除湿化瘀汤内服外用治疗慢性前列腺炎湿热瘀滞型临床研究

Clinical Study on the Efficacy of Oral and External Application of Decoction for Eliminating Dampness and Resolving Blood Stasis in the Treatment of Chronic Prostatitis with Damp-heat and Blood Stasis Syndrome

目的:观察除湿化瘀汤内服外用治疗慢性前列腺炎湿热瘀滞型的疗效。方法:108例随机分为联合治疗组、单纯中药组及成药对照组各36例,联合治疗组用除湿化瘀汤熏蒸加内服,单纯中药组用除湿化瘀汤内服,成药对照组给予前列舒通胶囊。结果:总有效率联合治疗组91.67%(33/36),单纯中药组69.44%(25/36),成药对照组72.22%(26/36),3组比较差异有统计学意义(P<0.05)。3组治疗后各项评分均降低(P<0.05),联合治疗组评分更低(P<0.05),单纯中药组治疗后与成药对照组比较差异无统计学意义(P>0.05)。3组最大尿流率与平均尿流率均提升,联合治疗组较单纯中药组及成药对照组升幅更大(P<0.05)。结论:中药内服联合熏蒸治疗慢性前列腺炎湿热瘀滞型效果较好。

Objective:To observe the efficacy of oral and external application of Decoction for Eliminating Dampness and Resolving Blood Stasis in the treatment of chronic prostatitis with damp-heat and blood stasis syndrome.Methods:A total of 108 cases were randomly divided into the combined treatment group,the simple Chinese medicine group and the proprietary medicine control group,36 cases in each group.The combined treatment group were treated with Decoction for Eliminating Dampness and Resolving Blood Stasis with fumigation and oral administration.The simple Chinese medicine group were treated with Decoction for Eliminating Dampness and Resolving Blood Stasis oral administration,while the proprietary medicine control group were treated with Qianlie Shutong Capsule.Results:The total effective rate was 91.67%(33/36)in the combined treatment group,69.44%(25/36)in the simple Chinese medicine group,and 72.22%(26/36)in the control group.The difference among the three groups was statistically significant(P<0.05).After treatment,the scores of the three groups were decreased(P<0.05),and the scores of the combined treatment group were lower(P<0.05).There was no significant difference between the simple Chinese medicine group and the drug control group(P>0.05).The maximum urinary flow rate and average urinary flow rate of the three groups increased,and the combined treatment group increased more than the simple Chinese medicine group and the proprietary medicine control group(P<0.05).Conclusion:Oral administration combined with fumigation of Chinese herbs is effective in the treatment of chronic prostatitis with damp-heat and blood stasis syndrome.