中国泌尿外科医师慢性骨盆疼痛综合征诊疗模式调查(英文)

Chinese urologists' practice patterns of diagnosing and treating chronic pelvic pain syndrome:a questionnaire survey

目的:了解中华医学会泌尿外科学分会《前列腺炎诊断治疗指南》(简称《指南》)的推广和应用效果,及其对我国泌尿外科医师诊断、治疗慢性骨盆疼痛综合征(chronic pelvic pain syndrome,CPPS)的观念和实践的影响。方法:在全国63个城市399家医院泌尿外科发放问卷,回收问卷后,对有效问卷进行统计分析。结果:发放问卷2 251份,回收有效问卷2 046份(90.9%)。答卷人中,92.5%来自三级和二级医院,高级和中级职称的医师占72.3%,90.2%的医师学习过《指南》。绝大多数医师认同Ⅲ型前列腺炎是一种临床综合征,诊断需要排除其他引起类似症状的疾病,治疗目标是缓解疼痛、改善排尿症状、提高生活质量。在学过或没学过《指南》的医师中,对部分观点的认同也有差异。临床实际工作中,泌尿外科医师对于CPPS患者最常选用的治疗方法(多选)是药物治疗(95.0%)、调整生活方式(88.9%)、心理治疗或辅导(79.9%);最常用的前3类药物是植物药(84.5%)、α受体阻滞剂(79.0%)和抗生素(64.0%)。结论:中华医学会泌尿外科学分会《前列腺炎诊断治疗指南》得到了广泛的推广,其主要内容得到了深入的领会和应用,推动了我国泌尿外科医师规范化诊治CPPS的进程。

Objective： To investigate the application of the Chinese Urological Association （CUA） guidelines on prostatitis and the effects on the clinical practice patterns of diagnosing and treating chronic pelvic pain syndrome （CPPS） among Chinese urologists. Methods： We conducted a questionnaire inves- tigation of the CUA guidelines on prostatitis among the urologists from 399 hospitals in 63 cities of China, and performed statistical analyses on all the eligible questionnaires collected. Results： Of the 2 251 questionnaires distributed, 2 046 （90.9%） were eligible, of which 92.5% were from the urologists in tertiary or secondary hospitals, of whom 72.3% had senior or intermediate professional titles, and 90.2% had studied the CUA guidelines. Most respondents agreed that Type Ill prostatitis was a clinical syndrome, of which the diagnosis should be made after other conditions with similar symptoms had been ruled out and the aim was to relieve pain, alleviate urination symptoms and improve quality of life. Those who had and those who had not studied the CUA guidelines differed in their viewpoints on CPPS as illus- trated in the guidelines. In clinical practice, the most common treatment options for CPPS were pharma- ceutical therapy （95.0%） , life style adjustment （88.9%） , and psychotherapy （79.9%） , and the most frequently prescribed drugs were phytotherapy （84.5%）, α-blockers （79.0%） and antibiotics （64.0%）. Conclusion： CUA guidelines on prostatitis has gained a nationwide application and promoted the standardization of the management of CPPS in China.