Investigation On The Relationship Between Tcm Types Of Syndrome And Clinical Correlation Factors Of Bph Accompanied With Prostate Calculi Abstract

Objective:To investigate the relationship between TCM types of syndrome and clinical correlation factors of benign prostatic hyperplasia (BPH) accompanied with prostate calculi by TCM differentiation of symptoms and signs.Methods:Differentiate100BPH cases to four TCM types of syndrome based on the standard of the diagnosis and of TCM disease (National Standard). Record the clinical correlation factors including age, curse, urination irritation, IPSS(international prostate symptom scoring),weight of prostate, Qmax, residual urine, PSA(prostate specific antigen). All the patients take the operation of TUPK(transurethral plasmakkinetic bipolar vaporization), the prostate tissue specimens are observed under Electronic microscope. Record the pathology report of prostate tissue specimens and the calculi component analysis. Statistics by SPSS17.0, analyze the relationship between TCM types of syndrome and clinical correlation factors of BPH accompanied with prostate calculi.Results:Benign prostatic with prostate calculi43cases, Dampness and Heat take the highest place, occupy46.5%; Stasis Cloud Blocked occupy18.6%; Kidney Qi Deficiency occupy34.9%; Liver Qi Stagnation occupy0%. Syndrome ranged from high in the end were damp> kidney deficiency> stasis cloud blocking> liver qi stagnation. Syndrome and age distribution of the analysis of chi-square test P=0.006, analysis of variance P=0.006(P<0.05), kidney deficiency syndrome and damp card compared to a significant difference P=0.004(P <0.05.) Syndrome analysis of distribution and duration of chi-square test P=0.001(P<0.05), analysis of variance P=0.000(P<0.05), blood stasis syndrome and damp obstruction permit no difference turbidity (P=0.489), Compared with kidney deficiency syndrome, there was significant difference (P=0.000), blood stasis syndrome and kidney cloud blocking deficiency syndrome, compared with significant difference (P=0.017). Distribution and weight of the prostate syndrome in the Chi-square analysis P=0.005(P<0.05), analysis of variance P=0.04, damp kidney deficiency syndrome syndrome and there was significant difference (P=0.008), Cloud stasis syndrome and qi deficiency syndrome obstruction there was significant difference (P=0.046). Syndrome Distribution and IPSS score chi-square test P=0.036(P<0.05), analysis of variance P=0.000, damp syndrome and kidney deficiency syndrome significantly different compared (P=0.000). Syndrome distribution and flow rate analysis of chi-square test P=0.028(P<0.05), analysis of variance P=0.041(P<0.05), Syndrome Distribution and analysis of prostate specific antigen chi-square test P=0.043(P<0.05).Conclusion:Benign prostatic hyperplasia with prostate calculi pathological features of TCM is Dampness and Heat and kidney qi deficiency, Dampness and Heat of BPH with prostate calculi syndrome is the main CP syndrome. Dampness and Heat, kidney correlated are relevant to the clinical symptoms, kidney correlated is relevant to the Objective indicators.