低能量体外冲击波治疗ⅢB型慢性前列腺炎的临床疗效观察(1)
摘要：目的 探讨低能量体外冲击波在ⅢB型慢性前列腺炎患者中的临床治疗效果。方法 选择2017年2月～2018年10月我院收治的ⅢB型慢性前列腺炎患者45例作为研究对象，采用随机数字表法分为对照组15例和观察组30例。对照组给予盐酸坦洛新缓释片口服治疗，观察组采用低能量体外冲击波治疗，比较两组国际前列腺症状评分及VAS疼痛评分。结果 观察组治疗后疼痛症状(2.36±1.23)分、排尿症状(1.36±1.24)分、生活质量(3.08±1.21)分、总分(7.03±1.85)分及VAS评分(2.67±1.12)分，均低于对照组疼痛症状(4.26±1.89)分、排尿症状(2.35±1.70)分、生活质量(4.35±1.76)分、总分(11.01±4.63)分及VAS评分(3.92±1.01)分，差异具有统计学意义(P<0.05)。结论 低能量体外冲击波能改善ⅢB型慢性前列腺炎患者症状，有助于减轻患者疼痛，能为ⅢB型慢性前列腺炎治疗提供方法。
关键词：低能量体外冲击波;盐酸坦洛新缓释片;ⅢB型慢性前列腺炎;国际前列腺症状;VAS疼痛评分
, http://www.100md.com
中图分类号：R697+.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.058
文章编号：1006-1959(2019)03-0171-02
Abstract：Objective To investigate the clinical effect of low-energy extracorporeal shock wave in patients with type ⅢB chronic prostatitis.Methods 45 patients with type ⅢB chronic prostatitis admitted in our hospital from February 2017 to October 2018 were selected as study objects.The patients were randomly divided into control group (n=15) and observation group (n=30).The control group was orally treated with Tanluoxin hydrochloride sustained release tablet， and the observation group was treated with low energy extracorporeal shock wave.The international prostate symptom score and VAS pain score were compared between the two groups.Results After treatment，the pain symptoms in the observation group were (2.36±1.23) points，urinary symptoms (1.36±1.24)，the quality of life was (3.08±1.21)，the total score was (7.03±1.85) and the VAS score was (2.67±1.12).All of them were lower than the control group，of which the scores of pain were (4.26 ±1.89) ，urination (2.35±1.70)，quality of life (4.35±1.76)，total score (11.01±4.63) and VAS score (3.92±1.01)，respectively，the difference was statistically significant (P<0.05).Conclusion Low energy extracorporeal shock wave can improve the symptoms of patients with type ⅢB chronic prostatitis， help to relieve the pain of patients， and provide a method for the treatment of type ⅢB chronic prostatitis.
, 百拇医药
Key words：Low energy extracorporeal shock wave;Tanluoxin hydrochloride sustained-release tablet;Chronic prostatitis type ⅢB;International prostatic symptoms;VAS pain score
慢性前列腺炎(chronic prostatitis)是各種病因引起的前列腺组织的慢性炎症，多表现为尿道刺激症状、慢性盆腔疼痛等，影响患者健康及生活[1]。盐酸坦洛新缓释片是ⅢB型慢性前列腺炎患者中常用的治疗药物，虽然能缓解患者症状，但是远期治疗预后较差，复发率较高[2]。低能量体外冲击波是在气体或液体中某一局限空间内能量突然释放的机械波，具有周期短、频谱广等特点，已经广泛用于泌尿系结石、痉挛性疾病中，但是在ⅢB型慢性前列腺炎患者中研究较少[3]。本研究采用随机对照方法，探讨低能量体外冲击波在ⅢB型慢性前列腺炎患者中的临床效果，报道如下。, http://www.100md.com(姜玉良 卢东杰)
关键词：低能量体外冲击波;盐酸坦洛新缓释片;ⅢB型慢性前列腺炎;国际前列腺症状;VAS疼痛评分
, http://www.100md.com
中图分类号：R697+.3 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.03.058
文章编号：1006-1959(2019)03-0171-02
Abstract：Objective To investigate the clinical effect of low-energy extracorporeal shock wave in patients with type ⅢB chronic prostatitis.Methods 45 patients with type ⅢB chronic prostatitis admitted in our hospital from February 2017 to October 2018 were selected as study objects.The patients were randomly divided into control group (n=15) and observation group (n=30).The control group was orally treated with Tanluoxin hydrochloride sustained release tablet， and the observation group was treated with low energy extracorporeal shock wave.The international prostate symptom score and VAS pain score were compared between the two groups.Results After treatment，the pain symptoms in the observation group were (2.36±1.23) points，urinary symptoms (1.36±1.24)，the quality of life was (3.08±1.21)，the total score was (7.03±1.85) and the VAS score was (2.67±1.12).All of them were lower than the control group，of which the scores of pain were (4.26 ±1.89) ，urination (2.35±1.70)，quality of life (4.35±1.76)，total score (11.01±4.63) and VAS score (3.92±1.01)，respectively，the difference was statistically significant (P<0.05).Conclusion Low energy extracorporeal shock wave can improve the symptoms of patients with type ⅢB chronic prostatitis， help to relieve the pain of patients， and provide a method for the treatment of type ⅢB chronic prostatitis.
, 百拇医药
Key words：Low energy extracorporeal shock wave;Tanluoxin hydrochloride sustained-release tablet;Chronic prostatitis type ⅢB;International prostatic symptoms;VAS pain score
慢性前列腺炎(chronic prostatitis)是各種病因引起的前列腺组织的慢性炎症，多表现为尿道刺激症状、慢性盆腔疼痛等，影响患者健康及生活[1]。盐酸坦洛新缓释片是ⅢB型慢性前列腺炎患者中常用的治疗药物，虽然能缓解患者症状，但是远期治疗预后较差，复发率较高[2]。低能量体外冲击波是在气体或液体中某一局限空间内能量突然释放的机械波，具有周期短、频谱广等特点，已经广泛用于泌尿系结石、痉挛性疾病中，但是在ⅢB型慢性前列腺炎患者中研究较少[3]。本研究采用随机对照方法，探讨低能量体外冲击波在ⅢB型慢性前列腺炎患者中的临床效果，报道如下。, http://www.100md.com(姜玉良 卢东杰)