清热利湿活血化瘀治疗慢性前列腺炎100例的研究.docVIP

清热利湿活血化瘀治疗慢性前列腺炎100例的研究 　　【摘 要】 目的:研究运用中西药结合治疗，其中中药采用前列清热通瘀汤治疗慢性前列腺炎疗效。方法:随机分2组，A组采用中西药结合治疗，B组采用单纯西药治疗，进行治疗前后疗效和中医症状评分的统计学分析。结果:A组（治疗组）治疗后4周中医症状评分明显好于B组(P0.05）。A组总有效率92%，B组总有效率84%。2组总有效率有明显差异（P0.05）。结论:中西药结合治疗、其中中药采用前列清热通瘀汤治疗慢性前列腺炎要明显好于单纯西药治疗。 　　【关键词】 清热利湿; 活血化瘀; 前列清热通瘀汤 　　 　　Treatment on chronic prostatitis with traditional Chinese therapy: A report on 100 cases 　　CHENG Haisheng 　　Department of Surgery, Tongzhou Hospital of Traditional Chinese Medicine, Beijing 101100, China 　　【Abstract】 Objectives: To evaluate the clinical therapeutic effect of the combination of traditional Chinese medicine and western medicine in the treatment of chronic prostatitis.Methods: Fifty cases were treated by the combination of traditional Chinese medicine and western medicine(group A), 50 cases were treated by western medicine(group B). The total scores of TCM symptoms were compared between 2 groups before and after the treatments. The treatments lasted for 4 weeks.Results: The total scores of TCM symptoms of 2 groups presented significant statistical difference (P0.05), group A’s score being higher than Group B’s. The total effeciency was 92% in group A, and 84% in group B, the differences between group A and group B being significant. Conclusion: The combination of traditional Chinese medicine Qianlieqingretongyu tang with western medicine can greatly improve on pain, urination symptoms and quaulity of life. 　　【Key words】 Clearing away heat and dampness; Activating blood circulation;Qianlieqingretongyu tang 　　 　　慢性前列腺炎（CP）是成年男性常见病，占泌尿男科门诊1/3左右，本病严重影响患者生活质量，伴有复杂、繁琐的症状和体征，目前中医药参与治疗是主流的治疗手段，对改善CP患者症状和体征有明显效果。李海松统计918例CP患者，湿热下注、气滞血瘀是主要类型，湿热下注证占74.07%，气滞血瘀证占89.76%,二者多合并出现，其中湿热下注证加气滞血瘀证者50.11%[1]。我院对2009年3月~2010年6月CP患者符合湿热血瘀证100例，采用清热利湿活血化瘀疗法联合西药治疗，取得了较好的疗效，现报告如下。 　　 　　1 资料与方法 　　 　　1.1 临床资料 　　1.1.1 资料 我院门诊对2009年3月~2010年6月CP患者100例，随机分为治疗组和对照组，每组50例，患者年龄18~56岁，2组性别、年龄差异无统计学意义，具有可比性。 　　1.1.2 诊断和纳入标准 西医诊断标准根据2009年前列腺炎诊断治疗指南[2]，将所有符合CPⅡ型和Ⅲ型纳入此次治疗观察。前列腺炎相当于中医“精浊”，中医诊断标准根据北京地区中医