向圣坎 崔应东

【摘要】 目的：探讨电生理刺激与中药坐浴联合治疗慢性前列腺炎的临床效果观察。方法：研究对象为2018年8月1日-2019年8月1日笔者所在医院住院的86例慢性前列腺炎患者。根据治疗方法不同进行分组，将39例单纯行前列腺电生理刺激治疗的患者设为对照组，将47例采用前列腺电生理刺激与中药坐浴联合治疗的患者设为治疗组。两组均治疗2周。比较两组治疗前后前列腺液中卵磷脂小体计数、白细胞计数、NIH-CPSI评分。结果：治疗前两组患者前列腺液中卵磷脂小体计数、白细胞计数及NIH-CPSI评分比较，差异均无统计学意义（P>0.05）;治疗2周后，治疗组卵磷脂小体计数、白细胞计数及NIH-CPSI评分均优于对照组，差异有统计学意义（P<0.05）。结论：与单纯行前列腺电生理刺激治疗慢性前列腺炎相比较，联合中药坐浴共同治疗效果更好。

【关键词】 中药 坐浴 前列腺电生理刺激 慢性前列腺炎

[Abstract] Objective： To investigate the clinical effect of electrophysiological stimulation combined with traditional Chinese medicine sitting bath in the treatment of chronic prostatitis. Method： The subjects were 86 patients with chronic prostatitis who were admitted in our hospital from August 1st， 2018 to August 1st， 2019. According to different treatment methods， 39 patients who received prostatic electrophysiological stimulation alone were set as the control group， and 47 patients who received prostatic electrophysiological stimulation combined with traditional Chinese medicine sitting bath were set as the treatment group. Both groups were treated for 2 weeks. The lecithin body count， white blood cell count in prostatic fluid and NIH-CPSI score of the two groups before and after treatment were compared. Result： Before treatment， there were no statistically significant differences in lecithin body count， white blood cell count in prostatic fluid and NIH-CPSI score between the two groups （P>0.05）. After 2 weeks of treatment， lecithin body count， white blood cell count and NIH-CPSI score in the treatment group were all better than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion： Compared with the treatment of chronic prostatitis by electrophysiological stimulation alone， the combined treatment with traditional Chinese medicine sitting bath is more effective.

慢性前列腺炎（chronic prostatitis）是泌尿外科中困擾成年男性患者最常见的疾病，其病因及发病机制尚不十分清楚，这给泌尿外科医生对该病的诊治带来了很大的困难[1]。尿频、尿急、尿痛等排尿刺激症状和慢性会阴部疼痛是该病的主要临床表现，也是临床泌尿外科医生诊断该病时的重要参考依据，患者常合并精神心理疾病。临床医生诊断该病主要依据患者症状及前列腺液常规检查结果[2]。目前，对该病的治疗方面的研究及方法很多，主要通过抗生素、非甾体类药、α2-受体阻滞剂等药物治疗，通过对患者的调查统计，治疗效果并不可观，病情迁延，反复发作，严重影响了患者的学习、工作及日常生活[3]。本研……