前列腺2号方联合灌肠、穴位贴敷治疗慢性前列腺炎疗效观察

目的 观察前列腺2号方联合灌肠、穴位贴敷治疗慢性前列腺炎的疗效。 方法 将2018年2月—2019年5月就诊于蚌埠医学院第一附属医院,诊断符合ⅢA型慢性前列腺炎的患者60例,用简单随机化分组法分为对照组与观察组,各30例。对照组给予前列腺2号方水煎400 mL,分早晚2次口服。观察组在对照组治疗基础上予以前列腺灸Ⅱ型神阙、气海、中极穴位交替贴敷,每周2次,一次留置12 h;中药直肠滴入治疗,每月前15 d连续灌肠,然后休息15 d。上述2组治疗1个月为一个疗程,连用3个疗程。 结果 治疗前的中医主要症状积分对比差异无统计学意义(均P>0.05)。治疗后,与对照组相比,观察组的中医主要症状尿频、尿急、尿痛、会阴部等局部疼痛积分降低,差异有统计学意义(均P<0.05)。慢性前列腺炎症状评分表、焦虑自评量表积分治疗前2组差异无统计学意义(均P>0.05),治疗后与对照组相比,观察组的慢性前列腺炎症状评分表、焦虑自评量表积分降低,差异有统计学意义(均P<0.05)。治疗前,2组患者前列腺液中白细胞计数和卵磷脂小体计数差异无统计学意义(均P>0.05)。治疗后,与对照组相比,观察组的前列腺液中白细胞计数明显降低,卵磷脂小体计数有所升高,差异有统计学意义(均P<0.05)。总有效率比较,差异具有统计学意义(χ2=5.079,P=0.024)。 结论 前列腺2号方联合灌肠、穴位贴敷治疗慢性前列腺炎较单用前列腺2号方效果更好。 

Clinical observation on the treatment of chronic prostatitis with prostate decoction number 2 combined with clysis and acupoint application

Objective To observe the curative effect of prostate decoction number 2 combined with clysis and acupoint application on chronic prostatitis(CP). Methods Total 60 patients with type ⅢA CP admitted to the First Affiliated Hospital of Bengbu Medical College from February 2018 to May 2019 were randomly divided into control group(n=30) and observation group(n=30) by simple randomized grouping method. The control group was given one prostate decoction number 2 of 400 mL(take orally twice in the morning and in the evening). The observation group on the basis of the medication of the control group was given prostate moxibustion type Ⅱ applied Shenque, Qihai, Zhongji alternately, twice a week, once for 12 hours; the rectal drip of traditional Chinese medicine(TCM) was used for treatment, enema was performed continuously in the first 15 days of each month, and then rest for 15 days. The two groups were treated for one month as a course of treatment, three courses in a row. Results The main symptoms of TCM in the two groups was of no significant difference before treatment(all P>0.05). After treatment, compared with those in the control group, the scores for main symptoms like frequent urination, urinary urgency, urinary pain, bulge feeling of perineum, aching feeling of perineum in the observation group were decreased(all P<0.05). The scores of NIH-CPSI and SAS in the two groups had not significantly difference before treatment(all P>0.05). After treatment, compared with those in the control group, the scores of NIH-CPSI and SAS were decreased in the observation group(all P<0.05). The leukocyte count and lecithin body in prostate fluid count of the two groups had no statistically significant differences before treatment(all P>0.05). After treatment, the leukocyte count of prostate fluid in observation group significantly was decreased, while the lecithin body count was increased(all P<0.05). Total effective rate had statistically significant differences(χ2=5.079, P=0.024). Conclusion The effect of prostate decoction number 2 combined with clysis and acupoint application have better effect in treating CP than prostate decoction number 2 alone.