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。 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.
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.
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.
