川参通局部注射联合针灸治疗慢性前列腺炎临床探究.docVIP

川参通局部注射联合针灸治疗慢性前列腺炎临床探究 　 作者：郑俊鸿, 杨镜秋, 白晔, 章振保, 林晓儿 【关键词】 前列腺炎 摘要:目的:探讨采用川参通前列腺局部注射联合针灸治疗慢性前列腺炎的临床疗效。方法:选择我院泌尿外科门诊慢性前列腺炎患者80例，随机分为两组，每组40例，治疗组采用前列腺注射抗菌素及川参通联合针灸治疗。对照组采用口服抗菌素结合针灸治疗，比较两组治疗效果。结果：随访3个月至1年，治疗组痊愈9例（22.5%），显效15例（37.5%），有效11例（27.5%），总有效率为87.5%。对照组痊愈3例（7.5%），显效12例（30.0%），有效8例（20.0%），总有效率为57.5%；两组疗效差异有显著意义（P＜0.05）。结论：前列腺注射川参通联合针灸对慢性前列腺炎的治疗具有较好的效果。 　　关键词： 川参通; 前列腺炎; 前列腺内注射 　　A Therapy for the Chronic Prostatitis by a Prostate Injection of Chuanshentong Combined Acupuncture 　　Abstract: Objective: To estimate the clinical efficacy of the therapy for the chronic prostatitis by a prostate injection of chuanshentong combined acupuncture. Method: 80 cases of the chronic prostatitis were reviewed, they were stochastically divided into two groups, each group had 40 cases. The therapy group were performed with a prostate injection of chuanshentong combined acupuncture. The control group were performed with oral medication And the curative effect were contrasted. Results:After a 3～12 months feedback, in the therapy group, 9 cases were cured(22.5%), 15 cases had an evidently effect(37.5%), 11cases had a helpful effect(27.5%), the total efficiency was 87.5%. In the control group, the total efficiency was 57.5%. the difference of the total efficiency was remarkable. Conclusion: The therapy for the chronic prostatitis by a prostate injection of chuanshentong combined acupuncture had a approving curative effect. 　　Key words: Injection of chuanshentong; Prostatitis; A prostate injection 　　自2004年3月至2005年9月，我们使用前列腺注射川参通联合针灸治疗难治性顽固性慢性前列腺炎80例，效果满意，现报告如下： 　　1 资料与方法 　　1.1 临床资料:我院泌尿外科门诊男性患者80例，年龄17～48岁，平均27.5岁，病程2个月至4年，平均5.5个月，多数患者有泌尿系感染史，临床表现主要有尿频、尿急、排尿不尽感等尿路刺激症状,会阴部、阴囊或腹股沟区坠胀痛不适，尿道灼热感及分泌物，性功能减退、焦虑紧张，腰酸疲乏等症状，前列腺液检查WBC+～++++，所有患者经本院或其他医院门诊反复口服药物治疗，效果不佳。按不同治疗方法随机分为两组，每组各40例，治疗组注射用药物川参通由贵州瑞和制药有限公司提供，4ml/支。 　　1.2 治疗方法：治疗组40例：药物组成：川参通4ml+头孢三嗪1g+2%利多卡因1ml+地塞米松5mg。治疗方法：经会阴前列腺注射，穿刺点距肛门前缘1.5～2cm，偏中线约1cm，左右侧叶交替注射，每日一次，6次后，根据病人症状改善情况，调整为2～3d一次，总共1个月为一疗程，同时联合针灸治疗，选择穴位为:命门,腰阳关,足三里,中极,关元,气海,三阴交