Clinical Study Of Traditional Chinese Medicine Syndrome Differentiation And Urodynamics In Patients With Benign Prostatic Hyperplasia

ObjectiveTo study the relationship between Traditional Chinese Medicine (TCM) syndrome differentiation and urodynamics with Bengin Prostatic Hyperplasia (BPH), and explore the diagnostic parameters for TCM syndrome differentiation in patients with BPH.MethodsA total of 155 patients in BPH were divided into the types of downward flow of damp heat, spleen-kidney Qi deficiency, Qi stagnation and blood stasis, asthenia kidney Yin and asthenia kidney Yang. The patients had been tested by CT or MRI scan and urodynamics from April,2014 to March,2015. Inspect index in TCM syndrome differentiation and urodynamics and explore the relationship between them.ResultsAll the number of the cases,33 (21.3%) were differentiated as downward flow of damp heat,24(15.5%) were differentiated as spleen-kidney Qi deficien-cy,58 (37.4%) were differentiated as Qi stagnation and blood stasis,28 (18.1%) were differentiated as asthenia kidney Yin, and 12(7.7%) as asthenia kidney Yang. Qi stagnation and blood stasis was negatively correlated with age (P=0.023, OR<1), Qmax (P=0.042, OR<1), and was positively correlated with Pdet@Qmax (P=0.001, OR>1), URA (P=0.006, OR>1). Syndrome of downward flow of damp heat was negatively correlated with age(P=0.029,OR<1), Pdet@Qmax (P=0.025, OR>1).They were no relevance with IPSS and volume of prostate. Compared with excess syndrome, the probability of patients in BPH with detrusor function in weaken area was increased in deficiency syndrome (P=0.013, OR >1). Schafer in none obstruction area (P=0.03, OR>1), and suspicious obstruction area(P<0.01, OR>1) were probilily increased in patients with deficiency. But there were no statistically signifi-cant difference between the three. IPSS, urine flow acceleration, residual urine volume and volume of prostate, there differences did not reach significant with TCM syndrome differentiation for BPH.ConclusionEach types has intimate correlation with age, Qmax, Pdet@Qmax, URA, Schafer Grade, and detrusor dysfunction. Patients with BPH in downward flow of damp heat and Qi stagnation and blood stasis were mainly performed as bladder obstruction outlet on urodynamics. Deficiency syndrome (spleen-kidney Qi deficiency, asthenia kidney Yin and asthenia kidney Yang) mainly performed as detrusor dysfunction.