-339.

[5] 陈阿文, 林益辉 (2010) 女性膀胱颈梗阻中医辨治. 中国中医药信息杂志, 11, 95-96.

[6] 李曰庆 (2007) 中医外科学. 第2版, 中国中医药出版社, 北京, 14-34.

[7] 周仲英 (2007) 中医内科学. 第2版, 中国中医药出版社, 北京, 350-351.

[8] 贾玉森, 刘绍明 (待出版) 现代中医临证经验集萃.

[9] 吴修玉, 王富春, 刘洋 (2003) 近十五年来针灸治疗膀胱疾病选穴规律初探. 针灸临床杂志, 7, 71.

[10] 谢洋, 余学庆 (2008) 试述穴位贴敷的作用机理及其临床运用. 中国医药指南, 24, 320-322.

[11] Kim, J.C., Seo, S.I., Park, Y.H., et al. (2001) Changes in detrusor and urinary growth fact ors according to detrusor function after partial bladder outlet obstruction in the rat. Urology, 57, 371-375.

分享
Top