中西医结合诊疗慢性前列腺炎的认识与思考

Recognition and thoughts for diagnosis and treatment of chronic prostatitis in integrated traditional Chinese and Western medicine

作者回顾了慢性前列腺炎的中医与现代医学病因病机和诊断标准,结合临床实践,提出中西医结合治疗慢性前列腺炎的思路和方法。同时,针对慢性前列腺炎临床研究中存在争议的问题,包括前列腺液白细胞数的疗效评价价值、前列腺液细菌培养的疗效评价价值、抗生素的使用时机和疗程、美国国立卫生研究院前列腺炎症状评分和中医证候分类与症状评分的应用以及临床研究周期,作者提出了不同的看法。

The etiology, pathogenesis, and diagnostic criteria of chronic prostatitis were reviewed in this article. Based on clinical practice, the authors systematically discussed the thoughts and methods for the treatment of chronic prostatitis by integrated traditional Chinese and Western medicine. Meanwhile, advice on disputed problems in clinical study of prostatits was given, such as curative effect estima＇tion value of the number of leukocytes in expressed prostatic secretion （EPS） and bacterial culture in EPS, the opportunity and treatment course of antibiotics, National Institutes of Health chronic prostatitis symptom index, classification of syndromes of traditional Chinese medicine （TCM）, TCM symptom score, and clinical study period.