敷贴合内服治疗慢性前列腺炎优势——天灸膏合前炎清治疗肾虚湿.doc

敷贴合内服治疗慢性前列腺炎优势——天灸膏合前炎清治疗肾虚湿 　 作者：李天禹，喻坚柏，左亚杰，何清湖，谭新华 【摘要】 目的探寻提高治疗肾虚湿热型慢性前列腺炎的最佳方法。方法采用单盲法，将60例肾虚湿热型慢性前列腺炎患者随机分为两组：天灸膏合前炎清组(A组)、前炎清组(B组)。A组穴位贴敷天灸膏并内服前炎清中药；B组只内服前炎清中药。观察患者症状改善、前列腺液检查指标改善、生活质量提高等情况及治疗疗程。结果NIH慢性前列腺炎症状评分及疗效评价，A组(14.8±5.5，96.67%)和B组(13.2±4.0，93.33%)均满意（P＞0.05），但A组疗程(37.4±22.5)较B组(83.8±26.3)明显缩短（P＜0.001）。结论穴位贴敷配合内服中药治疗肾虚湿热型慢性前列腺炎疗程肯定，疗程缩短。 【关键词】 慢性前列腺炎； 天灸膏； 前炎清； 穴位贴敷 　　Abstract：ObjectiveTo search for the best way to elevate the clinical therapeutic effect and course in the chronic prostatitis patient of deficiency in kidney and damp-heat type.MethodsWith single-blind method,60 cases of chronic prostatitis patients of deficiency in kidney and damp-heat type were assigned to 2 groups: Tian-jiu plaster and Qian Yan Qing Decoction group(group A), Qian Yan Qing Decoction group(group B).Group A was treated with Tian-jiu plaster on the specific acupoint and took Qian Yan Qing Decoction orally;Group B took Qian Yan Qing Decoction only. The clinical therapeutic effect and course were observed. ResultsThe NIH-CPSI and the total effective rate were 14.8±5.5 ,96.67% in group A,and 13.2±4.0,93.33% in group B (P＞0.05).The therapeutic course was 37.4±22.5 days in group A and 83.8±26.3 days in group B,(P＜0.001). ConclusionIt is quite effective for the chronic prostatitis patient of deficiency in kidney and damp-heat type by combination of plastering on acupoint and orally taking Chinese herbs,and it evidently shorten the therapeutic course. 　　Key words：Chronic prostatitis； Tian-jiu plaster； Qian Yan Qing Decoction； Plastering on acupoint 　　慢性前列腺炎属中医“白浊”“白淫”“热淋”范畴，《中医临床诊疗术语》规范本病名为“精浊”。本病为中青年男性常见的生殖系统综合症之一。病因实则多责之辛辣、醇酒厚味过度，滋生湿热；虚则多缘于恣情纵欲，肾精亏损致相火内灼等。中医辨证分型主要为湿热型、血瘀型、湿热挟瘀型、肾虚湿热型、肾虚血瘀型［1］。美国国立卫生研究院(national institute of health，NIH)新分类系统，将前列腺炎分为四型，其中Ⅲ型前列腺炎—慢性无菌性前列腺炎/慢性盆腔疼痛综合征(chronic abacterial prostatitis/chronic pelvic pain syndrome，CP/CPPS)在慢性前列腺炎中占绝大多数［2］。其临床特点为发病缓慢、症状多端、体征不著、病程迁延、缠绵难愈，尚无特效疗法。前炎清方和天灸膏均为湖南中医药大学附属第一医院谭新华教授独创的治疗慢性前列腺炎的有效方药，前者为内服方，后者系外治药，二者在临床应用中均有较好疗效。为