腺按摩联合α1受体阻滞剂治疗Ⅲ型前列腺炎的疗效观察  

The Efficacy of Prostatic Massage Combined with α1 Receptor Blocker in the Treatment of Type Ⅲ Prostatitis

作　　者：王文生[1] 唐科伟[1] 薛建[1] 

机构地区：[1]北京海淀医院泌尿外科,北京市100080

出　　处：《中国基层医药》2011年第1期12-13,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 评价前列腺按摩联合α1受体阻滞剂治疗Ⅲ型前列腺炎的疗效.方法 将符合Ⅲ型前列腺炎诊断标准的86例患者随机分为治疗组及对照组,治疗组45例,给以每周2次的前列腺按摩及特拉唑嗪2 mg,每天1次.对照组41例仅给以特拉唑嗪2 mg,每天1次.疗程6周.采用美国国立卫生研究院慢性前列腺炎症状指数（NIH-CPSI）评分作为疗效评价指标评价两组疗效.结果 86例患者完成了6周的治疗并接受评估,治疗组患者治疗前后NIH-CPSI总分分别为（29.5 ±4.2）、（9.6±3.8）分,对照组治疗前后NIH-CPSI总分分别为（28.9±3.4）、（14.6±3.6）分,两组治疗前后相比总分下降均有统计学意义（t=12.131、6.999,均P＜0.05）,治疗组总分下降幅度明显大于对照组（t=4.649,P＜0.05）.治疗过程中无严重不良反应发生.结论 前列腺按摩联合α1受体阻滞剂治疗能有效缓解Ⅲ型前列腺炎患者的症状,改善患者的生活质量.联合治疗疗效优于单用α1受体阻滞剂治疗.Objective To observe the efficacy of prostatic massage combined with α1 receptor blocker in the treatment of type Ⅲ prostatitis. Methods 86 cases were randomly divided into two groups. The treatment group（ n =45 ） were given twice-weekly prostatic massage in combination with α1 receptor blocker（ terazosin 2mg per night） for 6 weeks. Thc control group（n =41 ）were only given terazosin 2mg per night for 6 weeks. AII the patients were asked to complete the National Institutes of Healthe Chronic Prostatitis Symptom Index（NIH-CPSI） before and after the treatment. Results 86 cases were evaluated after the treatment. The NIH-CPSI scores of the two groups decreased from （ 29.5 ± 4.2 ） to （ 9.6 ± 3.8）, from （ 28.9 ± 3.4） to （ 14.6 ± 3.6） respectively, with statistically significant differences from pretreatment（ t = 12.131、6.999, all P 〈 0.05 ）as well as between the combined therapy group and the control group（t = 4.649, P 〈 0.05）. There were no serious side effects during the therapy. Conclusion Prostatic massage combined with α1 receptor blocker can relieve the symptoms in type Ⅲ prostatitis patients and improve their life quality. The combined therapy can produce better efficacy than terazosin used alone.

关 键 词：前列腺炎 特拉唑嗪 前列腺按摩 

分 类 号：R6[医药卫生—外科学]