中西医治疗慢性细菌性前列腺炎的文献研究

Literatures Study on the Treatment of Chronic Bacterial Prostatitis with Traditional Chinese and Western Medicine

目的:近年来慢性细菌性前列腺炎的发病率逐渐升高,而相关的综合性文献较少,该文献旨在通过搜集和整合近20年来中医、西医、中西医结合治疗慢性细菌性前列腺炎的文献,为进一步研究慢性细菌性前列腺炎的治疗提供帮助。方法:搜索2002年2月—2022年11月中国知网(CNKI)、维普中文科技期刊数据库(VIP)、万方数据资源系统的文献,整理和总结慢性细菌性前列腺炎的中医、西医、中西医结合的治疗方法及相关药物出现的频次。结果:共筛选相关文献101篇,其中中西医结合治疗相关文献有68篇,纯中药治疗相关文献24篇,纯西药治疗相关文献4篇,中药+外治法3篇,外治法2篇。其中使用前列舒通胶囊的文献24篇,使用左氧氟沙星的文献37篇。结论:在慢性细菌性前列腺炎的治疗上,中药相关文献中以前列舒通胶囊出现的频次最多,有清热利湿、活血散瘀及疏肝解郁的功效是临床最为常见的湿热瘀阻型“精浊”的常用药;西药相关文献中以左氧氟沙星出现的频次最多,其抗菌活性较强,且不易产生耐药性。中西医结合治疗相关文献占据总搜索文献量的68%,可见中西医结合治疗是当下慢性细菌性前列腺炎治疗的研究热点。

Objective:In recent years,the incidence of chronic bacterial prostatitis has gradually increased,but there are few comprehensive literatures related to it.This literatures aims to provide help for further research on the treatment of chronic bacterial prostatitis by collecting and integrating the literatures on the treatment of chronic bacterial prostatitis in the past 20 years.Method:The literatures of CNKI,VIP Chinese science and Technology Journal Database(VIP)and Wanfang Data resource system from February 2002 to November 2022 were searched,ollate and summarize the treatment of chronic bacterial prostatitis with traditional Chinese medicine,western medicine,integrated traditional Chinese and western medicine and the frequency of related drugs.Result:A total of 101 literatures were selected,including 68 literatures on integrated Chinese and western medicine treatment,24 literatures on pure Chinese medicine treatment,4 literatures on pure western medicine treatment,3 literatures on traditional Chinese medicine plus external treatment,and 2 literatures on external treatment.Among them,24 literatures used Qianlie Shutong Capsules,and 37 literatures used Levofloxacin.Conclusion:In the treatment of chronic bacterial prostatitis,Qianlie Shutong Capsules appears most frequently in the related literature of traditional Chinese medicine.It has the effects of clearing heat and promoting dampness,promoting blood circulation and dispelling blood stasis and soothing the liver and relieving depression are the most common clinical drugs of"essence turbidity"of dampness-heat stasis;in the related literature of western medicine,Levofloxacin appears most frequently,its antibacterial activity is strong,and it is not easy to produce drug resistance.The literature related to the treatment of integrated traditional Chinese and western medicine accounts for 68%of the total search literature,so it can be seen that the treatment of integrated traditional Chinese and western medicine is the current research hotspot in the treatment of chronic bacterial prostatitis.