补肾益元法与化瘀散结法治疗前列腺肥大症的临床研究

Clinical Study on Comparison of Tonifying Kidney Replenishing Vitality and Removing Blood Stasis and Resolving Mass in Treating Prostatic Hypeaplasia Patients

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DOI：

中文关键词: 前列腺肥大肾虚血瘀攻补兼施

英文关键词:prostatic hyperplasia Xiao Jin Dan tonifying Kidney-replenishing Vitality

基金项目:

作者	单位
谢嘉文	上海医科大学附属华山医院
沈自尹	上海医科大学附属华山医院
王文健	上海医科大学附属华山医院
吴克永	上海医科大学附属华山医院

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中文摘要:

７０例前列腺肥大症患者分别接受补肾益元法（３４例）、化瘀散结法（３６例）治疗。结果发现，两种治疗方法不仅均能使患者的排尿困难症状得到改善，同时超声波检查显示，患者的膀胱残留尿量明显减少，治疗前后差异显著；前列腺体积也有相应缩小，补肾益元组１０例治疗前后作了超声波检查，有４例缩小，而化瘀散结组３５例中有２７例缩小，两组缩小率之间差异较明显。提示前列腺肥大症与肾虚关系密切，但采用攻补兼施法时，活血化瘀治疗也很重要。

英文摘要:

patients with prostatic hyperplasia were observed.Among them 34 cases were treated with the regime of tonifying Kidney-replenishing Vitality(TKRV) and the other 36 cases were treated with removing blood stasis and resolving mass(Xiao Jin Dan).The dysuria of the patients in both groups was improved after treatment.The results of the transrectal ultrasonotomography showed as follows:(l)The effect on the volume of residual urine: the average values of the TKRV group were 43.29±14.03 ml before treatment and 17.24±5.13 ml after treatment(P<0.05),that of Xiao Jin Dan were 21.17±5.57 ml and 7.37±2.87 ml respectively(P<0.01).(2)The effect on the size of the prostate gland:only 10 cases in the TKRV group were measured both before and after treatment,the average size of the prostate gland were 46.30±8.23 ml and 43.60±4.52 ml respectively (P<0.05),and 4 cases were decreased in the size after treatment.35 cases in Xiao Jin Dan group were measured before and after treatment and their size of prostate gland were 47.83±2.50 ml and 43.45±2.24 ml(P<0.01) respectively.27 out of the 35 cases were decreased in their size of prostate gland.The results showed that the therapeutic effect of Xiao Jin Dan was slightly better than that of the TKRV,which suggested that the prostatic hyperplasia was closely related to the syndrome of Kidney-Deficiency as well as to the syndrome of Blood Stasis.So it is important that we combined the reinforcement and elimination in the treatment of prostatic hyperplasia.

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