慢性前列腺炎患者情志与中医证候的相关性研究

Study on the Relationship Between Chronic Prostatitis and Emotional Syndromes

目的：分析慢性前列腺炎患者情志与中医证候的相关性，为临床治疗提供参考依据。方法选取我院2013年10月～2014年10月就诊的慢性前列腺炎患者120例作为研究对象，根据中医辩证标准，将慢性前列腺炎分为湿热蕴结、阴虚火旺、气滞血瘀、肾阳虚损四种类型，对患者中医证候类型分布情况以及人格特征分布特点进行分析。结果分析结果显示，湿热蕴结证和气滞血瘀证为慢性前列腺炎主要证型，所占比重在90%以上；与常模进行比较，慢性前列腺炎患者有更内向、精神质及神经质倾向，且具有较低的掩饰性，各评定因子得分均高于常模，表明患者均有不同程度的心理问题，差异具有统计学意义（P＜0.001）。结论慢性前列腺炎患者情志与常人相比存在不同程度的差异，临床治疗中应辅以适当的心理治疗，对不同证型患者应区别对待。

Objective To analyze chronic prostatitis patients emotions and TCM syndrome relation and put forward to clinical reference.Methods To select 120 patients of chronic prostatitis as research object in our hospital from 2013.10 to 2014.10, according to TCM dialectical standard, chronic prostatitis was divided into damp and hot accumulate knot, Yin ifre, qi and blood stasis, kidney Yang deifciency loss. Based on distribution situation and personality characteristics, patients were analyzed. Results It showed that damp and hot accumulate knot syndrome and qi stagnation and blood stasis were main chronic prostatitis syndrome types, taken by above 90%, compared with normal patients, chronic prostatitis patients were more introverted, psychoticism and neuroticism and lower cover, evaluation factor scores were higher than norm, it was indicated that patients had different degrees of psychological problems, statistically signiifcant difference （P〈0.001）. Conclusion Chronic protatitis patients emotions have more serious difference than norm. It should be supplemented appropriate therapy in clinical treatment, patients with different syndrome types should be treated differently.