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哈乐与托特罗定联合应用治疗前列腺增生伴下尿路症状患者的初步研究
引用本文:王宗林,王新敏,王勤章.哈乐与托特罗定联合应用治疗前列腺增生伴下尿路症状患者的初步研究[J].农垦医学,2010,32(2):129-131.
作者姓名:王宗林  王新敏  王勤章
作者单位:1. 新疆昌吉市人民医院,新疆昌吉,831100
2. 石河子大学医学院第一附属医院泌尿外科,新疆石河子,832008
摘    要:目的:观察α1肾上腺素能受体阻滞剂哈乐与抗胆碱药托特罗定联合应用对良性前列腺增生(BPH)伴下尿路症状(LUTS)患者的临床疗效。方法:对80例BPH伴LUTS病人采用随机、对照研究,分为治疗组和对照组,治疗组口服哈乐(200mg/qd)+托特罗定(1mg/bid),对照组口服哈乐(200mg/qd)。观察患者服药前、服药3周后,国际前列腺症状评分(IPSS)以及尿流动力学指标,如最大尿流率(UMAX),膀胱残余尿量和患者症状改善率。结果:治疗3周后,联合用药组UMAX、膀胱残余尿量和患者症状改善率均优于单独用药组,差异有统计学意义(P〈0.01)。结论:哈乐与托特罗定联合应用较单纯使用哈乐可显著改善BPH伴LUTS患者的症状,其疗效可靠,安全可行。

关 键 词:良性前列腺增生  哈乐  托特罗定

Tamsulosin and Tolterodine in the Treatment of Benign Prostatic Hyperplasia Patients with LUTS
WANG Zong-lin,WANG Xin-min,WANG Qin-zhang.Tamsulosin and Tolterodine in the Treatment of Benign Prostatic Hyperplasia Patients with LUTS[J].Agricultural Reclamation Medicine,2010,32(2):129-131.
Authors:WANG Zong-lin  WANG Xin-min  WANG Qin-zhang
Institution:1.The People's Hospital of Changji,Xinjiang Changji,831100; 2.Department of Urinary surgery,the First Affiliated Hospital,Shihezi University,School of Medicine,Xinjiang Shihezi,832008)
Abstract:Objective:To evaluate the clinical efficacy of alpha-1 adrenoceptor antagonist (Tamsulosin) and Tolterodine in the treatment of benign prostatic hyperplasia (BPH) patients with LUTS. Methods:Eighty BPH patients with LUTS were randomly divided into treatment group and control group of 40 patients each.The patients in treatment group use Tamsulosin(200mg/qd)+ Tolterodine(1mg/bid,and patients in control group only use tamsulosin(200mg/qd). Results:There was significantly difference between two groups (P 0. 01) after three weeks later. Conclusion:Treatment with Tamsulosin and Tolterodine was effective in raising the LUTS with BPH patients.
Keywords:Benign prostatic hyperplasia  Tamsulosin  Tolterodine
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