医学临床研究
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医学临床研究  2020, Vol. 37 Issue (4): 522-524    DOI: 10.3969/j.issn.1671-7171.2020.04.013
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中药坐浴联合坦洛新及前列腺按摩治疗Ⅲb型前列腺炎(湿热瘀滞证)的临床研究
高森, 息金波**, 刘绍明, 刘冬, 赵盟杰, 蒋莉, 赵通, 张晨
北京中医药大学第三附属医院,北京 100020
Clinical Study on the Treatment of Type Ⅲ B Prostatitis (damp heat stasis syndrome) with Chinese Medicine Sitz Bath combined with Tamoxin and Prostate Massage
GAO Sen, XI Jin-bo, LIU Shao-ming, et al
The Third Affiliated hospital of BeiJing University of TCM Beijing 100020
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摘要 【目的】 探讨中药坐浴联合坦洛新及前列腺按摩对于Ⅲb型前列腺炎(CP)的临床疗效。【方法】 选择2018年10月至2019年5月本院泌尿外科门诊收治的70例Ⅲb型CP患者,根据随机数表法将其分为观察组(中药坐浴联合口服坦洛新,并给予经直肠前列腺按摩治疗)和对照组(温水坐浴联合口服坦洛新,并给予经直肠前列腺按摩治疗),每组各35例。统计两组患者治疗后慢性前列腺炎症状评分(NIH-CPSI)、中医辨证积分改善情况,并比较治疗后两组患者的卵磷脂小体(SPL)计数转为正常比率以及临床医治有效率。【结果】 观察组临床疗效有效率为88.6%(31/35),高于对照组的68.6%(24/35),差异有统计学意义(P<0.05)。治疗后两组患者NIH-CPSI生活质量评分及其总评分均较治疗前改善,且观察组优于对照组,差异有统计学意义(P<0.05)。治疗后两组中医辨证积分均下降,观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组前列腺液(ESP)中SPL计数恢复正常25例(71.4%),对照组恢复正常16例(45.7%),差异有统计学意义(P<0.05)。治疗3个月后进行随访,观察组复发率为9.4%(3/32),低于对照组的20.8%(5/24),差异有统计学意义(P<0.05)。【结论】 中药坐浴联合坦洛新、前列腺按摩对于Ⅲb型CP患者(湿热瘀滞证),可较好地改善患者的生活质量,具有临床效果显著,并副作用轻微,安全性高等优点,值得临床借鉴。
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关键词 前列腺炎/治疗坐浴磺胺类/治疗应用    
Abstract【Objective】 To explore the clinical effect of Chinese medicine sitz bath combined with tamoxin and prostate massage on type Ⅲ B prostatitis (CP).【Methods】 From October 2018 to may 2019, 70 patients with type Ⅲ B CP admitted to the urology clinic of our hospital were divided into two groups according to the random number table method: the observation group (Chinese medicine sitz bath combined with oral tamoxin, and given transrectal prostate massage treatment) and the control group (warm water sitz bath combined with oral tamoxin, and given transrectal prostate massage treatment), 35 cases in each group.After treatment, NIH-CPSI and TCM syndrome differentiation score were statistically improved, and the ratio of the number of the lecithin corpuscles (SPL) to normal and the efficiency of clinical treatment after treatment were compared.【Results】 The clinical effective rate of the observation group was 88.6% (31/35), higher than that of the control group (68.6% (24/35), the difference was statistically significant (P<0.05). The quality NIH-CPSI life score and its total score of the two groups after treatment were improved compared with that before treatment, and the observation group was better than the control group, and the difference was statistically significant (P<0.05).After treatment, the scores of TCM syndrome differentiation in the two groups decreased, and the difference between the observation group and the control group was statistically significant (P<0.05). After treatment, 25 cases (71.4%) in the observation group and 16 cases (45.7%) in the control group recovered to normal in the count of SPL in the prostatic fluid (ESP), the difference was statistically significant (P<0.05). Followed up after 3 months of treatment, the recurrence rate in the observation group was 9.4%(3/32), which was lower than 20.8%(5/24) in the control group, and the difference was statistically significant (P<0.05).【Conclusion】 The comprehensive therapy of traditional Chinese medicine sitz bath combined with tamoxin and prostate massage can improve the quality of life of patients with type Ⅲ B CP (damp heat stasis syndrome), which has the advantages of significant clinical effect, slight side effects and high safety, and is worthy of clinical reference.
Key wordsProstatitis/TH    Sitz Bath    Sulfonamides/TU
收稿日期: 2019-12-17     
PACS:  R697.32  
基金资助:北京中医药大学第三附属医院科研孵化基金(编号:2019kyfh-01)
通讯作者: E-mail:jinboxi@163.com   
引用本文:   
高森, 息金波, 刘绍明, 刘冬, 赵盟杰, 蒋莉, 赵通, 张晨. 中药坐浴联合坦洛新及前列腺按摩治疗Ⅲb型前列腺炎(湿热瘀滞证)的临床研究[J]. 医学临床研究, 2020, 37(4): 522-524.
GAO Sen, XI Jin-bo, LIU Shao-ming, et al. Clinical Study on the Treatment of Type Ⅲ B Prostatitis (damp heat stasis syndrome) with Chinese Medicine Sitz Bath combined with Tamoxin and Prostate Massage. JOURNAL OF CLINICAL RESEARCH, 2020, 37(4): 522-524.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.04.013     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I4/522
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