慢性前列腺炎患者中医体质学特点的研究  

TCM constitutional characteristics in patients with chronic prostatitis

作　　者：韩旭[1] 龚枫评 孙淑艳[1] 王琦[3] 

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]陕西省城固卫校 [3]北京中医药大学基础医学院

出　　处：《北京中医药大学学报》2009年第7期493-495,共3页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2005CB523501)

摘　　要：目的研究慢性前列腺炎(CP)与中医体质的关系。方法对来源于北京及周边地区7家三甲医院的555例CP病例,经王琦体质学问卷、慢性前列腺炎症状积分指数(CPSI)问卷及国际勃起功能评分(IIEF-5)问卷等调查收集流行病学资料,采用多元相依变量统计分析。结果①CP体质特征分布为平和质76例(13.7%),气虚质65例(11.7%),阳虚质63例(11.4%),阴虚质44例(7.9%),痰湿质65例(11.7%),湿热质83例(15.0%),瘀血质43例(8.0%),气郁质78例(14.0%),特禀质38例(7.0%)。②气郁质和CPSI重度的相关性最大。③湿热质与勃起功能障碍轻度相关性最大;阴虚质与勃起功能障碍中度相关性最大;阳虚质与勃起功能障碍重度相关性最大。结论CP患者体质基础以实性体质(痰湿质、湿热质、瘀血质、气郁质)最多,说明CP病机转化易虚实夹杂,以实为主;气郁质患者易表现出较重的临床症状;平和质对CP有一定的保护作用。CP患者发生轻度勃起功能障碍的体质基础以实性体质为主,虚性体质患慢性前列腺炎后容易出现中、重度勃起功能障碍。Objective To study the relationship between chronic prostatitis （CP） and TCM constitutional types. Methods The epidemiological material was collected and analyzed by multiple dependent variable statistical analysis in 555 CP cases from 7 grade-III class-A hospitals in Beijing and surrounding regions after using WANG Qi＇ s Constitutional Questionnaire, questionnaire of Chronic Prostatitis Symptom Index （CPSI） and questionnaire of International Index of Erectile Function Exponentially-5 （ IIEF-5 ）. Results ①The distribution of CP constitutional characteristics showed that there were 76 cases with mild constitution （13. 7%）, 65 with qi-deficiency constitution （11. 7%）, 63 with yang-deficiency constitution （11.4%）, 44 with yin-deficiency constitution （7.9%）, 65 with phlegm-damp constitution （ 11.7% ）, 83 with damp-heat constitution （ 15.0% ）, 43 with blood-stasis constitution （8.0%）, 78 with qi-stagnation constitution （ 14.0% ） and 38 with special constitution （7.0%）. ②There was a maxcorrelation between qi-stagnation constitution and severe CPSI. ③There was a max-correlation between damp-heat constitution and mild erectile dysfunction （ED）, a max-correlation between yin-deficiency constitution and moderate ED, and a max-correlation between yang-deficiency constitution and severe ED. Conclusion The constitutional types of CP patients are mostly excessive constitution （phlegm-damp constitution, damp-heat constitution, blood-stasis constitution and qi-stagnation constitution）, which indicates that the pathological changes of CP demonstrates a mixture of deficiency and excess, primarily excess. The patients with qi-stagnation constitution have more serious clinical symptoms, and those with mild constitution have some preventive effects on CP. CP patient with mild ED mostly has excessive constitution, and that with deficient constitution is easy to suffer from moderate or severe ED after CP.

关 键 词：慢性前列腺炎 流行病学 中医体质学 

分 类 号：R697.33[医药卫生—泌尿科学]