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山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (1): 79-82.

• 临床医学 • 上一篇    下一篇

膀胱内灌注透明质酸钠治疗非细菌性膀胱炎的临床观察

张德清,朱耀丰, 孟辉,王俊,李岩,史本康   

  1. 山东大学齐鲁医院泌尿外科, 济南 250012
  • 收稿日期:2012-09-10 出版日期:2013-01-10 发布日期:2013-01-10
  • 通讯作者: 史本康(1965- ),男,主任医师,博士生导师,主要从事泌尿男生殖系肿瘤、前列腺疾病研究。 E-mail:bkshi68@yahoo.com.cn
  • 作者简介:张德清(1987- ),男,硕士研究生,主要从事泌尿外科的研究。 E-mail:qingdz@126.com

Clinical observation on intravesical instillation of sodium hyaluronate for treatment of non-bacterial cystitis

ZHANG De-qing, ZHU Yao-feng, MENG Hui, WANG Jun, LI Yan, SHI Ben-kang   

  1. Department of Urology, Qilu Hospital of Shandong University, Jinan 250012, China
  • Received:2012-09-10 Online:2013-01-10 Published:2013-01-10

摘要:

目的   观察膀胱内灌注透明质酸钠治疗非细菌性膀胱炎的疗效及安全性。方法   对28例非细菌性膀胱炎患者行膀胱内灌注透明质酸钠溶液(50mL/40mg),每周灌注1次,连续4周;后改为两周1次,连续4周;最后每月灌注1次,连续2月。两周随访1次,随访至第16周,根据患者主观感受填写疼痛视觉模拟量表VAS、LUTS症状评分、记录排尿日记,观察并分析变化以评价其疗效和安全性。结果   28例患者均完成灌注疗程及随访,第16周时VAS评分由治疗前6.86±1.74下降至2.71±0.90(P<0.001),LUTS评分由治疗前41.07±11.96下降至23.25±6.07(P<0.001);膀胱容量均值由治疗前(106.71±22.65)mL上升至(163.93±32.00)mL(P<0.001)。结论   膀胱内灌注透明质酸钠治疗非细菌性膀胱炎的短期疗效及安全性值得肯定,能明显缓解症状,从而提高生活质量。

关键词: 透明质酸;非细菌性膀胱炎;灌注;疗效

Abstract:

Objective   To observe the clinical efficacy and safety on intravesical instillation of sodium hyaluronate for treatment of non-bacterial cystitis. Methods   Totally 28 patients with non-bacterial cystitis were included. They received intravesical instillation(sodium hyaluronate solution of 50ml/40mg) once a week for 4 weeks, then once every two weeks for the next 4 weeks and at last once a month for the next 2 months. The follow-up visited was performed once every two weeks, ended at the 16th week. Evaluate the efficacy and safety of the sodium hyaluronate according to patients’ symptom assessment scores(VAS, LUTS) and the micturition diary. Results   28 patients all completed the instillation and follow-up. At the 16th week, the VAS score dropped from 6.86±1.74 to 2.71±0.90(P<0.001), the LUTS score dropped from 41.07±11.96 to 23.25±6.07(P<0.001) and the mean BC(bladder capacity) rose from (106.71±22.65)mL to (163.93±32.00)mL(P<0.001). Conclusion   The short-term curative effect and safety of intravesical instillation of sodium hyaluronate to treat the non-bacterial cystitis is worth affirmation. It can significantly relieve symptoms in order to improve the quality of life.

Key words: Hyaluronic acid; Nonbacterial cystitis; Instillation; Efficacy

中图分类号: 

  • R694
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