慢性前列腺炎和性功能障碍研究进展

慢性前列腺炎(chron ic prostatitis,CP)是男性青壮年常见病,大约50%的男性在一生的不同时期曾有过前列腺炎症状[1]。CP患者的症状主要包括下尿路症状(lower urinarytract symptom s,LUTS)和疼痛症状,LUTS症状表现排尿不畅、尿不尽、尿频、尿急和排尿困难等;疼痛症状为会阴部、     

药物联合治疗慢性非细菌性前列腺炎

慢性前列腺炎是一种好发于男性青壮年最常见的泌尿生殖系统疾病之一,泌尿外科门诊前列腺炎患者约占25%,男性一生中曾经出现过前列腺炎症状者约占50%,前列腺炎的复发率为20%~50%[1]。2004年1月至2005年4月我们选择泌尿外科门诊120例慢性非细菌性前列腺炎/慢性盆腔疼痛综合征(CPP     

前列腺液检查办法的进展

慢性前列腺炎是男性泌尿外科常见病之一,占泌尿外科门诊病人的60%以上[1],是50岁以下男性就诊于泌尿外科的最常见原因.有作者报告男性成人发病率为35%～50%[2].近年来由于性传播疾病发病率上升,前列腺炎的发病率也逐渐增多[3].据调查我国成人前列腺炎病理发病率为24.3%[4],约有50%的男性在一生的某个阶段会受其影响.前列腺液检查(EPS)是目前临床诊断前列腺炎的常规手段.     

慢性前列腺炎患者的心理状态与健康指导

慢性前列腺炎(Chronic prostatitis,CP)是中青年男性的常见病,多发病,占泌尿外科门诊的25%。慢性前列腺炎的药物治疗效果差,病程迁延,易复发,不仅生理上给患者带来不适,并且在很大程度上给患者心理健康造成较大危害[1]。本研究目的在于探究慢性前列腺炎患者的心理状态,提出健康     

清化汤兼坐浴治疗慢性前列腺炎疗效分析

慢性前列腺炎是一种常见的多发于中老年男性的泌尿生殖系统良性疾病,发病率高,大约35%～50%的男性在一生中的某个时期会受到前列腺炎的影响[1]。其临床表现主要为排尿异常、疼痛、性功能改变等,本病患者易因痛苦、病情易复发且缠绵难愈,而出现焦虑、抑郁等精神症状,而常规西药抗生素及雄性激素治疗疗效不理想。为此近年来我们在中医理论指导下,对慢性前列腺炎常见证型即湿热夹瘀证型进行了临床治疗研究,现报告如下。     

慢性前列腺炎患者症状自评量表测试与分析

慢性前列腺炎是中青年男性的常见疾病 ,通常占泌尿外科门诊就诊病人的 2 5 % [1] 。 477例猝死于非前列腺疾病的尸检报告[2 ] :前列腺炎占 2 4.3% ,其中 96 .6 %为慢性前列腺炎 ,2 0～ 49岁占 79.6 %。Ｂｌａｃｋｌｏｃｋ[3 ] 通过心理测试认为 :与正常人群比较 ,慢性前列腺炎患者更喜欢陈述自己与焦虑有关的躯体不适和疼痛 ,表现为过度紧张的行为类型。我们在长期泌尿外科门诊实践中发现 :许多慢性前列腺炎患者对疾病的认识有不同程度的心理障碍。为此 ,我们采用国内外通用的症状自评量表 (ＳＣＬ 90 ) ,对 42例慢性前列腺炎和同期就诊且年…     

慢性前列腺炎患者症状自评量表测试与分析

慢性前列腺炎是中青年男性的常见疾病,通常占泌尿外科门诊就诊病人的25%[1].477例猝死于非前列腺疾病的尸检报告[2]:前列腺炎占24.3%,其中96.6%为慢性前列腺炎,20～49岁占79.6%.Blacklock[3]通过心理测试认为:与正常人群比较,慢性前列腺炎患者更喜欢陈述自己与焦虑有关的躯体不适和疼痛,表现为过度紧张的行为类型.我们在长期泌尿外科门诊实践中发现:许多慢性前列腺炎患者对疾病的认识有不同程度的心理障碍.为此,我们采用国内外通用的症状自评量表(SCL-90),对42例慢性前列腺炎和同期就诊且年龄文化程度等相近的16例急性细菌性前列腺炎、尿道炎患者进行问卷调查,并将有关内容报告如下.     

问：前列腺炎会发展成为前列腺肥大吗？

答：前列腺肥大也叫前列腺增生．是一种老年男科疾病、多发生在60岁以后。前列腺肥大的发病和睾丸分泌男性激素有关．即由于雄性激素降低造成前列腺组织良性增生。而前列腺炎一般不累及睾丸，也不会影响睾丸分泌男性激素的功能和激素的代谢过程。因此．慢性前列腺炎不可能诱发前列腺肥大．但是．有一些男性前列腺炎患者后来又发生了前列腺肥大，这又如何解释呢？[第一段]     

前列腺炎的心理与康复治疗

前列腺炎是男性泌尿系统最常见的疾病 ,在自然人群中 ,约有一半男性在其一生中曾经出现过类似前列腺炎的症状[1] 。表现为尿频、尿急、尿痛 ,下腹部、会阴部、阴茎、阴囊、腰骶部不适或疼痛 ,排尿等待、排尿不净、早泄、射精痛及性功能障碍。这些临床症候群 ,既与泌尿系统其他疾病表现有相同之处 ,又有其特殊表现。由于前列腺炎的病因尚不十分清楚 ,传统的药物治疗很难达到满意的疗效 ,医患双方均感为难。随着现代医学模式从生理医学模式向社会 -心理 -生物医学模式转变 ,对前列腺炎的诊断和治疗从生理、心理、社会多方面考虑 ,已逐渐被人们…     

前列腺炎常见微生物感染及耐药性分析

慢性前列腺炎是男性泌尿系常见疾病之一,占泌尿外科男性病人的25%～40%,病因十分复杂,支原体、衣原体和细菌感染是其中重要的病因[1].     

慢病管理对慢性乙型肝炎治疗效果的评价

目的观察慢病管理对慢性乙肝治疗的干预效果。方法将180例慢性乙肝患者随机分为观察组90例和对照组90例。对观察组进行慢痛管理干预,对照组未进行干预。采用疾病认知、依从性、生活方式测定量表对患者进行评价。结果观察组干预后疾病认知度、治疗依从性及生活方式积分较干预前明显提高,干预前后比较差异有统计学意义（P〈0．01）;干预后积分与对照组比较,差异有统计学意义（P〈0．05）。时照组干预前后治疗依从性评分比较,差异有统计学意义（P〈0．05）,疾病认知度及生活方式积分观察前后比较,差异无统计学意义（P〉0．05）。结论实施慢病管理干预可以提高乙肝患者对乙肝的认知度及治疗依从性,改善不良的生活方式。     

Prolonged chronic phase in chronic myelogenous leukemia after homoharringtonine therapy

Background Homoharringtonine （HHT） is effective in treating late stage chronic myelogenous leukaemia （CML）, but little is known about long term maintenance during complete cytogenetic response. Long term efficacy and toxicity profiles of low dose HHT were evaluated in this study. Methods One hundred and six patients with CML received 1.5 mg/m^2 of HHT alone by continuous daily infusion for seven to nine days every four weeks. Of 79 patients in the control group, 31 were treated with interferon α （IFN-α） and 48 with hydroxycarbamide. For 17 patients who failed to achieve cytogenetic response within 12 months＇ treatment of IFN-α, HHT was administered. Quantitative RT-PCR was used to detect the BCR-ABL mRNA expression in 36 Philadelphia positive CML patients enrolled after 2007. Haematological and cytogenetic responses were evaluated in all patients at the 12th month of follow-up. Long term efficacy was assessed in a follow-up with a median time of 54 months （12 months-98 months）. Results After 12 months of therapy, cytogenetic response rate of the HHT, IFN-α and hydroxycarbamide groups were 39/106, 14/31 and 3/48, and corresponding molecular cytogenetic response rates 6/18, 3/8 and 0. Of the 17 patients who received HHT as salvage treatment, 6 achieved cytogenetic response （3 major）. At the 48 months＇ follow-up, cytogenetic response was maintained in 32/39 patients treated with HHT. Patients who had cytogenetic response in HHT group or treated with IFN-α also showed longer median chronic durations, which were 45 months （12 months-98 months） and 49 months （12 months-92 months） respectively, indicating a longer survival time. Conclusions Low dose HHT alone showed considerable short term and long term efficacy in the treatment of late stage CML. It may also be a good choice for patients who have failed imatinib, IFN-α treatment or haematopoietic stem cell transplantation or cannot afford these treatments.     

四种方法治疗慢性淋巴水肿、淋巴管（结）炎的比较研究

目的应用四种常用方法,比较治疗慢性淋巴水肿和淋巴管（结）炎的疗效。方法采用音频电疗结合绑扎、桑叶注射液结合绑扎、香豆素、消肿乳糜清制剂分组治疗。结果音频电疗结合绑扎、桑叶注射液结合绑扎、香豆素、消肿乳糜清制剂组对慢性淋巴水肿疗后基本治愈和显效率分别为36．36％、68．75％、41．07％和61．78％,对慢性淋巴管结炎的治愈率分别为54．17％、83．33％、69．64％、95．85％。结论消肿乳糜清制剂是慢性淋巴水肿、淋巴管（结）炎患者最理想的天然治疗药物。     

Approaching chronic cough

Chronic cough is one of the most common reasons for referral to a respiratory physician. Although fatal complications are rare, it may cause considerable distress in the patient’s daily life. Western and local data shows that in patients with a normal chest radiograph, the most common causes are postnasal drip syndrome, postinfectious cough, gastro-oesophageal reflux disease and cough variant asthma. Less common causes are the use of angiotensin-converting enzyme inhibitors, smoker’s cough and nonasthmatic eosinophilic bronchitis. A detailed history-taking and physical examination will provide a diagnosis in most patients, even at the primary care level. Some cases may need further investigations or specialist referral for diagnosis.     

Tropical chronic pancreatitis

Tropical chronic pancreatitis (TCP) is a juvenile form of chronic calcific non-alcoholic pancreatitis, seen almost exclusively in the developing countries of the tropical world. The classical triad of TCP consists of abdominal pain, steatorrhoea, and diabetes. When diabetes is present, the condition is called fibrocalculous pancreatic diabetes (FCPD) which is thus a later stage of TCP. Some of the distinctive features of TCP are younger age at onset, presence of large intraductal calculi, more aggressive course of the disease, and a high susceptibility to pancreatic cancer. Pancreatic calculi are the hallmark for the diagnosis of TCP and in non-calcific cases ductal dilation on endoscopic retrograde cholangiopancreatography, computed tomography, or ultrasound helps to identify the disease. Diabetes is usually quite severe and of the insulin requiring type, but ketosis is rare. Microvascular complications of diabetes occur as frequently as in type 2 diabetes but macrovascular complications are uncommon. Pancreatic enzyme supplements are used for relief of abdominal pain and reducing the symptoms related to steatorrhoea. Early diagnosis and better control of the endocrine and exocrine dysfunction could help to ensure better survival and improve the prognosis and quality of life of TCP patients.     

合理氧疗对慢性肺源性心脏病预后的影响

目的探讨不同氧疗方法对慢性肺源性心脏病预后的影响。方法通过改进氧疗方法观察慢性肺源性心脏病预后。结果观察组较对照组疗效佳。结论合理氧疗对患者的早日康复有一定的影响。     

慢性前列腺炎/慢性盆腔疼痛综合征诱发因素的临床研究

2004年1月2008年1月随机抽取了160例慢性前列腺炎／慢性盆腔疼痛综合征（CP／CPPS）在门诊治疗后症状缓解的患者,对几种常见的CP／CPPS诱发因素如饮酒、吃辣椒、骑自行车、过频性生活等进行临床对照研究,对诱发因素引起相应症状的程度、时间和转归等进行探讨。现报告如下。