一例初诊老年前列腺增生患者的循证治疗

目的借助循证医学的方法为1例初诊老年前列腺增生患者确定治疗目标和治疗方案。方法在充分评估患者情况后，提出临床问题，从Cochrane Library、中国生物医学文献数据库、中国期刊网、PubMed、EMbase、ScienceDirect、Springer和ProQuest检索相关证据，检索时间截至2008年。评价证据的质量和适用性，据患者意愿制定治疗方案，随访患者。结果共检索出与不同问题相关的随机对照试验137篇，系统评价／Meta分析39篇。综合分析检索结果，为患者制订了合理的治疗方案。经1年随访证实，该方案适合患者。结论采用循证治疗的方法，为初诊老年前列腺增生患者确定合理的治疗方案，可有效提高治疗效果。

Evidence-Based Treatment for a Newly Diagnosed Prostatic Hyperplasia in an Elderly Patient

Objective Evidence-based medicine was used to make an individualized treatment plan tor newly diagnosed prostatic hyperplasia in an elderly patient. Methods After clinical problems were discovered, evidence was collected from CBM, CNKI, The Cochrane Library, PubMed, EMBASE, ScienceDirect, Springer, and ProQuest databases according to our predefined search strategy. The search was done through 2008. The internal and external validity of the evidence was assessed. The evidence, combined with the patient value, was applied to the patient. Results A total of 39 systematic reviews involving 137 randomized controlled trials were identified. A rational treatment plan was made upon a critical evaluation of the data. After one year follow-up, the treatment protocol was proven correct. Conclusion The treatment efficacy in newly diagnosed prostatic hyperplasia in the elderly has been improved by determining an individualized treatment protocol according to evidence-based methods.