膳食调控辅助的多模式治疗在慢性前列腺炎的疗效探索

Effect of dietary modification-assisted multimodal therapy on chronic prostatitis

目的:探索膳食调控辅助多模式治疗在慢性前列腺炎预防与治疗中的作用。方法:选取我院男科门诊收治的132例慢性前列腺炎患者为研究对象,随机分为观察组与对照组,观察组给予地中海饮食模式指导、对照组按原饮食习惯进食,两组均给予生活方式指导与心理疏导,根据具体症状给予对症药物及物理治疗。观察两组治疗前后NIH-CPSI评分以及疗效。结果:两组患者治疗后生活质量评分、疼痛排尿不适评分、NIH-CPSI总评分较治疗前下降(P<0.05);组间对比,观察组NIH-CPSI评分下降较对照组明显,但差异无统计学意义(P>0.05)。疗效比较,观察组为87.1%,对照组为79.7%,两组差异无统计学意义(P>0.05)。结论:多模式治疗适合于解决个体临床表征不同的问题,但饮食习惯因人而异、存在地域差异,有待于进一步探索科学的饮食调控对于CP/CPPS的防治。

Objective:To explore the effect of dietary modification-assisted multimodal therapy in the prevention and treatment of chronic prostatitis.Methods:A total of 132 cases of chronic prostatitis treated in the Outpatient Department of our hospital were randomly divided into an observation group(n=68)and a control group(n=64),the former following the Mediterranean dietary pattern,the latter adhering to their own dietary habits,and meanwhile both receiving lifestyle guidance,psychological counseling,symptomatic medication and physiotherapy according to their specific symptoms.The patients were followed up for 4 weeks,therapeutic effects were observed and comparisons were made between the two groups in the NIH-CPSI scores before and after treatment.Results:Compared with the baseline,the quality of life(QOL)scores,pain and urination discomfort scores and total NIH-CPSI scores were significantly decreased in both the observation and the control groups after treatment(P<0.05),even more decreased in the former than in the latter,but with no statistically significant difference between the two(P>0.05).The rate of therapeutic effectiveness was higher in the observation group than in the control(87.1%vs 79.7%),but showed no statistically significant difference between the two groups(P>0.05).Conclusion:Multimodal therapy is suitable for the management of different clinical manifestations of individual patients,while dietary habits vary from person to person as well as from region to region.Therefore,scientific dietary modification for the prevention and treatment of CP/CPPS needs further exploration.