【摘要】 目的:通过检测慢性前列腺炎患者的血清前列腺特异性抗原(PSA)值,探讨慢性前列腺炎证型与血清PSA的关系。方法:选取门诊符合NIH慢性前列腺炎诊断标准患者149例,严格按中医辨证分为湿热下注,脾肾气虚,气滞血瘀,肾阴亏虚四组;用化学发光微粒子免疫法检测各组血清PSA水平。结果:湿热下注与气滞血瘀两组PSA水平有显著性差异(P<0.01),脾肾气虚,肾阴亏虚二个证型与PSA水平无显著性差异((P>0.05)。结论:湿热下注证与气滞血瘀证对PSA变化影响较大,湿热下注证与气滞血瘀证均与PSA水平呈正相关,而脾肾气虚证、肾阴亏虚证与PSA水平相关性不大。更多还原

【Abstract】 Objectives: Through detecting serum prostate specific antigen(PSA) value of patients with chronic prostatitis,to explore the relationship between chronic prostatitis syndrome and serum PSA. Methods: 149out- patient patients in line with NIH chronic prostatitis diagnostic criteria were selected and divided into the damp- heat,spleen- and- kidney deficiency,Qi stagnation and yin deficiency four groups strictly following the TCM differentiation. Chemiluminescent microparticle immunoassay was adopted for the detection of serum PSA levels.Result: The PSA level of Damp- heat group and Qi stagnation group was significantly different(P < 0. 01),while difference in the TCM syndrome and PSA level of spleen- and- kidney deficiency group and yin deficiency group was not significant(P > 0. 05). Conclusion: Damp- heat and Qi stagnation have great effects on changes in PSA and are positively correlated with PSA levels,while the spleen- and- kidney deficiency and yin deficiency is of little relevance to PSA levels.更多还原