盐酸坦洛新加紫苓胶囊治疗慢性前列腺炎临床的研究.docVIP

盐酸坦洛新加紫苓胶囊治疗慢性前列腺炎临床的研究 　　【摘要】目的:探讨盐酸坦洛新缓释片加紫苓胶囊治疗慢性前列腺炎的临床治疗效果。方法:60例慢性前列腺炎的患者随机分成两组。A组30例,盐酸坦洛新缓释片0.2mg/次,口服1次/d,紫苓胶囊1.6g/次,口服3次/d,复方新诺明1.0/次,口服2次/d, 4周为一个疗程,连续治疗两个疗程。B组30例,盐酸坦洛新缓释片0.2mg/次,口服1次/d,复方新诺明1.0/次,口服2次/d,4周为一个疗程,连续治疗两个疗程。随访3个月,详细记录治疗过程中的症状、体征、EPS常规和尿常规。结果:A组30例,其中治愈21例(70.00%),显效9例(30.00%);总有效30例(总有效率100.00%);B组30例,其中治愈16例(53.34%),显效14例(46.66%),总有效30例(总有效率100.00%)。A组与B组在治愈率方面有统计学意义,总有效率方面无统计学意义。结论:在应用抗菌素的基础上,盐酸坦洛新治疗慢性前列腺炎有效,与中成药紫苓胶囊合用临床疗效更满意。 　　【关键词】前列腺炎;抗菌素;盐酸坦洛新;紫苓胶囊 　　 　　A clinical survey of TamsulosinZiling Jiaonang in the treatment of chronic prostatitis 　　TAN Xiao-jie XU Gui-linget al. 　　 　　【Abstract】 Objective To evaluate the validity of Selective adrenoreceptor antagonists (TamsulosinHydrochloride Sustained release Piece) in the treatment of chronic prostatitis. Methods60 cases of chronic prostatitis were randomized to a finasteride treated group A or control group B.Group A was giveTamsulosinHydrochloride Sustained release Piece, Antibiotics and Ziling Jiaonang. Group B being Antibiotics and TamsulosinHydrochloride Sustained release Piece only. Routine treatment was carried out 8 weeks in all of the 60 cases.Results Ingroup A the curative rate was 70.00% .the remarkable effective rate 30.00%.the total effective ratebeing 100.00%. Ingroup B they were 53.34% , 46.66% .seperately the curative rate group B were lower than group A (P0.05) . Conclusion TamsulosinHydrochloride Sustained release Piece Antibiotics and Ziling Jiaonang is recommended for the treatment of symptomatic chronic prostatitis. 　　【Key words】chronic prostatitis;Antibiotics;Tamsulosin;Ziling Jiaonang 　　【中图分类号】R697+3【文献标识码】A 【文章编号】1006-1959(2009)10-0013-01 　　 　　慢性前列腺炎临床治疗方法多,疗效各异[1][5]。为探索和提高药物对慢性前列腺炎的疗效,我们采用盐酸坦洛新加中成药紫苓胶囊治疗慢性前列腺炎进行临床疗效观察,现报道如下。 　　 　　1 资料与方法 　　 　　1.1 一般资料:本组60例,全为门诊病人,年龄为18-44岁,平均31.5岁;病程1-18个月,平均4.5个月。病史均有尿频、尿急、尿痛、尿不尽等,部分病人有尿白和血精,部分病人有不同程度的排尿不畅。部分病人伴有骨盆疼痛或酸胀不适。部分病人有阳痿、早泄、性功能减退等,部分病人伴 　　有神经衰弱。17例曾用过抗菌药物、解痉镇痛剂,热水坐浴,及定期前列腺按摩治疗过。2例作过微波、射频;1例作过前列腺周围注射药物治疗