慢性前列腺炎中医证型与前列腺液检查参数的关系研究  

Study on the correlation between traditional Chinese medicine syndrome types of chronic prostatitis and prostatic fluid examination parameters

作　　者：董保福 蒋金丽 胡莺 白强民 黄念尘 张卜 DONG Baofu;JIANG Jinli;HU Ying;BAI Qiangmin;HUANG Nianchen;ZHANG Bu(Department of Traditional Chinese Medicine,Qujing Maternal and Child Health-care Hospital of Yunnan Province(Liaokuo Branch),Yunnan,Qujing 655000,China;Department of Gynaecology,Qujing Hospital of Traditional Chinese Medicine of Yunnan Province,Yunnan,Qujing 655000,China)

机构地区：[1]云南省曲靖市妇幼保健院寥廓中医科,云南曲靖655000 [2]云南省曲靖市中医医院妇科,云南曲靖655000

出　　处：《中国医药科学》2024年第22期138-141,共4页China Medicine And Pharmacy

基　　金：昆明理工大学-曲靖市妇幼保健院医学联合专项资助项目(KUST-QJFY2022010)。

摘　　要：目的旨在研究前列腺液检查参数中卵磷脂小体计数(SPL)、白细胞计数(WBC)与慢性前列腺炎(CP)中医证型(湿热下注证、阴虚火旺证、气滞血瘀证、肾阳虚损证)之间的相关性,为更恰当地应用前列腺液检查结果指导临床用药提供客观依据。方法选择云南省曲靖市妇幼保健院寥廓男科门诊、中医科住院部2023年1月31日至12月31日收治的115例CP患者作为研究对象,对每位患者进行前列腺液检查,将各组前列腺液检查中的SPL、WBC汇总分类,并将每位患者按中医辨证标准分为湿热下注证、气滞血瘀证、阴虚火旺证、肾阳虚损证4组,对所得数据进行统计学分析。结果115例CP患者中,分为前列腺液检查正常组与异常组,两组中医证型分布均为湿热下注证>气滞血瘀证>阴虚火旺证>肾阳虚损证,两组在中医证型分布上,差异无统计学意义(P>0.05)。其中,湿热下注证型以WBC异常者居多;气滞血瘀证型以SPL与WBC均异常者居多;阴虚火旺证型与肾阳虚损证型均以SPL异常者居多。4种证型在前列腺液检查参数分布上,差异有统计学意义(P<0.05)。结论CP中医证型与前列腺液检查参数具有一定的相关性,湿热下注证与白细胞增多有关,气虚血瘀证与卵磷脂小体及白细胞异常均有关,阴虚火旺证与肾阳虚损证与卵磷脂小体减少有关;通过本研究分析,可以更好地指导CP患者进行中医辨证分型及临床用药治疗。Objective To investigate the correlation between prostate fluid examination parameters of lecithin body count(SPL)and white blood cell count(WBC)and traditional Chinese medicine syndrome patterns of chronic prostatitis(CP)(damp-heat pouring downward syndrome,syndrome of exuberant fire due to yin deficiency,qi stagnation and blood stasis syndrome,and kidney-yang deficiency syndrome),in order to provide an objective basis for the more appropriate application of results of the prostate fluid examination in guiding the clinical use of medication.Methods A total of 115 patients with CP admitted to the Male Division Outpatient Service and the Inpatient Department of Traditional Chinese Medicine of Qujing Maternal and Child Health-care Hospital of Yunnan Province(Liaokuo Branch)from January 31 to December 31,2023 were selected for the study.Each patient was examined for prostatic fluid.The SPL and WBC of prostatic fluid examination of each group were summarized and classified.Each patient was divided into one of the following four groups according to the standard of traditional Chinese medicine syndrome differentiation:damp-heat pouring downward syndrome,syndrome of exuberant fire due to yin deficiency,qi stagnation and blood stasis syndrome,and kidney-yang deficiency syndrome,and the obtained data were statistically analyzed.Results 115 patients with CP were divided into normal and abnormal prostatic fluid examination groups,and the distribution of traditional Chinese medicine syndrome patterns in both groups was damp-heat pouring downward syndrome>qi stagnation and blood stasis syndrome>syndrome of exuberant fire due to yin deficiency>kidney-yang deficiency syndrome,with no statistically significant difference between the two groups in terms of the distribution of traditional Chinese medicine syndrome patterns(P>0.05).Among them,patients with abnormal WBC were predominant in the damp-heat pouring downward syndrome group.Patients with abnormal SPL and WBC were predominant in the qi stagnation and blood stasis syndrome

关 键 词：慢性前列腺炎 前列腺液检查参数 中医证型 相关性研究 

分 类 号：R277.5[医药卫生—中医学]