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中文摘要: 目的 探讨前列腺增生症患者社区及与专科医院联合临床管理的效果。方法 将我院2014年—2016年收治的190例前列腺增生症患者随机分为对照组90例，观察组100例。对照组采用常规的药物治疗；观察组在常规药物治疗的基础上，采用专科医院联合社区管理的方法。观察比较两组患者国际前列腺症状(International prostate，IPSS)评分、生活质量指数(Quality of Life Score，QOL)评分和随访结果(显效、有效和无效)的差异变化。结果 干预前，两组患者的IPSS评分结果差异无明显变化，不具有统计学意义(P＞0.05)。干预后，观察组的IPSS评分(10.67±3.55)分显著低于对照组的(13.89±3.54)分，差异具有统计学意义(P＜0.05)。干预前，观察组和对照组的生活质量指数结果差异变化不明显，无统计学意义(P＞0.05)。干预后，两组患者的生活质量指数QOL评分显著降低，观察组(1.76±0.13)分明显低于对照组(2.11±0.14)分，差异具有统计学意义(P＜0.05)。干预后，观察组和对照组的总有效率分别为92.0%和74.4%，差异变化明显，具有统计学意义(P＜0.05)。干预后，观察组的并发症(血尿、膀胱结石、尿毒症和膀胱炎症)明显低于对照组，差异具有统计学意义(P＜0.05)。结论 专科医院联合社区管理对治疗前列腺增生症患者效果显著，在临床中值得应用推广。
Abstract:OBJECTIVE To study the application values of community management and union management with special hospital for treatment of patients with hyperplasia of prostate in the clinic.METHODS 190 cases of patients with hyperplasia of prostate were divided into the observation group(100)and the control group (90) from 2014 to 2016. The control group was given routine medication and the observation group was received special hospital combined with community management based on routine medication. To compare the IPSS score, quality of life index and follow-up outcome of the treatment regimens of two groups. RESULTS The IPSS score of two groups were not statistically significant(P＞0.05) before treatment. The IPSS score of the observation group(10.67±3.55) was lower than 13.89±3.54 of the control group after treatment(P＜0.05).The quality of life index of the observation group and the control group was not statistically significant(P＞0.05)before treatment. The quality of life index of two groups were reduced statistically after treatment after treatment. The observation group(1.76±0.13) was statistically lower than the control group (2.11±0.14).The difference is statistically significant(P＜0.05).
The total effective rate of the observation group(87%)was rather than 50% of the control group after treatment. The difference is statistically significant(P＜0.05).The bloody urine, bladder stone, uremia and inflammation of the bladder of the observation group were lower than the control group(P＜0.05).CONCLUSION The special hospital combined with community management in the treatment of patients with hyperplasia of prostate shows good therapeutic efficacy which can be popularized in clinic．
文章编号：3201801012 中图分类号：R197 文献标志码：
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