文章摘要
詹自力,祝海洲,王富军,魏宗彬,刘义军.坦洛新联合托特罗定对老年膀胱过度活动综合症患者P2X3受体表达的影响[J].,2017,17(17):3347-3350
坦洛新联合托特罗定对老年膀胱过度活动综合症患者P2X3受体表达的影响
Effect of Tamsulosin Combined with Tolterodine on the Expression of P2X3 Receptor in Elderly Patients with Bladder Hyperactivity Syndrome
投稿时间:2016-10-28  修订日期:2016-11-25
DOI:10.13241/j.cnki.pmb.2017.17.037
中文关键词: 坦洛新  托特罗定  膀胱过度活动综合症  P2X3受体
英文关键词: Tamsulosin  Tolterodine  Overactive bladder syndrome  P2X3 receptor
基金项目:四川省自然科学基金项目(09LK3491)
作者单位
詹自力 四川省内江市中医医院 泌尿外科 四川 内江 641000 
祝海洲 济宁医学院 山东 济宁 272000 
王富军 内江市东兴区中医医院 四川 内江 641000 
魏宗彬 四川省内江市中医医院 泌尿外科 四川 内江 641000 
刘义军 四川省内江市中医医院 泌尿外科 四川 内江 641000 
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中文摘要:
      摘要 目的:探讨坦洛新联合托特罗定对老年膀胱过度活动综合症患者P2X3受体表达的影响。方法:收集我院收治的膀胱过度活动综合症患者60例,随机分为对照组和实验组,每组各30例,对照组患者给予盐酸坦洛新缓释胶囊,实验组患者在对照组的基础上给予酒石酸托特罗定。观察并比较所有患者的最大尿流速率、膀胱残余尿量、排尿次数、单次最大尿量水平以及患者的治疗效果。结果:治疗后,两组患者治疗后单次最大尿量、最大尿流速率均升高(P<0.05),膀胱残余尿量、排尿次数以及P2X3水平均降低(P<0.05);与对照组相比,实验组患者治疗后单次最大尿量、最大尿流速率较高(P<0.05),膀胱残余尿量、排尿次数以及P2X3水平较低(P<0.05);实验组患者临床总有效率与对照组相比较高(P<0.05)。结论:坦洛新联合托特罗定能够显著提高老年膀胱活动度综合征患者临床疗效,可能与其降低患者血清P2X3受体水平有关。
英文摘要:
      ABSTRACT Objective: To investigate the effect of tamsulosin combined with tolterodine on the expression of P2X3 receptor in el- derly patients with bladder hyperactivity syndrome. Methods: 60 cases of elderly patients with bladder hyperactivity syndrome from our hospital were selected and randomly divided into the control group and the experiment group, 30 cases in each group. The control group was treated by tamsulosin hydrochloride sustained release capsules and the experiment group was treated on the basis of control group with Tolterodine. The maximum urinary flow rate, residual urine volume, urinary frequency, maximum urine volume and treatment effect were tested and compared after treatment. Results: Compared with before treatment, the one time maximum urine volume, maximum urine flow rate were higher in both groups after treatment(P<0.05), the residual urine volume, urinary frequency and P2X3 level were lower(P<0.05). Compared with the control group after treatment, the one time maximum urine volume, maximum urine flow rate were higher in the experiment group (P<0.05), the residual urine volume, urinary frequency and P2X3 level were lower(P<0.05), the clinical total effective rate were higher(P<0.05). Conclusion: Tamsulosin combined with Luoding could significantly improve the clinical efficacy of elderly patients with bladder hyperactivity syndrome, which might be related to the decrease of serum P2X3 receptor level.
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