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目的:观察热淋清在促进前列腺电切术后病人康复的疗效。方法:将78例行尿道前列腺电切术(TURP)的良性前列腺增生症患者随机分为2组,治疗组(40例)于术前2天开始口服热淋清颗粒剂8克/次,每日3次,20天为1个疗程,其它处理同对照组(38例)。观察排尿状况、尿液性状、尿常规、残余尿(RUV)与最大尿液率(Qmax),通过国际前列腺症状评分(IPSS)和生活质量评分来评价生活质量改善情况。结果:治疗组术后膀胱冲洗时间56.4±12.8(h),导尿管留置时间4.2±1.3(d),镜下血尿转阴时间14.8±2.2(d),IPSS和QOL分别为9.1±2.8(分)和1.6±0.8(分)、RUV和Qmax分别为10.5±10.3(ml)和17.0±3.3(ml/s),与对照组比较有显著性差异(P<0.01或P<0.05)。结论:热淋清可以明显缩短TURP术后血尿的阴转时间,缩短导尿管留置时间,减轻术后不适,减少并发症的发生率,能有效促进TURP术后康复,进一步改善生活质量。
Objective: To observe the effect of heat-clearing on patients after prostatectomy. Methods: Seventy-eight patients with benign prostatic hyperplasia (TURP) undergoing urethral prostatectomy were randomly divided into two groups. The treatment group (40 cases) started oral administration of Rehyerelin Granules at a dose of 8 g / 3 times a day, 20 days for a course of treatment, the other treatment with the control group (38 cases). Urine status, urinary traits, urine routine, residual urine (RUV) and maximal urine rate (Qmax) were observed. Quality of life was assessed by International Prostate Symptom Score (IPSS) and Quality of Life Scale. Results: The bladder irrigation time was 56.4 ± 12.8 h in the treatment group, the catheterization time was 4.2 ± 1.3 (d), the time to microscopic hematuria was 14.8 ± 2.2 (d), and the IPSS and QOL were 9.1 ± 2.8 RUV and Qmax were 10.5 ± 10.3 (ml) and 17.0 ± 3.3 (ml / s), respectively, which were significantly different from the control group (P <0.01 or P <0.05). CONCLUSION: The heat-clearing group can shorten the time of TURP postoperative hematuria, shorten the catheter indwelling time, relieve postoperative discomfort and reduce the incidence of complications, which can effectively promote the recovery after TURP and further improve the quality of life.