以行瘀清热为主的综合疗法对CPS患者心理状况的影响

The Influences of Colligate Therapeutics which Give Priority to the Method ofXingyuqingre for CPS

目的:观察以行瘀清热法为主的综合疗法对慢性前列腺炎综合征(CPS)中气血瘀滞、精络瘀阻证型患者的治疗效果及对心理状况的影响,探讨其作用机理。方法:将受试者随机分组,共筛选纳入病例216例。治疗组110例,对照组106例。观察行瘀清热法对CPS症状评分(NIH)及症状自评量表(SCL-90)问卷评分的影响等。结果:治疗后,随着症状的改善,患者在心理状况方面也得到了一定的改善。除对照组敌对因子分高于治疗前(P>0.05)外, 两组其余各因子分及阳性项目数均有改善,其中治疗组躯体化、强迫、焦虑、恐怖、精神病性因子分及阳性项目数均有显著降低;而对照组强迫、焦虑、精神病性因子分与治疗前比较有显著降低,其余改变无显著性差异。组间比较,治疗组治疗后躯体化因子分低于对照组,有显著性差异(P<0.05)。结论:整体调节对改善患者的生活质量有较大意义,局部用药对病理改变有直接作用;而患者临床症状的改善可减轻心理压力,心理状况的改善也非常有利于临床症状的改善,从而较大地增强治疗效果,提高患者的生活质量。

Objective: To observe the influences of colligate therapeutics which give priority to the method of Xingyuqingre on Chronic Prostatitis Syndrome (CPS) with stagnation of Qi, blood and Jingluo and it's mechanisms. Method: In this study, 216 cases of CPS were divided randomly into two groups of which treatment group had 110 cases and controlled group 106 cases. To record the scores of NIH CPS Index and the changes of psychological condition using Symptom Check List 90 (SCL-90) before and after the treatment. Results: After treatment, with the improving of their symptoms, the mental state of patients of the two groups were improved in some extent, and the somatization factor score of the treatment group was lower than that of the controlled group, and had significant difference (P<0.05). Conclusion: The method combined several ways of which taking herbs wholly, local effect of medicine in anus, and psychoanalysis. They have organic connection from each other, that is improving of clinical symptoms could decrease mental pressure while improving of the morbid state of mind could favorable for the clinical symptoms.