清热利湿法治疗Ⅲ型前列腺炎临床观察

Clinical observation of prostatitis ⅢA treated by integration of clearing-heat and damp elimination therapy

目的：观察清热利湿法治疗慢性前列腺炎（ⅢA类）的疗效。方法：将68例慢性前列腺炎（ⅢA类）患者随机分为对照组（64例）、治疗组（76例）两组。对照组采用前列康片治疗，治疗组应用经验方湿热清治疗，观察两组患者临床疗效及NIH—CPSI评分、EPS检查（WBC计数、卵磷脂小体）。结果：治疗组对慢性前列腺炎NIH-CPSI评分及EPS检查总有效率比较，差异有显著性。两组症状的疗效比较显示治疗组在改善患者会阴不适、小腹痛、阴茎痛、睾丸痛、性功能方面明显优于对照组，但对改善患者尿频、尿不尽感方面两组比较差异无显著性。结论：清热利湿法治疗慢性前列腺炎（ⅢA类）有较好疗效。

Objective： To observe the clinical therapeutic effect on prostatitis Ⅲ treated by the integration of clearing-heat and damp elimination therapy. Methods： 68 cases of chronic prostatitis were randomized into control group （23 cases）and treatment group （45 cases）. In control group, qianliekang tablet was administered. In treatment group, the empirical prescription was used for clear away damp and heat. The clinical efficacy, NIH-CPSI score and EPS examination （WBC count and small particle of lecithin, SPL ）were observed. Results： there was a significant difference between the treatment group and the control group of chronic prostatitis NIH-CPSI total score and EPS test efficient. The treatment group showed much better improvement in patients with perineal discomfort, a small abdominal pain, penile pain, testicular pain,and sexual function, but less with urinary frequency, urinary different flu. Conclusion： The integration of clearing - heat and damp elimination therapy is effective in treatment of chronic prostatitis ⅢA.