中药内服配合坐浴治疗慢性前列腺炎临床疗效观察.docVIP

中药内服配合坐浴治疗慢性前列腺炎临床疗效观察[摘要] 目的：观察中药内服配合坐浴综合治疗慢性前列腺炎的临床疗效。方法：将我院门诊收治的126例慢性前列腺炎患者随机分为治疗组和对照组，每组各63例。治疗组采用中药内服配合坐浴治疗，对照组采用盐酸左氧氟沙星片治疗，比较两组的治疗效果。结果：治疗组总有效率为90.5%，对照组总有效率为82.5%，治疗组疗效优于对照组，两组比较，差异有统计学意义（P＜0.05）。两组治疗后中医症候积分较本组治疗前均降低（P＜0.05）；治疗后，治疗组中医症候积分低于对照组，两组中医症候积分比较，差异有统计学意义（P＜0.05）。结论：中药内服配合坐浴治疗慢性前列腺炎临床疗效确切，能有效消除症状，且无毒副作用，值得临床推广。 [关键词] 前列腺炎；慢性病；中药疗法；汤剂；坐浴 [中图分类号] R697 [文献标识码] A [文章编号] 1673-7210（2011）11（a）-126-02 Observation on clinical efficacy of Chinese herbs combined with sitz bath in the treatment of chronic prostatitis QI Jinchun, LI Wei, ZHANG Yanping, GUO Yuanshan, LU Baosai Department of Urology Surgery, the Second Hospital of Hebei Medical University, Hebei Province, Shijiazhuang 050000, China [Abstract] Objective: To observe the clinical effect of Chinese herbs combined with sitz bath in the treatment of chronic prostatitis. Methods: 126 patients with chronic prostatitis were treated in our hospital and randomly divided into treatment group and control group, each group had 63 cases. Treatment group were given Chinese herbs oral treatment combined with sitz bath. The control group were treated with Levofloxacin Tablets. The therapeutic effect of two groups were compared. Results: The total effective rate of the treatment group was 90.5%, the total efficiency of control group was 82.5%, efficacy of the treatment group was better than that of the control group, there was significant difference between two groups (P0.05），具有可比性。 1.2 诊断标准 参照《中药新药临床指导原则》中“慢性前列炎”的诊断标准确诊[1]。①临床症状表现为不同程度的尿频、尿急、尿痛、尿不尽感、尿道灼热，于晨起、尿末或大便时尿道偶有少量白色分泌物流出，会阴部、外生殖器区、下腹部、耻骨上区、腰骶及肛门周围坠胀、疼痛。②前列腺腺体饱满，或软硬不均，或有炎性结节，或质地较韧；可有局限性压痛；可增大、正常或缩小。③前列腺液（EPS）镜检白细胞计数（WBC）≥10个/HP；卵磷脂小体减少或消失；精液检查若前列腺液不能取得时，可取精液检查。但应以瑞一姬染色镜检为准，WBC1×10/ml为异常。凡具备以上3项任何一项即可确诊。 1.3 治疗方法 1.3.1 治疗组 采用中药内服配合坐浴治疗。药用：生地黄10 g、茯苓10 g、赤芍10 g、黄柏15 g、丹参15 g、王不留行20 g、萆?20 g、败酱草20 g、车前子10 g、怀牛膝10 g、穿山甲珠10 g、甘草10 g。日1剂，水煎2次取汁300 ml，分早、晚两次服。坐浴药用：白花蛇舌草40 g、黄柏20 g、白芷40 g、苦参20 g、金银花40 g、蛇床子20 g、苏木20 g，水煎后坐浴熏洗30 min，每日2次。以