中西医治疗良性前列腺增生的研究进展

Research Progress of Chinese and Western Medicine in the Treatment of Benign Prostatic Hyperplasia

摘要: 作为引起中老年男性储尿和排尿功能异常最为常见的良性疾病之一，良性前列腺增生(Benign Prostatic Hyperplasia, BPH)的主要表现包括组织学上的前列腺间质和腺上皮成分的增生、解剖学上的前列腺体积增大、尿动力学上的膀胱出口梗阻和以下尿路症状为主的临床症状。这三者的临床表现既可单独存在也可交叉重叠。随着年龄的增长，BPH的发生率也随之增加，近年来随着全球人口老龄化的加剧，BPH发病率总体也呈现上升趋势。BPH患者逐渐增多，一方面降低了中老年男性患者的生活质量，另一方面也使得BPH成为困扰世界中老年男性患者的健康难题。同样BPH的治疗方式和手段也在不断发展。本文总结了BPH治疗的相关文献，阐述了BPH的治疗现状和进展，为了进一步改善对本病的研究，提供一些建议和参考方向。

Abstract: Benign prostatic hyperplasia (BPH) is the most common benign disease causing abnormalities in urinary storage and voiding function in medium-elderly men. Its main manifestations include hyperplasia of the prostatic stroma and glandular epithelium in histology, enlargement of the prostate in anatomy, obstruction of bladder outlet in urodynamics and lower urinary tract symptoms which are the main clinical symptoms of BPH. The clinical manifestations of these three can be either separate or overlapping. The incidence of BPH increases with age, and in recent years, with the aging of the global population, the overall incidence of BPH has been on the rise. The gradual increase in the number of patients with BPH has reduced the quality of life of middle-aged and elderly male patients on the one hand, and on the other hand, it has made BPH a health problem plaguing the world’s middle-aged and elderly male patients. Similarly the treatment modalities and methods of BPH are also evolving. This paper summarizes the relevant literature on the treatment of BPH, describes the current status and progress of the treatment of BPH, and provides some suggestions and reference directions in order to further improve the research on this disease.