| Autor: |
Xin-Fei, Huang, Ke-Qin, Ning, Qing, Wang, Tao, Liu, Ying, He, Jian-Guo, Xue, Li-Qin, Dai, Yong-Kang, Zhu |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Zhonghua nan ke xue = National journal of andrology. 23(12) |
| ISSN: |
1009-3591 |
| Popis: |
To investigate the correlation between the syndrome types of traditional Chinese medicine (TCM) and clinical symptoms of benign prostatic hyperplasia (BPH) with chronic prostatitis (BPH-CP).We selected 150 cases of BPH-CP in this study and divided them into 7 TCM syndrome types. Using univariate and multivariate logistic regression analyses, we studied the correlation of each TCM syndrome type with the age, disease course, prostate volume, postvoid residual urine volume (PVR), prostate-specific antigen (PSA) level, maximum urinary flow rate (Qmax), and International Prostate Symptoms Score (IPSS).Kidney-yin deficiency was correlated positively with the prostate volume but negatively with Qmax and IPSS; kidney-yang deficiency positively with the age and prostate volume but negatively with IPSS; the damp heat syndrome positively with the PSA level but negatively with the disease course, prostate volume and Qmax; the spleen-qi deficiency syndrome positively with the prostate volume but negatively with the disease course; liver-qi stagnation positively with the disease course but negatively with the age, prostate volume and PVR; the syndrome of qi stagnation and blood stasis positively with the disease course and IPSS but negatively with PVR; the syndrome of lung-heat and qi blockage positively with the age, Qmax and IPSS but negatively with the disease course.The TCM syndrome types of BPH-CP are closely correlated to their clinical symptoms. The analysis of the clinical objective indexes of BPH-CP can provide some reliable evidence for accurate identification of the TCM syndrome type of the disease.目的： 分析良性前列腺增生(BPH)伴慢性前列腺炎(CP)中医证型与临床症状之间的相关性。方法： 选取150例BPH伴CP患者进行研究，于治疗前将其分为7种中医证型，对各证型患者的年龄、病程、前列腺质量、残余尿量、PSA水平、尿流率和IPSS评分等临床症状之间的相关性进行单因素分析和多因素Logistics回归性分析。结果： 经统计，肾阴不足证与前列腺质量呈正相关，与尿流量和IPSS呈负相关；肾阳亏虚证与年龄和前列腺质量呈正相关，与IPSS呈负相关；湿热下注证与PSA呈正相关，与病程、前列腺质量和尿流率呈负相关；脾气虚弱证与前列腺质量呈正相关，与病程呈负相关；肝郁气滞证与病程呈正相关，与年龄、前列腺质量和残余尿量呈负相关；气滞血瘀证与病程和IPSS呈正相关，与残余尿量呈负相关；肺热气闭证与年龄、尿流率和IPSS呈正相关，与病程呈负相关。结论： BPH伴CP的各种中医证型与其临床症状具有密切联系，通过分析临床客观指标能为准确鉴别中医证型提供可靠依据。. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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