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纸质出版:2013
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季惠翔,方强,李雪梅,沈文浩,周占松,陈志文.口服甲磺酸多沙唑嗪缓解前列腺穿刺术后排尿症状[J].陆军军医大学学报(原第三军医大学学报),2013,35(15):1599-1600.
Ji Huixiang,Fang Qiang,Li Xuemei,Shen Wenhao,Zhou Zhansong,Chen Zhiwen.Efficacy of doxazosin mesylate on alleviating symptoms after prostate puncture biopsy[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(15):1599-1600.
季惠翔,方强,李雪梅,沈文浩,周占松,陈志文.口服甲磺酸多沙唑嗪缓解前列腺穿刺术后排尿症状[J].陆军军医大学学报(原第三军医大学学报),2013,35(15):1599-1600. DOI:
Ji Huixiang,Fang Qiang,Li Xuemei,Shen Wenhao,Zhou Zhansong,Chen Zhiwen.Efficacy of doxazosin mesylate on alleviating symptoms after prostate puncture biopsy[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(15):1599-1600. DOI:
目的 观察口服α受体阻滞剂能否有效缓解前列腺穿刺术后的排尿不适症状。 方法 2010年1月至2012年3月我科50例怀疑为前列腺癌的住院患者[(63.1±6.6)岁
]
随机分为试验组、对照组,每组25例,试验组在穿刺前1 d至穿刺后7 d每天口服4 mg甲磺酸多沙唑嗪控释片,监测、比较2组患者穿刺前1 d及穿刺后1、7 d的国际前列腺症状评分表(IPSS)评分、最大尿流率数值。 结果 与穿刺前基线相比,穿刺后1、7 d,试验组IPSS评分分别由(14.21±7.62)分上升至(18.43±5.98)分、(17.94±7.14)分,对照组由(16.49±8.33)分上升至(21.44±4.75)、(19.02±6.57)分;实验组最大尿流率由(9.32±6.82)mL/s下降至(7.08±9.35)、(8.36±11.21)mL/s,对照组由(9.78±5.45)mL/s下降至(5.64±10.42)、(8.85±10.94)mL/s。试验组穿刺后1 d IPSS评分低于对照组(
P
0.05),最大尿流率高于对照组(P0.05)。 结论 口服α受体阻滞剂对缓解前列腺穿刺术后的排尿不适症状有一定效果。
Objective To evaluate the efficacy of alpha blocker on voiding symptoms after prostate puncture biopsy. Methods Fifty inpatients of our hospital (63.1±6.6 years old) were randomized to a doxazosin treatment group (n=25) and a control group (n=25). Doxazosin mesylate controlled-release tablets were administrated (4 mg qd.) to patients in the doxazosin treatment group from 1 d prior to the puncture until 7 d after the puncture. International Prostate Symptom Score (IPSS) and maximal flow rate (Qmax) were assessed between the 2 groups at 3 time points (1 d prior to puncture and 1 d and 7 d after puncture). Results The IPSS of the doxazosin treatment group was 14.21±7.62
18.43±5.98 and 17.94±7.14 at 1 d before puncture and at 1 d and 7 d after puncture
but the IPSS of the control group was 16.49±8.33
21.44±4.75 and 19.02±6.57
respectively. The Qmax of the doxazosin treatment group was 9.32±6.82
7.08±9.35 and 8.36±11.21 mL/s at 1 d before puncture and at 1 d and 7 d after puncture
but the Qmax of the control group was 9.78±5.45
5.64±10.42 and 8.85±10.94 mL/s
respectively. Conclusion Alpha blocker can relieve voiding symptoms after prostate puncture biopsy.
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