行为疗法治疗慢性骨盆疼痛综合征的临床观察

Clinical observation on 70 patients with CPPS treated with praxis therapy

目的探讨行为疗法治疗慢性骨盆疼痛综合征（CPPS）的疗效。方法采用消除紧张的行为治疗，让患者保持乐观的精神状态，适当体育锻炼，规律排精，局部热疗，每周一次病友会（心理健康科普教育）包括对前列腺疾病的认识、心理疏导、生活方式等健康教育。8周为一疗程，并进行对比分析。结果70例患者治疗前慢性前列腺炎评分（CPSI），治疗1、2月降低均有统计学意义。B超、EPS检查治疗前后无变化。显效24例，有效37例，总有效率87．10（79.3％～100．0%）。结论CPPS的治疗以消除紧张、缓解压力、控制情绪、调整心理的行为疗法，可获得满意疗效。

Objective To investigate the effects of praxis therapy in treatment of CPPS. Methods Praxis therapy was used to relieve the spirit tenseness of the patients and make them optimistic. Local heat compress therapy may also be used. A patients＇ meeting on psychological health education was held every week, which discussed the knowledge about prostatic diseases, psychological persuasion, health education on living style, and etc. The course of treatment lasted eight weeks. The results before and after treatment were compared. Results The scores of 70 cases before treatment, 1 month after treatment and 2 months after treatment was 24.5, 21.2 and 12.3. The scores before and 1 month after treatment was not statistically significant, whereas the scores before and 2 months after treatment demonstrated statistical significance （P〈0. 01）. There were 24 cases with excellent effect, 37 cases with fine effect and 9 cases with no effect according to CPSI. The total effective rate was 87.10%. Conclusion Praxis therapy is effective for CPPS.