运动锻炼对慢性非细菌性前列腺炎患者的辅助康复效果

目的:探讨体育锻炼对慢性非细菌性前列腺炎(CAP)的辅助康复治疗效果。方法:将2008年8月～2010年8月符合CAP诊断标准的200名患者,随机分成对照组和实验组。对照组采用常规治疗方法,即抗生素、抗炎药物和α-肾上腺能受体阻滞剂治疗、前列腺按摩等。实验组在常规治疗的基础上辅以体育锻炼,即采用瑜伽、羽毛球、气排球三种锻炼形式,每周4～5次,每次40～60分钟,以患者感觉轻微疲劳为限,共90天。分别于治疗前、治疗30天、治疗90天,采用美国国家健康组织慢性前列腺炎症状评分表(NIH-chronic prostatitis symptom index,NIH-CPSI)进行问卷调查,对两组患者前列腺炎症状指数进行评分。测定两组患者最大尿流率及精浆IL-1、TNF-α水平,并统计治愈率和总有效率。结果:(1)实验前,两组患者基本情况相似,前列腺炎NIH-CPSI评分、精浆IL-1及TNF-α水平无显著性差异(P>0.05)。治疗30天和90天时,两组NIH-CPSI评分、精浆IL-1及TNF-α水平较实验前均显著下降(P<0.05),最大尿流率显著上升(P<0.05)。治疗30天和90天时,实验组NIH-CPSI评分、精浆IL-1及TNF-α水平分别较对照组显著下降(P<0.05),实验组最大尿流率较对照组显著上升(P<0.05)。(2)90天治疗后,对照组治愈率为50%,有效率为69%;实验组治愈率68%,有效率86%,两组治愈率和有效率有显著性差异。结论:CAP患者在常规治疗的基础上辅以体育锻炼,效果好于常规治疗。

Auxiliary Rehabilitative Effect of Sports Activities on the Chronic Abacterial Prostatitis

Objective The paper probes into the auxiliary rehabilitative effects of sports activities on the patients with chronic abacterial prostatitis(CAP).Methods 200 patients,chosen from August,2008 and August,2010,in accordance with the CAP Diagnosis Principle,are randomly divided into an experiment group and a control group.Routine treatments(antibiotics,analgesics,α-adrenoceptor blocking drugs,and prostatitic massage) were applied to the patients in control group,while to patients in experiment group besides the routine treatments,specific sports activities–yoga,badminton,and air-volleyball were added,4-5 times a week,40-60 minutes each time,at the perception of slight fatigue.Questionnaire survey was carried out just before the experiment,and 30 days and 90 days after the commencement of the experiment,according to the NIH-chronic prostatitis symptom index(NIH-CSPI),and the maximum urine flow rate and IL-1 and TNF-α levels in seminal plasma were measured at the same time for calculating the cure rate and the total effectiveness rate.Results(1)Before the experiment,there was no remarkable differences in the NIH-CPSI score,the IL-1 and TNF-α levels in seminal plasma between the two groups(P > 0.05).The NIH-CPSI score,IL-1 and TNF-α levels in both groups decreased notably(P < 0.05),while the maximum urine flow rate increased obviously(P < 0.05) after 30-day and 90-day treatment.In comparison with the control group,the NIH-CPSI score,IL-1 and TNF-α levels in the experiment group increased remarkably(P < 0.05),and the maximum urine flow rate increased obviously(P < 0.05) after 30 days and 90 days treatment.(2)After 90 days of treatment,the cure rate and the effective rate in control group and in experiment group were 50% vs.68%(P < 0.05),and 69% vs.86%(P < 0.05),respectively.Conclusion From the results,we concluded that sports activities in combination with routine treatments revealed better outcome than routine treatments alone for patients with CAP.