非介入式前列腺超声联合中西药治疗慢性前列腺炎/慢性骨盆疼痛综合征  

Combination therapy of non-intrusive ultrasound with integrated Chinese-western medcine for chronic prostatitis/chronic pelvic pain syndrome

作　　者：迟凯凯[1] 王瑞[2] 崔勇[1] 陈铸[1] 何伟[1] 王锁刚[1] 张卫星[2] 王光策[1] 

机构地区：[1]河南中医学院第一附属医院泌尿外科,郑州450000 [2]郑州大学第一附属医院泌尿外科

出　　处：《中国男科学杂志》2014年第12期41-44,共4页Chinese Journal of Andrology

摘　　要：目的：探讨非介入式前列腺超声联合中西药治疗慢性前列腺炎/慢性骨盆疼痛综合征（CP/CPPS）的临床效果。方法收集临床诊断为CP/CPPS且符合研究标准的患者105例，随机分为3组，每组35例。A组采用非介入式前列腺超声联合中西药治疗方法；B组为中西药物治疗组；C组单用非介入式前列腺超声治疗。观察各组治疗前后前列腺炎症状指数（NIH-CPSI）疼痛或不适症状评分、排尿症状评分、生活质量评分、NIH-CPSI总评分及各组治疗总有效率。结果3组治疗前后NIH-CPSI疼痛或不适症状评分、排尿症状评分、生活质量评分、NIH-CPSI总评分差异比较有统计学意义（P＜0.05）。治疗后，A组分别与B组、C组比较，NIH-CPSI疼痛或不适症状评分、排尿症状评分、生活质量评分、NIH-CPSI总评分差异均具有统计学意义（P＜0.05）；B组与C组比较差异无统计学意义（P＞0.05）。治疗总有效率，A组为88.6%，B组为68.6%，C组为74.3%，A组总有效率最高，A组与B组C组比较差异均具统计学意义（P＜0.05）。结论非介入式前列腺超声与中西药在临床治疗CP/CPPS中具有协同作用，非介入式前列腺超声联合中西药治疗方法能明显改善CP/CPPS患者的NIH-CPSI疼痛或不适症状、排尿症状，提高生活质量。Objective To investigate the clinical effects of combination therapy of non-intrusive ultrasound with integrated Chinese-western medcine for patients with chronic prostatitis/chronic pelvic pain syndrome （CP/CPPS）. Methods A total of 105 cases withCP/CPPS were randomly divided into a combined non-intrusive ultrasound with integrated Chinese-western medcine group （group A, n=35）, a Chinese-western medcine group （group B, n=35） and a non-intrusive ultrasound group （group C, n=35）. The National Institutes of Health Chronic Prostatitis Symptom Index （NIH-CPSI） scores were obtained before and after treatment, and total proportion of effectiveness was evaluated in each group after treatment. Results Obvious differences were found in NIH-CPSI pain score, urinary symptom score ,quality of life score and total NIH-CPSI score before and after treatment in each group （P〈0.05）. Changes of NIH-CPSI pain score, urinary symptom score , quality of life score and total NIH-CPSI score before and after treatment in group A ,compared with group B and group C respectively ,were statistically significant （P〈0.05）. The total effective rate was 88.6% in group A, 68.6% in group B and 74.3% in group C. And difference in effective rate in group A, compared with group B （P=0.0098） and group C（P=0.010） respectively ,was significant. Conclusion The non-intrusive ultrasound therapy and the integrated Chinese-western medcine treatment coopetate well in dealing with CP/CPPS. Combination therapy of non-intrusive ultrasound with integrated Chinese-western medcine can improve the quality of living of the CP/CPPS patients by lessening pain and urinary symptoms .

关 键 词：超声疗法 中西医结合疗法 前列腺炎 疼痛 

分 类 号：R697.33[医药卫生—泌尿科学]