改良前列腺按摩配合药物治疗ⅢA型前列腺炎的疗效分析

Effect of modified prostate massage combined with medicines for the type of III A prostatitis

目的:评价改良前列腺按摩治疗ⅢA型慢性前列腺炎的效果。方法:自2013年1月至2013年10月,对188例明确诊断为ⅢA型前列腺炎的门诊患者入组,62例患者给予口服盐酸坦索罗辛缓释片(1片/晚)、乳酸左氧氟沙星片(2次/天,200mg/次),前列消栓(1枚/晚)直肠给药6周。另126例予以药物结合改良法前列腺按摩(2次/周)治疗6周。分别于治疗前后行前列腺按摩液常规检测(EPS)与慢性前列腺炎症状指数评分(NIH-CPSI),分析治疗前后EPS与CPSI的变化,并对两组间CPSI变化进行比较。结果:两组患者人口学统计及基线资料相似,治疗前后主观症状有显著改善,CPSI差异均有统计学意义(P<0.05);前列腺按摩配合药物治疗组治疗前后CPSI差异大于单纯药物治疗组(P<0.05)。结论:盐酸坦索罗辛、乳酸左氧氟沙星及前列消栓三联药物治疗可使ⅢA型前列腺炎患者症状明显缓解;配合改良前列腺按摩可显著增强口服药物的治疗效果。

Objectives： To evaluate the effect of modified prostate massage in the treatment of chronic prostatitis. Methods： There were totally 188 patients diagnosed as type III A prostatitis in the group from January to October in 2013. 62 patients received oral tamsulosin hydrochloride sustained release tables（ a table one night）,levofloxacin lactate tables（ twice a day,200 mg once）,qianliexiao suppository（ a piece one night） by rectal administration for 6 weeks. The other 126 patients were treated by modified prostate massage combined with medicines for6 weeks. The NIH-Chronic Prostatitis Symptom Index（ NIH-CPSI） and prostatic massage fluid（ EPS） were performed before and after treatment. Changes were recorded and compared. Results： The demography and baseline data were similar in the two groups of patients. The subjective symptoms after treatment were significantly improved in CPSI（ P〈0. 05）. There were statistical differences between two groups in the decrease of CPSI（ P〈0. 05）.Conclusion： The symptoms of the patients with III A prostatitis can be largely alleviated by treatment with tamsulosin hydrochloride sustained release tables,levofloxacin lactate tablets and qianliexiao suppository. The treatment effect of oral medicines can be obviously enhanced with modified prostate massage.