摘要
目的探讨行为疗法联合药物治疗经尿道前列腺电切术(TURP)后膀胱过度活动症(OAB)的效果。方法选取2012年11月—2014年10月收治于上海市浦东医院的TURP术后OAB患者120例,随机分为观察组和对照组各60例,观察组采用行为疗法联合药物治疗,对照组采用单纯药物治疗,观察两组患者拔管后第7、14和28天的OAB症状评分表(OABSS)评分、排尿情况以及服药期间的不良反应。结果观察组在拔除尿管后第7、14、28天的OABSS评分、24 h尿急次数、24 h排尿次数、夜尿次数和急迫性尿失禁次数均低于对照组,差异有统计学意义(P<0.01)。两组患者服药期间药物不良反应发生率分别为11.67%和13.33%,未发生严重不良反应,患者均可耐受。结论强化行为疗法联合药物治疗能更有效改善TURP术后患者OAB症状,可于TURP术后早期应用。
Objective To evaluate the efficacy of behavior therapy combined with medical therapy on the treatment of overactive bladder syndrome （OABS） after transurethral resection of the prostate （TURP）. Methods A total of 120 cases with OABS after TURP in Pudong Hospital were randomly divided into the control group and the experimental group （60 cases in each group） from November 2012 to October 2014. The control group received medical therapy and the experimental group received medical therapy combined with behavior therapy. The mean urgency episodes, micturition episodes, nocturia, urge incontinence, volume voided per micturition and OABS scores were recorded on the 7th, 14th and 28th days after catheter removal. The emergent adverse events during medical treatment were recorded and evaluated as well. Results On the 7th, 14th and 28th days after catheter removal there were statistically significant differences in urgency episodes, micturition episodes, nocturia, urge incontinence, volume voided per micturition and OABS scores between the two groups （P 〈0.01 ）. The incidences of adverse events during medical treatment were 11.67% and 13.33% in the experimental group and the control group, respectively. No serious adverse events occurred. Conclusion The behavior therapy combined with medical therapy can effectively improve OABS after TURP, and should be recommended earlier after TURP.
出处
《上海护理》
2015年第3期9-12,共4页
Shanghai Nursing
基金
上海市浦东新区卫生局卫生科技发展专项基金资助(PW2012A-28)
关键词
经尿道前列腺电切术
膀胱过度活动症
行为疗法
药物治疗
Transurethral resection of the prostate
Overactive bladder syndrome
Behavior therapy
Medical therapy
