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目的观察评测膀胱结石合并膀胱过度活动症(OAB)患者行腔内碎石术前、术后早期使用索利那新的临床疗效和不良反应。方法 60例采用单纯经尿道膀胱结石腔内碎石取石术的膀胱结石合并OAB患者,随机分为实验组与对照组,每组30例。实验组于术晨开始口服琥珀酸索利那新片5 mg/次,1次/d,口服至拔除导尿管后3 d;对照组予以常规治疗。观察比较两组患者术后膀胱痉挛、尿急、尿频、急迫性尿失禁情况。结果两组患者手术均一次成功,无结石残留。实验组术后膀胱痉挛次数、持续时间明显少于对照组,差异有统计学意义(P<0.05);夜尿次数、24 h平均尿量多于对照组,差异有统计学意义(P<0.05)。术后两组24 h平均尿急次数、急迫性尿失禁次数及排尿次数明显少于术前,且实验组优于对照组,差异具有统计学意义(P<0.05)。结论膀胱结石合并OAB患者行腔内碎石术前、术后早期使用索利那新,对缓解术后膀胱痉挛、尿急、尿频、急迫性尿失禁等症状有良好的效果,值得临床推广应用。
Objective To evaluate the clinical efficacy and side effects of solifenacin preoperatively and postoperatively in patients with bladder calculi and overactive bladder (OAB). Methods Sixty patients with bladder calculi complicated with OAB who underwent simple urethral calculus and intraocular lithotripsy were randomly divided into experimental group and control group, with 30 cases in each group. Experimental group in the morning morning oral succinylsuccinate 5 mg / time, 1 / d, orally until 3 d after removal of the catheter; the control group to be routine treatment. Postoperative bladder spasm, urgency, urinary frequency and urge incontinence were observed and compared between the two groups. Results The two groups of patients were successfully operated without any residual stones. The number and duration of postoperative bladder spasm in the experimental group were significantly less than those in the control group (P <0.05). The frequency of nocturnal urination and the average urine output at 24 h were significantly higher than those in the control group (P <0.05) ). The average number of urinary emergencies, urinary urge incontinence and voiding frequency in 24 h after operation were significantly lower in both groups than those before operation, and the difference between the two groups was statistically significant (P <0.05). Conclusions The use of solifenacin in patients with bladder stones combined with OAB before and after the operation of the lithotripsy has good results in alleviating postoperative bladder spasms, urinary urgency, urinary frequency, urge incontinence and other symptoms and is worthy of clinical application.