性病后慢性前列腺炎病原体分布研究及临床药物治疗分析  

Study on the Distribution of Pathogens of Chronic Prostatitis Following Sexually Transmitted Disease and Clinical Analysis of Drug Treatment

作　　者：曾东武 吴惠健 卢国栋 谢志华 杨亚军 

机构地区：[1]连州市人民医院皮肤科,广东清远513404 [2]连州市人民医院,广东清远513404

出　　处：《中外医疗》2014年第6期50-51,共2页China & Foreign Medical Treatment

摘　　要：目的分析探讨性病后慢性前列腺炎病原体分布研究及临床药物治疗。方法对2012年2月—2013年2月收治入该院的81例性病后慢性前列腺炎患者做出了回顾性分析,对患者行前列腺液常规检查、PCR检查和细菌培养,并把81例患者分成A、B、C 3组,每组各27例,A组采用阿奇霉素治疗,B组采用左氧氟沙星治疗,C组采用氧氟沙星治疗,治疗2周之后分析对比3组的疗效。结果从病原体的分布上来看,沙眼衣原体、金黄色葡萄球菌和解脲支原体都是性病后慢性前列腺炎的主要的病原体,且A组和B组的治疗效果较好,C组治疗效果一般,A组和B组的疗效明显优于C组,差异有统计学意义(P<0.05)。结论阿奇霉素和左氧氟沙星治疗性病后慢性前列腺炎的效果较好,而氧氟沙星的治疗效果一般。To analyze and investigate the distribution of pathogens of chronic prostatitis following sexually transmitted disease （STD） and related clinical drug treatment. Methods 81 cases of patients with chronic prostatitis following STD admitted in our hospital from February, 2012 to February, 2013 were analyzed retrospectively. All the patients underwent prostate fluid routine examination, PCR examination and bacterial culture. The 81 cases of patients were divided into group A, group B and group C three groups, with 27 cases in each. Group A was treated with azithromycin, group B was treated with levofloxacin and group C was treated with ofioxacin, for 2 weeks, then the chnical efficacy was compared between the 3 groups. Results The pathogen distribution showed that chlamydia trachomatis, staphylococcus aureus and ureaplasma urealyticum were the main pathogens of chronic prostatitis after sexually transmitted disease. The treatment effect of group A and group B was relatively good, but that of group C was mediocre. The curative effect of group A and group B was obviously better than that of group C, the difference was statistically significant （P〈0.05）. Conclusion For patients with chronic prostatitis following sexually transmitted disease, the effect of azithromycin and levofloxacin is relatively good, but that of ofloxacin is mediocre.

关 键 词：性病 前列腺炎 病原体 治疗 

分 类 号：R697.3[医药卫生—泌尿科学]