BPH合并OAB课件.pptxVIP

BPH合并OAB症状的诊疗;ICS对OAB的解释;;BPH 合并OAB发生率高;BOO越严重，OAB发生率越高; Lee JY, Kim HW, Lee SJ, et al. Comparison of doxazosin with or without tolterodine in men with symptomatic bladder outlet obstruction and an overactive bladder. BJU Int 2004;94:817–20. 34%的单纯BOO患者对单一应用α受体阻滞剂没有反应，对这些患者应用抗胆碱能药物有38%的患者收到良好效果 Van Venrooij GE, Van Melick HH, Eckhardt MD et al. Correlations of urodynamic changes with changes in symptoms and wellbeing after transurethral resection of the prostate. J Urol 2002; 168:605–9. 术前伴有DO的BPH患者，TURP术后仅有50%的患者DO症状缓解 ;;治疗BPH，应考虑个体化差异;α1-AR阻滞剂能缓解79%的BOO症状但仅能缓解34%的BOO+OAB症状;α1-A