中西医结合治疗慢性细菌性前列腺炎疗效观察
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[摘要] 目的：探讨治疗慢性细菌性前列腺炎的有效方法。方法：采用中、西药内服配合中药坐浴、前列腺按摩等中西医结合疗法(治疗组)治疗100例慢性细菌性前列腺炎患者，并与80例单纯西药组(对照组)进行疗效比较。结果：中西医结合治疗组总有效率为92.0%，显著高于对照组(P<0.01)。结论：中西医结合治疗慢性细菌性前列腺炎具有协同作用，可明显提高疗效。
[关键词] 细菌性前列腺炎；中西医结合疗法；中医；中药
[中图分类号] R697+.33 [文献标识码]B [文章编号]1674-4721(2011)07(c)-140-02
Clinical efficacy of traditional Chinese and Western medicine in treating chronic bacterial prostatitis
WU Jiangping, WU Weicheng, HUANG Xiaoqing
Department of Uropoiesis Surgical, Guangzhou Chinese Medicine Hospital, Guangdong Province, Guangzhou 510130, China
[Abstract] Objective: To investigate the effective therapy methods in treating chronic bacterial prostatitis effective method. Methods: The Western medicine internal medicine and Chinese native medicine sitting bath, the prostate gland massage and so on were applied in therapy group in which there were 100 patients with chronicity bacterial prostatitis, and pure Western medicine were applied in control group in which there were 80 patients with pure chronicity bacterial prostatitis. The efficacy and condition of two groups were compared. Results: The total efficacy of therapy group was 92.0% which was obviously higher than that of control group (P<0.01). Conclusion: Cooperation of traditional Chinese and Western medicine may enhance the efficacy obviously in treating chronicity bacterial prostatitis.
[Key words] Chronic bacterial prostatitis; Cooperation of Chinese and Western medicine therapy; Traditional Chinese medicine; Chinese medicine
慢性细菌性前列腺炎(chronic bacterial prostatitis)是由一种或多种病原菌引起的慢性前列腺感染。与急性细菌性前列腺炎相同，慢性细菌性前列腺炎的主要致病菌为革兰阴性需氧菌，如大肠埃希菌和铜绿假单胞菌等。也有研究认为革兰阳性菌(如葡萄球菌、链球菌、类白喉菌等)是慢性前列腺炎的致病菌之一，但所致前列腺感染与革兰阴性菌有所不同。近年来，临床常见的治疗方法有内科治疗和外科治疗两种。而其中内科治疗方案，仅有极少的几种抗生素能在慢性前列腺炎状态下的前列腺中达到有效治疗浓度。中西医结合治疗该病，疗效稳定，逐渐受到各研究学者的重视。本研究旨在分析2009年3月~2010年6月本院100例中西医结合治疗慢性细菌性前列腺炎病例，探究中西医结合疗法在该病治疗中的临床应用价值。
1资料与方法
1.1 一般资料
选择180例临床诊断为慢性细菌性前列腺炎的门诊患者为观察对象，诊断标准参照《中医新药治疗慢性前列腺炎(非特异性)的临床研究指导原则》[1]，按随机数字表，随机分为中西医结合治疗组(治疗组)和单纯西药治疗组(对照组)。治疗组100例，年龄18～57岁，平均(32.23±3.34)岁，病程3个月~10年，平均(5.00±2.12)年，其中溶血葡萄球菌16例，表皮葡萄球菌12例，绿色链球菌9例，杜克雷菌6例，嗜血杆菌5例，大肠埃希菌2例。对照组80例，年龄20～58岁，平均(34.32±3.25)岁。病程2个月～12年，平均(6.00±3.23)年，其中溶血葡萄球菌14例，表皮葡萄球菌11例 ......
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