红藤汤保留灌肠配合西药治疗慢性前列腺炎临床观察  

Clinical Observation of Hongteng Tang Retention Enema Combined with Western Medicine for Chronic Prostatitis

作　　者：郇吉龙 

机构地区：[1]高台县人民医院外一科,甘肃高台734300

出　　处：《新中医》2017年第9期57-60,共4页New Chinese Medicine

摘　　要：目的:观察红藤汤保留灌肠配合西药治疗慢性前列腺炎的临床疗效。方法:纳入460例慢性前列腺炎湿热蕴结型患者作为研究对象,按随机数字表法分为2组各230例,观察组给予中药红藤汤保留灌肠配合盐酸坦洛新缓释胶囊治疗,对照组单纯给予盐酸坦洛新缓释胶囊治疗,2组均以连续治疗21天为1疗程,治疗1疗程。统计比较2组患者治疗前后的前列腺按摩液白细胞数量、卵磷脂小体密度评分、慢性前列腺炎症状量表(NIH-CPSI)评分。结果:治疗后,观察组总有效率为92.17%,对照组总有效率为70.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组前列腺按摩液白细胞计数接近正常和正常者所占比例高于治疗前(P<0.05),观察组白细胞计数接近正常或正常者所占比例高于对照组(P<0.05)。2组卵磷脂小体密度评分均较治疗前提高(P<0.05),观察组卵磷脂小体密度评分高于对照组(P<0.05)。2组排尿异常、疼痛不适、生活质量评分及NIH-CPSI总分均较治疗前降低(P<0.05),观察组各项分值均低于对照组(P<0.05)。结论:红藤汤保留灌肠配合盐酸坦洛新缓释胶囊治疗慢性前列腺炎临床疗效显著,可减轻患者的临床症状,改善实验室指标,且不良反应发生率低,有助于提高患者的生活质量。Objective： To observe the clinical effect of Hongteng tang retention enema combined with western medicine for chronic prostatitis. Methods： Selected 460 cases of patients with chronic prostatitis of damp-heat accumulation type as study objects, and divided them into two groups randomly, 230 cases in each group. The observation group was treated with Hongteng tang retention enema combinaed with tamsulosin hydrochloride sustained release capsules, while the control group was only treated with tamsulosin hydrochloride sustained release capsules. Both groups received treatment for 21 days as one course, one course continuously. Collected and compared changes of white blood cell count and score of lecithin corpuscle density in expressed prostatic secretion, and score of national institutes of health chronic prostatitis symptom index（NIH-CPSI）in both groups. Results： After treatment, the total effective rate was 92.17% in the observation group and 70.00% in the control group, the difference being significant（P〈0.05）. After treatment, the ratio of close to normal and normal white blood cell count in both groups were higher than those before treatment（P〈0.05）, and the ratio of close to normal or normal white blood cell count in the observation group was higher than that in the control group（P〈0.05）. The scores of lecithin corpuscle density in both groups were increased when compared with those before treatment（P〈0.05）, and the scores of lecithin corpuscle density in the observation group were higher than those in the control group（P〈0.05）. Scores of paruria, pain and discomfort and quality of life as well as NIH-CPSI total scores in both groups were reduced when compared with those before treatment（P〈0.05）, and all scores in the observation group were lower than those in the control group（P〈0.05）. Conclusion：The therapy of Hongteng tang retention enema combined with western medicine for chronic prostatitis has significant clinical effect. It can reduce clinical sympto

关 键 词：慢性前列腺炎(CP) 湿热蕴结型 中西医结合疗法 中药保留灌肠 红藤汤 盐酸坦洛新缓释胶囊 

分 类 号：R697.33[医药卫生—泌尿科学]