综合治疗ⅢA型前列腺炎的临床观察

Clinical observation of comprehensive treatment for type Ⅲ A prostatitis

目的探讨综合治疗ⅢA型前列腺炎的疗效。方法选择符合国立卫生研究院（NIH）诊断标准的ⅢA型前列腺炎患者184例，采用口服抗生素和α1受体阻滞剂、吲哚美辛栓纳肛及前列腺按摩和心理疏导综合治疗，疗程8—12周。以NIH慢性前列腺炎症状指数（CPSI）评分和前列腺液（EPS）常规白细胞计数为指标评价疗效比较。结果NIH-CPSI总评分治疗前后分别为（28．6±6．5）分和（12．9±3．8）分（t=28．3、P〈0．05）；疼痛或不适评分治疗前后分别为（14．1±3．3）分和（6．4±2．2）分（t=26．3，P〈0．05）；排尿症状评分治疗前后分别为（5．6±1．8）分和（2．1±0．9）分（t=23．6，P〈0．05）；生活质量评分治疗前后分别为（8．9±3．1）分和（4．4±2．4）分（t=15．6，P〈0．05）；EPS中白细胞计数治疗前后分别为（24．5±4．4）个／HP和（6．2±2．7）个／He（t=48．1P〈0．05）。治愈79例，显效57例，有效36例，无效12例，总有效率93．5％。结论综合治疗ⅢA型前列腺炎疗效较好。

Objective To study the efficacy of comprehensive treatment for type Ⅲ A prostatitis. Methods One hundred and eighty-four patients with type Ⅲ A prostatitis, recruited to this study, were comprehensively treated for 8 - 12 weeks by oral antibiotics and α-1 receptor antagonist,indometacin suppository applied into rectal, prostate massage and psychological counseling. The clinical effects of the treatment were evaluated according to the NIH chronic prostatitis symptom index （NIH-CPSI） and leukocyte counts in the expressed prostatic secretions （EPS）. Results Before and after the treatment, the NIH-CPSI scores were 28. 6 ±6. 5 and 12. 9 ±3.8 （t =28. 3 ,P 〈0. 05） ;the pain or discomfort scores were 14. 1 ±3.3 and 6.4 ±2. 2 （ t = 26. 3 ,P 〈 0. 05 ）, the urinary symptoms scores were 5.6 ± 1.8 and 2. 1± 0.9 （ t = 23.6, P 〈 0. 05 ）, the scores of life quality were 8.9 ± 3.1 and 4. 4 ± 2. 4 （ t = 15.6, P 〈 0. 05 ）, the leukocyte counts were （ 24. 5 ± 4.4）/HP and （ 6. 2 ± 2. 7 ）/HP （ t = 48. 1, P 〈 0. 05 ） respectively, all comparisons showed significantly differences. Seventy-nine cases recovered completely, 57 cases recovered excellently, 36 cases recovered effectively and 12 cases did not recover, the overall effective rate was 93.5%. Conclusion Comprehensive treatment is an effective method for type Ⅲ A orostatitis.