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目的:观察中西医结合治疗与护理干预对良性前列腺增生湿热瘀阻证患者临床症状和生活质量的改善作用。方法:选取120例良性前列腺增生湿热瘀阻证患者为研究对象,随机分为中西医组与西医组各60例。西医组给予常规西药治疗和护理干预,中西医组在西医组治疗与护理干预的基础上予以前列舒通胶囊治疗,并联合中医护理进行干预,2组疗程均为1年。观察2组治疗前后前列腺体积、残余尿量、前列腺症状和生活质量的变化,并评估患者的临床满意度。结果:治疗前,2组前列腺体积、残余尿量、国际前列腺症状评分表(IPSS)和生活质量评分表(QLS)评分比较,差异均无统计学意义(P>0.05)。治疗后,2组前列腺体积、残余尿量及IPSS评分均较治疗前缩小/降低(P<0.05,P<0.01),QLS评分均较治疗前升高(P<0.05);观察组前列腺体积、残余尿量及IPSS评分均小/低于对照组(P<0.05),QLS评分均高于对照组(P<0.05);中西医组临床满意率为87.50%,高于西医组的69.81%(P<0.05)。结论:中西医结合治疗与护理干预良性前列腺增生湿热瘀阻证患者,不仅能缩小前列腺体积,减少残余尿量,而且可有效改善患者的生活质量,提高临床满意度。
Objective: To observe the improvement of the clinical symptoms and quality of life in the patients with Benign Prostatic Hyperplasia (HPHT) due to Integrative Medicine and Nursing Intervention. Methods: 120 patients with benign prostatic hyperplasia damp-heat stasis syndrome were selected as study subjects and randomly divided into two groups: 60 cases in western medicine group and western medicine group. The western medicine group was given routine Western medicine treatment and nursing intervention. The Western medicine group was treated with Qianshutong Capsule on the basis of the western medicine group’s treatment and nursing intervention, and combined with traditional Chinese medicine nursing intervention. Both groups were treated for 1 year. The changes of prostate volume, residual urine volume, prostate symptoms and quality of life before and after treatment were observed in two groups, and the clinical satisfaction of the patients was evaluated. Results: Before treatment, there were no significant differences in prostate volume, residual urine volume, IPSS and QLS scores between the two groups (P> 0.05). After treatment, the volume of prostate, residual urine volume and IPSS score decreased and decreased (P <0.05, P <0.01), and the QLS score was significantly higher than that before treatment (P <0.05) (P <0.05). The QLS score was higher in the TCM group than in the control group (87.50%), which was significantly higher than that in the WM group (69.81%) (P <0.05) P <0.05). Conclusion: Integrative Medicine Treatment and Nursing intervention in patients with benign prostatic hyperplasia damp-heat stasis syndrome not only can reduce prostate volume and reduce residual urine volume, but also can effectively improve the quality of life of patients and improve clinical satisfaction.