【摘要】 目的探讨中药联合超声电导前列腺治疗仪治疗慢性非细菌性前列腺炎的临床效果。方法选取2013年7月~2014年9月南京市江宁区中医医院收治的138例慢性非细菌性前列腺炎患者,按照随机数字表法随机分成观察组与对照组;对照组采用中药复方祛瘀散结活血剂,观察组采用中药复方直肠超声透入方法。对两组慢性非细菌性前列腺炎患者治疗后的总有效率、慢性前列腺炎症状(NIH-CPSI)评分、中医证候疗效评分、最大尿流率、残尿量、前列腺液中白细胞计数、白细胞介素-8(IL-8)和肿瘤坏死因子α(TNF-α)水平进行比较。结果 (1)治疗后观察组患者的总有效率较对照组明显提高(P<0.05)。(2)治疗后观察组患者的NIH-CPSI评分和中医证候疗效评分较治疗前和对照组明显降低(P<0.05)。(3)治疗后观察组患者的最大尿流率较治疗前和对照组明显提高(P<0.05);治疗后观察组患者的残尿量和前列腺液中白细胞计数均较治疗前和对照组明显降低(P<0.05)。(4)治疗后观察组患者的IL-8和TNF-α水平较治疗前明显降低(P<0.05),IL-8水平较对照组明显降低(P<0.05)。结论中药复方直肠超声透入可以提高慢性非细菌性前列腺炎患者的临床治疗效果,减轻患者的疼痛和排尿症状,提高慢性非细菌性前列腺炎患者的生活质量。更多还原

【Abstract】 Objective To explore clinical efficacy of traditional Chinese medicine combined with rectal ultrasound phoresis in the treatment of chronic non-bacterial prostatitis. Methods From July 2013 to September 2014, 138 patients with chronic non-bacterial prostatitis in Jiangning TCM Hospital were divided into control group and observation group by random number table, with 69 cases in each group. The control group was treated with compound Chinese medicine blood stasis Sanjie blood activating agent, while the observation group was treated with traditional Chinese medicine combined with rectal ultrasound phoresis. Total efficiency, chronic prostatitis symptom(NIH-CPSI) score, TCM syndromes, urinary flow rate(UFR), residual urine volume(RVU), white blood cell count, interleukin-8(IL-8) and tumor necrosis factor α(TNF-α) of patients in two groups were compared. Results(1)Total efficiency in observation group after treatment was significantly higher than control group(P < 0.05).(2)NIH-CPSI score and TCM syndromes scores in observation group after treatment were significantly lower than before treatment and control group(P < 0.05).(3)MFR in observation group after treatment was significantly higher than before treatment and control group(P < 0.05). RVU and EPS-WBC in observation group after treatment were significantly lower than before treatment and control group(P < 0.05).(4)The levels of IL-8 and TNF-α in observation group after treatment were significantly lower than before treatment(P <0.05). And the level of IL-8 in observation group after treatment was significantly lower than control group(P < 0.05).Conclusion Traditional Chinese medicine combined with rectal ultrasound phoresis can improve clinical outcomes in patients with chronic non-bacterial prostatitis, reduce pain and voiding symptoms, improve quality of life for chronic nonbacterial prostatitis patients.更多还原