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Tamsulosin Monotherapy Is Effective in Reducing Ureteral Stentrelated Symptoms:A Meta-analysis of Randomized Controlled Studies 被引量:6
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作者 Yong-bo CHEN Liang GAO +2 位作者 Qing JIANG Ke RAN Run-tian LUO 《Current Medical Science》 SCIE CAS 2019年第5期707-718,共12页
This study aimed to evaluate the effectiveness of tamsulosin monotherapy for the treatment of ureteral stent-related symptoms(SRSs)and compare it with that of solifenacin monotherapy and combined therapy of tamsulosin... This study aimed to evaluate the effectiveness of tamsulosin monotherapy for the treatment of ureteral stent-related symptoms(SRSs)and compare it with that of solifenacin monotherapy and combined therapy of tamsulosin and silifenacin.Randomized controlled trials(RCTs),which evaluated the effectiveness of tamsulosin for the treatment of SRSs,were searched from the databases PubMed,EMBASE and the Cochrane Library published up to November 2018.Eight RCTs involving 1087 participants were finally included in this meta-analysis.The results showed that tamsulosin monotherapy could significantly decrease the urinary symptoms[mean difference(MD)—7.56,95%confidence interval(CI)(-11.47,-3.65),P=0.0001]and body pain[MD-5.25,95%CI(-8.03,-2.46),P=0.0002],and improve the sexual performance[MD-1.06,95%CI(-1.89,-0.24),P=0.01]compared with the control group.Moreover,there was no significant difference between tamsulosin monotherapy and solifenacin monotherapy in all outcomes except for significantly better sexual performance in solifenacin group[MD 0.29,95%CI(0.06,0.51),P=0.01].In addition,the effectiveness of combined therapy of tamsulosin and solifenacin was not superior to that of tamsulosin monotherapy.Our study demonstrated that tamsulosin monotherapy was effective for the treatment of patients with SRSs;evident superiority could not be found for therapy of tamsulosin and solifenacin combined. 展开更多
关键词 tamsulosin SOLIFENACIN ureteral stent-related SYMPTOMS META-ANALYSIS
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Effect of tamsulosin on ejaculatory function in BPH/LUTS 被引量:2
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作者 Sang Hoon Song Hwancheol Son +8 位作者 Kwang Taek Kim Sae Woong Kim Du Geon Moon Ki Hak Moon Kwangsung Park Jong Kwan Park Sung-Won Lee Jae Seog Hyun Nam Cheol Park 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第6期846-850,共5页
This study was undertaken to determine the impact on ejaculatory function of tamsulosin (0.2 mg) given once daily (OD) for 12 weeks and to identify risk factors for ejaculatory dysfunction in patients undergoing t... This study was undertaken to determine the impact on ejaculatory function of tamsulosin (0.2 mg) given once daily (OD) for 12 weeks and to identify risk factors for ejaculatory dysfunction in patients undergoing this treatment. Males with an International Prostatic Symptom Score (IPSS) ≥ 8 were enrolled in this study. All participants completed questionnaires, including the IPSS and the Male Sexual Health Questionnaire (MSHQ), and serum prostate-specific antigen, transrectal ultrasound and uroflowmetry with post-void residual were measured. After initiating 0.2 mg OD tamsulosin, patients were re-evaluated on the fourth and twelfth weeks of medication. The chi-squared test, the independent t-test and one-way ANOVA were used to compare means. Binary logistic regression analysis was used to calculate the odds ratio for all risk factors. A total of 177 men constituted the study cohort. No significant difference was observed between baseline and follow-up for the erectile function, ejaculatory function, satisfaction, sexual activity and desire domains (EFD, EjFD, SDA and ADD) or for erectile or ejaculatory bother mean scores. After 12 weeks, the overall incidence of ejaculatory dysfunction (EjD) was 13.4%. Incidences of the seven different types of EjD (decreased frequency, delay, dryness, decreased strength/force, decreased volume, decreased pleasure and pain at ejaculation) were 2.4%, 3.1%, 3.9%, 3.9%, 6.3%, 7.1% and 3.1%, respectively. Baseline EjFD scores were higher for I PSS responders than for non-responders (26.09 vs. 24.06, P=0.03). An EjFD score reduction was more frequent in IPSS responders. The incidence of EjD was small, but not negligible and was more frequent in patients with less lower urinary tract symptoms, a smaller prostate, higher baseline MSHQ totals and higher EjFD scores. 展开更多
关键词 alpha-1 adrenergic receptors benign prostatic hyperplasia EJACULATION lower urinary tract symptom Male Sexual HealthQuestionnaire prostatic hyperplasia tamsulosin
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Effect of tamsulosin versus tamsulosin plus tadalafil on renal calculus clearance after shock wave lithotripsy:An open-labelled,randomised,prospective study 被引量:2
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作者 Siddalingeshwar Neeli 《Asian Journal of Urology》 CSCD 2021年第4期430-435,共6页
Objectives:To compare the efficacy of tamsulosin versus tamsulosin plus tadalafil in achieving clearance of fragments after shock wave lithotripsy(SWL)to treat renal calculi.Methods:Between January 2016 to December 20... Objectives:To compare the efficacy of tamsulosin versus tamsulosin plus tadalafil in achieving clearance of fragments after shock wave lithotripsy(SWL)to treat renal calculi.Methods:Between January 2016 to December 2017,140 patients with solitary,non-branched,non-lower calyceal renal calculus and measuring less than 20 mm and treated with SWL were randomized to tamsulosin(group A)or tamsulosin plus tadalafil(group B).Therapy was given for a period of 4 weeks.Stone clearance rate,analgesic requirement,occurrence of steinstrasse,need for auxiliary procedures(endoscopic treatment),and adverse effects of drugs were recorded.Results:The overall clearance rate was 72.5%(50/69)in the group A and 90.1%(64/71)in the group B(pZ0.007).For stones up to 12 mm,the difference in the clearance rate was significant(pZ0.039)while it was not so for stones larger than 12 mm(pZ0.151).There was no statistically significant difference between the two groups with regards to analgesic requirement(pZ0.94),occurrence of steinstrasse(pZ0.101),need for auxiliary procedures(pZ0.76),and adverse effects of the drugs(pZ0.148).Conclusion:Our study shows that adjunctive medical expulsive therapy with tamsulosin and tadalafil achieves better clearance rate than tadalafil alone in patients receiving SWL for renal stones. 展开更多
关键词 Renal calculus Shock wave lithotripsy tamsulosin TADALAFIL
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Preparation and evaluation of tamsulosin hydrochloride sustained-release pellets modified by two-layered membrane techniques 被引量:2
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作者 Jingmin Wang Yinghua Sun +5 位作者 Bo Li Rui Fan Bing Li Tengrui Yin Ling Rong Jin Sun 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2015年第1期31-39,共9页
The aim of the present study was to develop tamsulosin hydrochloride sustained-release pellets using two-layered membrane techniques.Centrifugal granulator and fluidizedbed coater were employed to prepare drug-loaded ... The aim of the present study was to develop tamsulosin hydrochloride sustained-release pellets using two-layered membrane techniques.Centrifugal granulator and fluidizedbed coater were employed to prepare drug-loaded pellets and to employ two-layered membrane coating respectively.The prepared pellets were evaluated for physicochemical characterization,subjected to differential scanning calorimetry(DSC)and in vitro release of different pH.Different release models and scanning electron microscopy(SEM)were utilized to analyze the release mechanism of Harnual■ and home-made pellets.By comparing the dissolution profiles,the ratio and coating weight gain of Eudragit■ NE30D and Eudragit■ L30D55 which constitute the inside membrane were identified as 18:1 and 10%-11%.The coating amount of outside membrane containing Eudragit■ L30D55 was determined to be 0.8%.The similarity factors(f_(2))of home-made capsule and commercially available product(Harnual■)were above 50 in different dissolution media.DSC studies confirmed that drug and excipients had good compatibility and SEM photographs showed the similarities and differences of coating surface between Harnual■ and self-made pellets before and after dissolution.According to Ritger-Peppas model,the two dosage form had different release mechanism. 展开更多
关键词 PREPARATION In vitro evaluation tamsulosin hydrochloride Sustained-release pellets Drug release mechanism Stability study
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Stability Indicating HPLC Method for Quantification of Solifenacin Succinate &Tamsulosin Hydrochloride along with Its Impurities in Tablet Dosage Form 被引量:1
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作者 Hari Kishan Reddy Ganthi Raveendra Reddy P +3 位作者 Young Jun Park Hanimi Reddy Bapatu So Jin Park Woo Hyong Cho 《American Journal of Analytical Chemistry》 2016年第11期840-862,共23页
A novel stability-indicating RP-HPLC method was developed and validated for simultaneous determination of Solifenacin Succinate & Tamsulosin Hydrochloride and its impurities in tablet dosage form. The method was d... A novel stability-indicating RP-HPLC method was developed and validated for simultaneous determination of Solifenacin Succinate & Tamsulosin Hydrochloride and its impurities in tablet dosage form. The method was developed using L1 column with gradient using the mobile phase consist of solvent-A (pH = 6.6, phosphate buffer + 0.5% Triethylamine) and solvent-B (90% Acetonitrile). The eluted compounds were monitored at 225 nm. Solifenacin Succinate & Tamsulosin Hydrochloride was subjected to oxidative, acid, base, hydrolytic, thermal and photolytic stress conditions. The developed method was validated as per ICH guidelines with respect to specificity, linearity, limit of detection, limit of quantitation, accuracy, precision and robustness. The limit of quantification results was ranged from 0.135 - 0.221 μg/mL for Solifenacin Succinate impurities and 0.043 - 0.090 μg/mL for Tamsulosin Hydrochloride impurities. This method is suitable for the estimation of impurities and assay of Solifenacin Succinate & Tamsulosin Hydrochloride in tablets dosage form. 展开更多
关键词 SOLIFENACIN tamsulosin RP-HPLC IMPURITIES Method Validation
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Neuroprotective effects of tamsulosin on intracerebral hemorrhage
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作者 Hong-Jin Suh Sung-Min So +7 位作者 Young-Gil Na Il-Gyu Ko Sung-Eun Kim Yun-Hee Sung Mal-Soon Shin Chang-Ju Kim Young-Sam Cho Khae-Hawn Kim 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第32期2505-2510,共6页
The alpha1 adrenoreceptor antagonist tamsulosin is primarily used to treat benign prostatic hypertrophy. In this study, we intragastrically administered rats with 0.01,0.1 and 1 mg/kg tamsulosin to investigate the eff... The alpha1 adrenoreceptor antagonist tamsulosin is primarily used to treat benign prostatic hypertrophy. In this study, we intragastrically administered rats with 0.01,0.1 and 1 mg/kg tamsulosin to investigate the effects of tamsulosin on memory function, and hippocampal cell apoptosis and proliferation following intracerebral hemorrhage. Step-down avoidance task results showed that tamsulosin treatment markedly alleviated intracerebral hemorrhage- induced short-term memory impairment. Terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling results showed that tamsulosin treatment markedly suppressed intracerebral hemorrhage-induced caspase-3 expression in the hippocampal CA1 region and cell proliferation in the hippocampal dentate gyrus. Tamsulosin treatment at a dose of 0.01 mg/kg exhibited the most potent inhibitory effects on cell apoptosis and proliferation. These findings suggest that tamsulosin treatment facilitates the recovery of rat memory function by inhibiting hippocampal cell apoptosis and proliferation followincl intracerebral hemorrhaQe. 展开更多
关键词 tamsulosin intracerebral hemorrhage short-term memory APOPTOSIS CELLPROLIFERATION HIPPOCAMPUS neural regeneration
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HPLC Method for the Determination of Tamsulosin Hydrochloride in Sustained Release Tablets
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作者 齐美玲 王鹏 +1 位作者 耿颖姝 顾峻岭 《Journal of Beijing Institute of Technology》 EI CAS 2003年第2期194-197,共4页
The development and validation of an isocratic high performance liquid chromatographic method is described for the determination of tamsulosin hydrochloride in sustained release tablets. The determination was performe... The development and validation of an isocratic high performance liquid chromatographic method is described for the determination of tamsulosin hydrochloride in sustained release tablets. The determination was performed on a Diamonsil BDS C18 column with a mobile phase consisting of a mixture of acetonitrile, methanol and 0 5% phosphoric acid solution (20∶30∶50, V/V/V ) at a flow rate of 1 0 mL/min. UV detection was made at 274 nm. The linear range for tamsulosin hydrochloride was 0 81-8 10 μg/mL. The mean recovery was 99 8% ( S R=0 7%, n =9), and the precision was found to be 0 45% ( n =9). The proposed method can be used for routine analysis of tamsulosin hydrochloride in sustained release tablets. 展开更多
关键词 HPLC tamsulosin hydrochloride sustained release tablets
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Tamsulosin-induced life-threatening hypotension in a patient with spinal cord injury:A case report
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作者 Jae Young Lee Ho Seok Lee +1 位作者 Si-Bog Park Kyu Hoon Lee 《World Journal of Clinical Cases》 SCIE 2022年第25期9142-9147,共6页
BACKGROUND Tamsulosin,a selectiveα1-adrenergic receptor antagonist,is commonly used for treating neurogenic bladder in patients with spinal cord injury(SCI).No severe adverse events have been described with such tams... BACKGROUND Tamsulosin,a selectiveα1-adrenergic receptor antagonist,is commonly used for treating neurogenic bladder in patients with spinal cord injury(SCI).No severe adverse events have been described with such tamsulosin use.To our knowledge,we report the first case of severe life-threatening hypotension as an adverse effect of tamsulosin in a person with SCI.Therefore,we report this case to inform that this severe adverse effect of tamsulosin can occur when treating patients with SCI.CASE SUMMARY A 59-year-old woman was diagnosed with cervical spinal cord myelopathy and was classified as American Spinal Injury Association Impairment Scale D,neurological level of injury C3.Because she suffered from voiding difficulty due to neurogenic bladder,we prescribed tamsulosin.Her vital signs remained stable,but occasional hypotensive symptoms followed defecation.We reduced the dose of tamsulosin,but after administering tamsulosin for 9 d,she experienced lifethreatening hypotension with no evidence of hypovolemic shock,neurogenic shock,cardiogenic shock,or septic shock.A hypotensive condition induced by tamsulosin was the suspected cause,and her symptoms could be associated with adverse effects of tamsulosin.As symptoms resolved after stopping tamsulosin,and no other reason was found,we concluded that tamsulosin was the cause of her symptoms.CONCLUSION Caution for severe hypotension is needed when administering tamsulosin for neurogenic bladder in a patient with SCI. 展开更多
关键词 tamsulosin Neurogenic bladder Spinal cord injury HYPOTENSION Vasovagal symptoms Case report
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Tamsulosin as medical expulsive therapy for lower ureterolithiasis:A meta-analysis
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作者 Liu Hongjian Liu Chaodong +2 位作者 Wei Wentao Liu Zunliang Tang Xianli 《Journal of Medical Colleges of PLA(China)》 CAS 2012年第6期324-333,共10页
Objective: To review the evidence for tamsulosin as medical expulsive therapy in enhancing the effectiveness of distal ureteral stone clearance rate. Methods: We searched Pubmed/Medline, Embase, CBM and the Cochrane L... Objective: To review the evidence for tamsulosin as medical expulsive therapy in enhancing the effectiveness of distal ureteral stone clearance rate. Methods: We searched Pubmed/Medline, Embase, CBM and the Cochrane Library up to October 2011. All randomized controlled trials in which tamsulosin was evaluated with distal ureterolithiasis were eligible for the analysis. Outcome measure assessed was stone clearance rate. Two authors independently assessed study quality and extracted data. All data were analyzed using RevMan 5.1. Results: Thirteen studies involving 1067 participants met the inclusion criteria. Study duration ranged from 7 to 42 d. The pooled analysis showed an improvement of 41% in stone clearance rate of tamsulosin as medical expulsive therapy for distal ureteral calculi (RR=1.41, 95% CI=1.18 to 1.70). According to stone size (6 mm<size<10 mm, 5 mm<size<6 mm, size <5 mm), the pooling effects of tamsulosin were analyzed, with a higher stone expulsion rate obtained than control (RR=1.52, 1.75, 1.05, 95% CI=1.30 to 1.77, 1.25 to 2.45, 0.95 to 1.16, respectively). Adverse effects of tamsulosin, mainly retrograde ejaculation, dizziness and hypotension, were reported in 7 included trials. Conclusion: Treatment with tamsulosin appears to be a safe and effective medical expulsion therapy for distal ureterolithiasis. To make a definite clinical recommendation to use tamsulosin as medical expulsive treatment for distal ureteral calculi, high quality multicentric, randomized, double blinded, controlled trials are necessary to prove its efficacy. 展开更多
关键词 tamsulosin Medical expulsive therapy Lower ureteral calculi META-ANALYSIS
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The Effect of Switching Patients with Symptomatic Benign Prostatic Hyperplasia from Tamsulosin 0.2 mg to 0.4 mg
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作者 Supadach Teawongsuwon Sompol Pempongkosol 《Open Journal of Urology》 2013年第2期110-113,共4页
Objectives: In 2010, tamsulosin 0.2 mg (OD) was withdrawn from Thailand and replaced with tamsulosin 0.4 mg (OD). Therefore, we assessed the impact of this change on the patients, at a men’s health clinic, with lower... Objectives: In 2010, tamsulosin 0.2 mg (OD) was withdrawn from Thailand and replaced with tamsulosin 0.4 mg (OD). Therefore, we assessed the impact of this change on the patients, at a men’s health clinic, with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH). Material and Methods: Subjects were 100 men with BPH who had been taking tamsulosin 0.2 mg as needed for at least 3 months. The outcome measures were IPSS, AMS and IEFF5 scores and uroflowmetry. Tolerability was evaluated on by adverse events. Changes from baseline were assessed using the paired t-test. SPSS version 12.0 was used for statistical analysis, with p 0.05 considered significant. Results: The mean follow up of tamsulosin 0.2 and 0.4 mg were 20.23 and 10.56 months respectively. On switching from tamsulosin 0.2 to 0.4 mg, mean IPSS score improved from 15.54 ± SD 1.25 to 14.13 ± SD 1.09 (p = 0.034), Q max 15.91 cm3/sec ± SD 1.36 to 16.69 cm3/sec ± SD 1.52 (p = 0.128), and nocturia 3.15 ± SD 0.32 to 2.68 ± SD 0.39 (p = 0.015), respectively. However IEFF-5 score and AMS score increased from14.78 ± SD 1.38 to 15.79 ± SD 1.03 (p = 0.0055) and 34.76 ± SD 2.76 to 33.21 ± SD 2.62 (p = 0.0853), respectively. Treatment-related adverse events of Tamsulosin 0.2 mg included dizziness (4%), postural hypotension (3%) and retrograde ejaculation (3%). Interestingly, no withdrawals resulted from adverse events during Tamsulosin 0.4 mg assessment. Conclusions: Switching to tamsulosin 0.4 mg improves LUTS. The change was well tolerated by the majority of patients. Increased symptoms scores of erectile dysfunction and aging male during the study may be due to increased age. 展开更多
关键词 tamsulosin BENIGN PROSTATIC HYPERTROPHY (BPH) Lower Urinary Tract Symptoms (LUTS)
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Efficiency of Tamsulosin after Shockwave Lithotripsy for the Treatment of Lower Ureteric Stone: Alkaramah Teaching Hospital Experience, Iraq
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作者 Yarub Fadhil Hussein Basim Jasim Abdulhussein +1 位作者 Abdulsalam Hatem Nawar Redhwan Ahmed Al-Naggar 《Open Journal of Urology》 2015年第5期70-75,共6页
Background: Stone disease is a wide health problem;certain drugs have been used as supplement with ESWL for the treatment of symptomatic uncomplicated lower ureteric stone like Nefidipine, Alfuzosin and Tamsulosin. Th... Background: Stone disease is a wide health problem;certain drugs have been used as supplement with ESWL for the treatment of symptomatic uncomplicated lower ureteric stone like Nefidipine, Alfuzosin and Tamsulosin. The purpose of this study is to evaluate the efficacy of Tamsulosin for the treatment of lower ureteric stone of 5 - 10 mm diameter after ESWL. Methods: A total of 105 patients with lower ureteric stone of less than 10 mm diameters were divided into two groups. Group 1 including 48 patients received 0.4 mg Tamsulosin and diclofenac sodium analgesia as needed immediately after ESWL and continued until stone expulsion was confirmed up to maximum of 30 days. Group 2 including 47 patients was given diclofenac sodium only as needed after ESWL. Result: 46 of 49 patients in group 1 and 44 of 48 patients in group 2 ultimately passed stones. The number of ESWL sessions was 1.4 ± 0.6 in group 1 & 1.42 ± 0.75 in group 2. There were 10 patients who needed analgesia after ESWL in group 1 and 17 patients in group 2. Visual analogue scale pain severity score was 5.32 ± 1.23 and 6.41 ± 1.26 in group 1 and 2, respectively. The time to stone expulsion in group 1 and 2 was 8 ± 5.4 days and 12 ± 10.3 days, respectively. No significant complications or side effects occurred. Conclusion: The use of Tamsulosin in combination with ESWL in patients with lower ureteric stone of 5 - 10 mm was effective for reducing the time to stone expulsion, decreasing need for analgesia, and facilitating stone passage without significant improvement in stone free rate. 展开更多
关键词 tamsulosin SHOCKWAVE LITHOTRIPSY URETERIC STONE Iraq
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A Study to Compare the Safety and Efficacy of Solifenacin, Tamsulosin and Tadalafil in Relieving Double-J Stent Related Symptoms
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作者 Appiya Ramamoorthy Balaji Pritam Pritish Patnaik +4 位作者 Javangula Venkata Surya Prakash Sattanathan Vetrichandar Krishnan Vembu Arasi Arun Kumar Paranjothi Vetrivel Natarajan 《Open Journal of Urology》 2020年第3期42-51,共10页
Objective: To evaluate and compare the safety and efficacy of Solifenacin, Tamsulosin, and Tadalafil in treating ureteral stent related symptoms (SRS) in patients with indwelling Double-J ureteral stents. Materials an... Objective: To evaluate and compare the safety and efficacy of Solifenacin, Tamsulosin, and Tadalafil in treating ureteral stent related symptoms (SRS) in patients with indwelling Double-J ureteral stents. Materials and Methods: A prospective randomized controlled study was conducted on 146 consecutive patients in the department of urology, Government Stanley Medical College & Hospital, Chennai, Tamilnadu, India between Sept 2017-March 2019, with SRS after taking informed consent and confirming DJ Stent position by X-ray KUB post-operatively. Patients were randomized into 4 groups: Group A (Placebo), Group B (Solifenacin 5 mg), and Group B (Tamsulosin 0.4 mg) and group D (Tadalafil 5 mg) at end of 1st week till the removal of DJ stent at end of 3 weeks. All patients were assessed for bothersome lower urinary tract symptoms (LUTS) using the validated Ureteral Stent Symptom Questionnaire (USSQ) at 1st week and 3 weeks after the starting of medications. Appropriate statistical analysis as carried out and the level of significance was set at P Results: LUTS, general health, and work performance improved with Solifenacin, Tamsulosin and Tadalafil and all the three were comparable in relieving urinary symptoms. Tadalafil was better at relieving body pain, additional problems and sexual problems better than Tamsulosin. Tadalafil showed comparable improvement in LUTS, better sexual health and decreased body pain compared to solifenacin, whereas the latter had better general health, additional problems & work performance scores. Conclusion: Solifenacin is more effective than Tamsulosin in alleviating LUTS associated with SRS and both show a distinctive advantage over placebo. PDE inhibitor Tadalafil can also be tried for SRS and is as effective as antimuscarinics and α-blockers in relieving urinary symptoms and is more efficacious in relieving sexual symptoms and body pain. 展开更多
关键词 DOUBLE J STENT Lower Urinary Tract SYMPTOMS (LUTS) STENT Related SYMPTOMS (SRS) SOLIFENACIN Tadalafil tamsulosin Ureteral STENT Symptom Questionnaire (USSQ)
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Clinical study of combination therapy of tamsulosin and solifenacin for benign prostatic hyperplasia with overactive bladder
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作者 蒋晨 《外科研究与新技术》 2011年第4期256-257,共2页
Objective To evaluate the efficacy and safety of combination therapy of tamsulosin and solifenacin for benign prostatic hyperplasia ( BPH) with overactive bladder ( OAB) . Methods 82 patients with OAB and coexisting B... Objective To evaluate the efficacy and safety of combination therapy of tamsulosin and solifenacin for benign prostatic hyperplasia ( BPH) with overactive bladder ( OAB) . Methods 82 patients with OAB and coexisting BPH were randomly divided into tamsulosin group ( n 展开更多
关键词 IPSS OAB Clinical study of combination therapy of tamsulosin and solifenacin for benign prostatic hyperplasia with overactive bladder
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Efficacy of solifenacin with or without tamsulosin in patients with overactive bladder
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作者 范治璐 《外科研究与新技术》 2011年第4期244-244,共1页
Objective To evaluate the efficacy of sollfenacin with or without tamsulosin in patients with overactive bladder ( OAB ) . Methods Fifty-three patients with OAB were randomly divided into two groups ( group
关键词 OAB Efficacy of solifenacin with or without tamsulosin in patients with overactive bladder
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坦索罗辛联合艾司西酞普兰治疗慢性骨盆疼痛综合征的疗效观察
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作者 孙景存 陈维 +1 位作者 王江静 张洪亮 《河北医药》 CAS 2024年第16期2462-2465,共4页
目的分析坦索罗辛联合艾司西酞普兰治疗慢性骨盆疼痛综合征的临床疗效、症状改善和炎症水平的影响。方法选取2022年1月至2023年1月收治的慢性骨盆疼痛患者120例作为研究对象(参考Kendall样本量估计方法,样本量:观察变量的10~20倍,预计... 目的分析坦索罗辛联合艾司西酞普兰治疗慢性骨盆疼痛综合征的临床疗效、症状改善和炎症水平的影响。方法选取2022年1月至2023年1月收治的慢性骨盆疼痛患者120例作为研究对象(参考Kendall样本量估计方法,样本量:观察变量的10~20倍,预计估算量:60~120个),随机数表法分为对照组和观察组,每组60例。对照组给予坦索罗辛治疗,观察组给予坦索罗辛联合艾司西酞普兰治疗,疗程均为2个月。比较2组患者治疗前、后的排尿症状、炎性因子水平、临床指标和症状积分变化情况,对比2组患者的不良反应发生情况。结果观察组患者的尿频尿急、尿后滴沥、排尿疼痛评分和总积分均低于对照组(P<0.05);观察组治愈率显著高于对照组(P<0.05);观察组白细胞计数(WBC)、白介素-1β(IL-1β)、干扰素-α(INF-α)均低于对照组,平均尿流率(AFR)、白细胞介素-2(IL-2)均高于对照组(P<0.05);2组不良反应发生率差异无统计学意义(P>0.05)。结论坦索罗辛联合艾司西酞普兰治疗慢性骨盆疼痛综合征有助于改善临床症状和临床指标、抑制炎性反应,临床疗效较好。 展开更多
关键词 坦索罗辛 艾司西酞普兰 慢性骨盆疼痛综合征 治疗结果
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灵泽片联合盐酸坦洛新治疗良性前列腺增生患者短期疗效观察
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作者 陈少峰 耿强 +3 位作者 李春旭 李重 孙远 赵玉 《广东医学》 CAS 2024年第2期183-187,共5页
目的探讨灵泽片联合盐酸坦洛新治疗良性前列腺增生患者的短期疗效。方法将收治的86例老年良性前列腺增生患者分为对照组(43例)和观察组(43例)。对照组口服盐酸坦洛新胶囊治疗,观察组口服盐酸坦洛新胶囊和灵泽片,连续治疗12周,比较两组疗... 目的探讨灵泽片联合盐酸坦洛新治疗良性前列腺增生患者的短期疗效。方法将收治的86例老年良性前列腺增生患者分为对照组(43例)和观察组(43例)。对照组口服盐酸坦洛新胶囊治疗,观察组口服盐酸坦洛新胶囊和灵泽片,连续治疗12周,比较两组疗效,评估国际前列腺症状评分(IPSS)和生活质量指数(QOL)评分、测定膀胱残余尿量(PVR)、最大尿流率(Qmax)、前列腺体积(PV)、总前列腺特异性抗原(tPSA)、游离前列腺特异性抗原(fPSA)水平以及白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平。结果治疗后观察组总有效率高于对照组(P<0.05);治疗后对照组和观察组患者IPSS评分、QOL评分、PVR、PV、IL-6和TNF-α水平以及fPSA和tPSA水平均较治疗前降低,且观察组低于对照组(P<0.05)。治疗后对照组和观察组患者Qmax较治疗前升高,且观察组高于治疗组(P<0.05)。结论灵泽片联合盐酸坦洛新可降低良性前列腺增生患者炎症反应,改善临床指标和前列腺功能。 展开更多
关键词 良性前列腺增生 灵泽片 盐酸坦洛新 短期疗效
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夏荔芪胶囊联合坦索罗辛治疗前列腺增生症临床疗效观察
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作者 田宁宁 刘博 +2 位作者 张庆皎 李成文 刘利维 《中国中西医结合外科杂志》 CAS 2024年第5期617-621,共5页
目的:观察中药夏荔芪胶囊联合盐酸坦索罗辛缓释胶囊治疗前列腺增生症患者的临床疗效。方法:选取2021年5月8日-2022年11月30日于天津医科大学第二医院收治的前列腺增生患者76例,随机分为试验组和对照组:试验组口服夏荔芪胶囊(1.35 g,3次... 目的:观察中药夏荔芪胶囊联合盐酸坦索罗辛缓释胶囊治疗前列腺增生症患者的临床疗效。方法:选取2021年5月8日-2022年11月30日于天津医科大学第二医院收治的前列腺增生患者76例,随机分为试验组和对照组:试验组口服夏荔芪胶囊(1.35 g,3次/d)联合盐酸坦索罗辛缓释胶囊(0.2 mg,每晚睡前服用);对照组仅口服盐酸坦索罗辛缓释胶囊(0.2mg,每晚睡前);两组患者均治疗8周后,比较两组治疗前后国际前列腺症状评分(I-PSS)、中医证候评分、最大尿流率(Qmax)、前列腺体积、残余尿量、NIH-CPSI评分及生活质量评分(QOL),比较两组用药方案的有效性和安全性。结果:治疗后,两组的IPSS评分和中医证候评分与治疗前比较均明显降低(P<0.05),试验组治疗后I-PSS和中医症候评分均小于对照组(P<0.05),其中试验组中医证候评分降低幅度显著大于对照组(P<0.001);治疗后试验组与对照组的前列腺体积、残余尿量及QOL均无统计学差异(P>0.05)。试验组治疗后Qmax大于对照组(P=0.007),且试验组增大幅度显著大于对照组(P<0.001),试验组治疗后NIH-CPSI小于对照组(P=0.044),且试验组治疗前后NIH-CPSI差值大于对照组(P=0.008)。试验组总体有效率达94.7%,大于对照组的42.1%,差异有统计学意义(P<0.001)。结论:夏荔芪胶囊联合盐酸坦索罗辛缓释胶囊治疗良性前列腺增生症的有效性显著高于对照组,且在治疗过程中两组患者均未发生不良事件,安全性与依从性好。 展开更多
关键词 夏荔芪胶囊 盐酸坦索罗辛缓释胶囊 前列腺增生 国际前列腺症状评分 中医症候评分
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Comparison of tamsulosin with extracorporeal shock wave lithotripsy in treating distal ureteral stones 被引量:10
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作者 ZHANG Meng-yuan DING Sen-tai +3 位作者 Lü Jia-ju LUE Yan-he ZHANG Hui XIA Qing-hua 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第7期798-801,共4页
Background Tamsulosin, an alpha-1 receptor antagonist, has been demonstrated effective in promoting distal ureteral stone passage and in reducing pain associated with stone expulsion. This study aimed to evaluate the ... Background Tamsulosin, an alpha-1 receptor antagonist, has been demonstrated effective in promoting distal ureteral stone passage and in reducing pain associated with stone expulsion. This study aimed to evaluate the effect of tamsulosin in comparison with nifedipine and extracorporeal shock wave lithotripsy (ESWL) on the expulsion rate of distal ureteral stones at different sizes. Methods We assigned 314 patients to three categories: Ⅰ, the stone with maximal diameter of 4.0-5.9 mm; Ⅱ, 6.0-7.9 mm, and Ⅲ, 8.0-9.9 mm. Patients in each category were randomly subdivided into three treatment subgroups: group A (nifedipine group), group B (tamsulosin group), and group C (ESWL group). Stone-free rate and the dose of analgesics were recorded weekly during the 4-week follow-up period. Results Three hundred and three patients completed the study. The results showed that nifedipine and tamsulosin treatments promoted a small (4-8 mm, categories Ⅰ and Ⅱ) stone expulsive rate that was comparable with ESWL treatment. Nonetheless, when the stone diameter was 8.0-9.9 mm, ESWL showed a greater stone free rate than nifedipine and tamsulosin treatments; no significant difference existed between the latter two therapies. Although the ESWL treatment group required the least analgesics, tamsulosin treatments required less pain medication than nifedipine (P 〈0.05). Conclusions Tamsulosin treatment is recommended for patients with the stone diameter smaller than 8 mm because of its feasibility, effectiveness and safety. ESWL is more appropriate than tamsulosin therapy for the patients whose stones are larger than 8 mm. 展开更多
关键词 tamsulosin distal ureteral stones extracorporeal shockwave lithotripsy expulsive therapy
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Long-term efficacy and safety of tamsulosin hydrochloride for the treatment of lower urinary tract symptoms associated with benign prostatic hyperplasia: data from China 被引量:7
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作者 SUN Ying-hao LIU Zhi-yong +5 位作者 ZHANG Zhen-sheng XU Chuan-liang JI Jia-tao WU Yuan-yu SHAO Yuan ZHANG Luo-man 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第1期56-60,共5页
Background Tamsulosin hydrochloride can significantly improve benign prostatic hyperplasia (BPH) symptoms after the first dose and achieve long-term efficacy in European and American populations; however, the coresp... Background Tamsulosin hydrochloride can significantly improve benign prostatic hyperplasia (BPH) symptoms after the first dose and achieve long-term efficacy in European and American populations; however, the coresponding studies from China are rarely seen. The purpose of this study was to evaluate the long-term efficacy and safety of tamsulosin hydrochloride 0.2 mg once daily in patients with lower urinary tract symptoms (LUTS) suggestive of BPH in China. Methods Chinese patients with LUTS suggestive of BPH were enrolled in a 4-week placebo run-in period and subsequent 60-week open-label study. Tamsulosin hydrochloride 0.2 mg was administered daily during the period of the study. The efficacy and safety parameters were evaluated at the end of treatment period I (0-12 weeks) and period II (13-60 weeks). The BPH patients were divided into tamsulosin monotherapy group and combination therapy group which received concomitant medication of finasteride 5 mg once daily after the evaluation at the end of treatment period I. Results A total of 113 patients were recruited to the study. Eighty-two patients received tamsulosin monotherapy and twenty-nine received combination therapy during the treatment period I1. Tamsulosin hydrochloride produced a great improvement in mean maximum urinary flow rate (Qmax) (1.7 ml/s, 3 ml/s) and a significant decrease in mean international prostate symptom score (IPSS) (4.1,6.4) after 12-week and 60-week treatments, respectively. At the end of treatment period II, there were significant improvement in IPSS, quality of life (QOL) score, Qmax and average flow rate (eave) for combination therapy group compared with the treatment period I (all P 〈0.05). No serious adverse events (SAE) were recorded during the study. Conclusion Long-term tamsulosin hydrochloride therapy is a safe, effective and well-tolerated method for the treatment for LUTS suggestive of BPH in China. 展开更多
关键词 tamsulosin hydrochloride benign prostatic hyperplasia lower urinary tract symptoms selective alA-adrenoceptor antagonist CHINESE
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Efficacy and safety of tamsulosin for the treatment of benign prostatic hyperplasia: a meta analysis 被引量:5
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作者 REN Rui-min KOU Min LAN Xiao-xu 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第2期234-238,共5页
Background Pharmacological therapy has been considered as the first-line treatment for patients with uncomplicated benign prostatic hyperplasia (BPH). The aim of this study was to evaluate the efficacy and safety of... Background Pharmacological therapy has been considered as the first-line treatment for patients with uncomplicated benign prostatic hyperplasia (BPH). The aim of this study was to evaluate the efficacy and safety of tamsulosin compared with a placebo for treating BPH. Methods The randomized placebo-controlled trials (RCT) of tamsulosin for the treatment of BPH from all over the world were searched. PubMed, Ovid, ScienceDirect, EBSCO, CBM, and CNKI were searched, as well as a manual search of four Chinese journals: Chinese Journal of Andrology, National Journal of Andrology, Chinese Journal of Urology, and Journal of Clinical Urologywas also performed. Two reviewers independently screened the studies for eligibility, evaluated the quality and extracted the data from the eligible studies, with confirmation by cross-checking. Divergences of opinions were settled by discussion. Meta-analysis was processed by Rev Man 5.0 software, fail-safe number was performed by SASS.0 software. Results Seven RCTs involving 2455 men met the inclusion criteria. The basic characteristics of patients were comparable in all the studies. Comparing three common criteria: international prostate symptom score (IPSS)/Boyarsky symptom score, maximum flow rate (MFR), quality of life (QOL), tamsulosin was better than placebo at improving IPSS and MFR, with no significant difference in the QOL. Adverse events of tamsulosin also showed no significant difference from the placebo group (Z=1.62, P=0.10, OR=1.22, 95% Cl 0.96-1.54). Conclusions Tamsulosin is better than placebo at improving IPSS and MFR. Adverse events of tamsuloisn show no significant difference compared with placebo. More high quality trials with larger samples and longer follow-up are proposed. 展开更多
关键词 benign prostatic hyperplasia tamsulosin META-ANALYSIS fail-safe number
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