药物与心理行为干预综合治疗慢性前列腺炎

Drugs and psychological and behavioral intervention in the comprehensive treatment of chronic prostatitis

目的探讨慢性前列腺炎的综合治疗方法。方法回顾性分析本院应用药物与心理行为干预联合治疗及单独应用药物治疗慢性前列腺炎疗效,选择2010年1～12月门诊患者58例,随机分为治疗组与对照组。治疗组32例,年龄17～46岁,平均26.6岁,病程3个月～3年,平均19.8个月;对照组26例,年龄19～49岁,平均28.1岁,病程3个月～4年,平均20.8个月。采用美国国立卫生研究院慢性前列腺炎症状评分(NIH-CPSI)进行评分,计数前列腺液常规中白细胞。结果治疗组的32例患者中,总有效率达93.8%。对照组26例患中,总有效率达76.9%。治疗组疗效明显优于对照组(P<0.05)。结论慢性前列腺炎患者除了进行药物治疗外,辅以心理治疗使患者趋于稳定、镇静、乐观,症状明显改善或消失,可以达到事半功倍的效果,值得临床大力推广。

Objective To explore the comprehensive treatment method of chronic prostatitis. Methods The curative effect controls of only medicine treatment and the one combined with psychological and behavioral intervention therapy for chronic prostatitis were retrospectively analyzed. 58 cases of outpatients were selected in the period of January to Decem- ber 2010, and randomly divided into treatment group and control group. Treatment group of 32 cases with the ages were 17 to 46 years （the mean were 26.6 years）, the courses of disease were 3 months to 3 years （the mean were 19.8 months）; con- trol group of 26 cases with the ages were 19 to 49 years （the mean were 28.1 years）, the courses of disease were 3 months to 4 years （the mean were 20.8 months）. U.S. National Institutes of Health chronic prostatitis symptom score （NIH-CPSI） and the Standing Orders of the prostatic fluid white blood cell count were used. Results The total effective rate of the treatment group was 93.8%, the total effective rate of the control group was 76.9%. The effects of treatment group was bet- ter than that of the control group （P 〈 0.05）. Conclusion Patients with chronic prostatitis with the addition of drug treat- ment, they are given the combined with psychotherapy effective, which can make patients become stable, calm, optimistic, the symptoms are improved or disappeared, and can achieve a multiplier effect, it is worthy of clinical promotion.