慢性前列腺炎中医证型临床调查

Clinical survey of basic TCM syndromes of chronic prostatitis

目的:调查慢性前列腺炎(CP)基本证型的分布频率,为进一步研究提供依据。方法:制定调查表,在北京3家医院的中医男科收集慢性前列腺炎连续病例,采用Epidata 3.02建立数据库,SPSS 17.0软件统计分析。结果:304例中,湿热下注证(74.0%)、气滞血瘀证(43.4%)、肝气郁结证(37.8%)的出现频率较多,且多合并出现;肾阳虚损证(29.6%)、中气不足证(27.3%)、阴虚火旺证(14.1%)出现频率较少,且多为兼夹证。基本证型的分布在西医分类、病程、年龄、工种、居住舒适度和发病季节中存在差异。结论:CP以邪实证为主,湿热、血瘀、肝郁多交互为患;虚证多为兼夹证,较少见。证型的衍变与分类诊断、病程、年龄、工种、居住舒适度和发病季节等因素有关。

Objectives： To study the frequency of basic syndromes of Chronic Prostatitis（CP） and provide evidence for further study.Methods： Questionnaire were used to collect consecutive cases from three hospitals in Beijing,Epidata3.02 was used to establish database and SPSS17.0 software for statistical analysis.Results： Of the 304 cases,the syndrome of downward flow of dampness heat（74.0%）,the syndrome of qi stagnation and blood stasis（43.4%） and the syndrome of Liver qi stagnation（37.8%） were the main categories,with occurrance incorporatively in patients.Furthermore,the syndrome of the kidney-yang deficiency（29.6%）,the syndrome of middle qi insufficiency（27.3%） and the syndrome of hyperactivity of fire due to yin deficiency（14.1%） were seldom found with occurrance incorporatively.Difference of the basic syndromes existed in category diagnosis,duration,age,type of work,living comfort level and onset seasons.Conclusions： Pathogenic and excess syndrome was the main type of CP.Dampness heat,blood stasis and Liver qi stagnation interacted with each other.Deficiency Syndrome was seldom and mainly concurrent with excess syndrome.The change of syndrome type was related to category diagnosis,duration,age,type of work,living comfort level and onset season.