|
|
|
| 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 |
|
|
|
|
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.
|
|
Received: 17 December 2019
|
|
|
|
|
|
[1] 米华,陈凯,莫曾南.中国慢性前列腺炎的流行病学特征[J].中华男科学杂志,2012,18(7):579-582.
[2] 董阳,马金辰.王琦教授主病主方论治慢性前列腺炎/慢性盆腔疼痛综合征经验总结[J].环球中医药,2019,12(7):1115-1117.
[3] 张志超,彭靖.慢性前列腺炎/慢性盆腔疼痛综合征的新诊断/治疗模式-UPOINT系统[J].中华男科学杂志,2013,19(7):579.
[4] 那彦群,叶章群.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2011:132-146.
[5] 张敏建,宾彬.慢性前列腺炎中西医结合诊疗专家共识[J].中国中西医结合杂志,2015,35(8):933-941.
[6] 梁朝朝.慢性前列腺炎诊断标准的再认识[J].现代泌尿外科杂志,2012,17(6):537-540.
[7] 陈曦,莫林键.不同NIH分型前列腺炎患者前列腺液白细胞及卵磷脂小体计数与症状指数的关系[J].广东医学,2015,36(16):2501-2504.
[8] 李宪锐,张耀圣.慢性前列腺炎的中西医治疗研究进展[J].中国性科学,2015,24(10):67-70.
[9] 孙自学,李鹏超.慢性前列腺炎的中医诊疗思路探析[J].辽宁中医杂志,2019,46(2):268-269.
[10] 龚长军,孔勇.中药熏洗加坐浴治疗难治性前列腺炎的研究[J].中医临床研究,2017,9(15):94-95.
[11] 章传华,黄遂斌,刘双林,黄韬.前列舒通联合盐酸坦索罗辛治疗慢性前列腺炎疗效评价及对血清PSA、NGF、TGF-β的影响[J].中华中医药学刊,2019,37(8):1981-1985. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(2): 359-361. |
|
|
|
|
2020, Vol. 37 
