中西医结合治疗解脲支原体、沙眼衣原体性慢性前列腺炎48例报告

Efficacy of Traditional Chinese Medicine and Western Medicine in the Treatment of Ureaplasma Urealyticun and Chlamydia Trachomatis Infectious Chronic Prostatitis(Report of 48 cases)

目的 :探讨解脲支原体 (UU)和沙眼衣原体 (CT)性慢性前列腺炎的治疗措施。 方法 :对 48例UU和CT性慢性前列腺炎病人实施米诺环素、中成药前列舒乐及α1A受体阻滞剂盐酸坦洛新等综合治疗 ,观察治疗前后病人症状、前列腺液常规、UU和CT检测结果的变化 ,辅以慢性前列腺炎症状指数CPSI评分作疗效评价。 结果 :显效41例 ( 85 .4% ) ,有效 5例 ( 10 .4% ) ,无效 2例 ( 4.2 % )。治疗前CPSI评分为 ( 2 2± 8)分 ,治疗后降至 ( 7± 3 )分 ,差异有极显著性 (P <0 .0 1)。UU转阴 2 0例 ,CT转阴 2 5例 ,转阴率分别为 83 %和 89%。 结论 :中西医结合治疗UU和CT性慢性前列腺炎疗效显著 。

Objectives: To elucidate the treatment of Ureaplasma urealyticum (UU) and Chlamydia trachomatis (CT) infectious chronic prostatitis. Methods: Forty-eight cases of chronic prostatitis patients with UU and CT infections were treated with minocycline, Chinese medicine 'Qianlieshulekeli'and α 1A adrenoceptorblocker (tamsulosin) for 6 weeks. The change of symptoms, expressed prostatic secretion (EPS) routine, and UU and CT detection results were observed before and after the treatment. The efficacy of treatment were evaluated by CPSI score. Results: Remarkably effective-41 cases ( 85.4%), effective-5 cases ( 10.4%), noneffective-2 cases ( 4.2%). CPSI score reduced from (22±8) before treatment to (7±3) after treatment (P< 0.01). UU in 20 of 24 cases (83%) and CT in 25 of 28 cases (89%) turned negative after treatment. Conclusions: The therapy combining Chinese medicine with western medicine for the treatment of UU and CT infectious chronic prostatitis is successful. Natl J Androl,2003,9(3):202-203,206