慢性前列腺炎合并勃起功能障碍中医证型分布规律初探

Investigation of TCM syndromes distribution in chronic prostatitis complicated by erectile dysfunction

目的:调查慢性前列腺炎(CP)合并勃起功能障碍(ED)的中医证型分布规律。方法:制定调查表,在北京3家医院的男科门诊收集CP连续病例,采用Epidate 3.02建立数据库,SPSS 19.0进行统计学分析。结果:179例CP合并ED患者中湿热下注证(64.2%)、气滞血瘀证(36.9%)、肝气郁结证(36.3%)频率较高,且除湿热下注证外,多合并出现;肾阳虚损证(29.6%)、中气不足证(30.7%)、阴虚火旺证(19.0%)频率相对较低,且多为兼夹证,除湿热下注证外。气滞血瘀证、肝气郁结证在ED程度中的差异有统计学意义(P<0.05)。结论:CP合并ED多以邪实证为主,湿热下注、气滞血瘀、肝气郁结多同时出现;虚证多为兼夹证,较少见。证型的衍变与程度有关。

Objective： To study the distribution of TCM syndromes of chronic prostatitis（CP） complicated by erectile dysfunction. Methods： Questionnaire were used to collect consecutive cases from three hospitals in Beijing. Epidata 3.02 was used to establish database and SPSS 19.0 software was used for statistical analysis. Results： Of the 179 cases, the syndrome of downward flow of dampness heat（64.2%）, the syndrome of qi stagnation and blood stasis（36.9%） and the syndrome of Liver qi stagnation（36.3%） were the main categories, which occurrance incorporatively in patients. Furthermore, the syndrome of the kidney-yang deficiency（29.6%）, the syndrome of middle qi insufficiency（30.7%） and the syndrome of hyperactivity of fire due to yin deficiency（19.0%） were seldom found incorporatively. Difference of the the syndrome of qi stagnation and blood stasis, and liver qi stagnation（P〈0.05） existed in the degree of ED. Conclusion： Pathogenic and excess syndrome was the main type of CP complicated by ED. Dampness heat, blood stasis and liver qi stagnation interacted with each other. Deficiency Syndrome was seldom and mainly concurrent with excess syndrome. The change of syndrome type was related to the degree of ED.