中西医结合认知行为干预治疗非细菌性前列腺炎临床对比研究

目的 探讨中西医结合认知行为干预治疗非细菌性前列腺炎效果分析.方法 选择2013年11月至2015年2月在在本院被确诊为慢性非细菌性前列腺炎的146例患者为研究对象,按就诊顺序随机法将患者分为对照组和观察组,对照组采取口服用八正汤剂配合盐酸坦索罗辛缓释胶囊治疗,观察组在对照组基础上采用认知行为干预,各自连续治疗两个月后,比较两组的临床治疗效果以及治疗前后NIH-CPSI的评分情况.结果 两组患者治疗前疼痛和排尿不适评分、生活质量评分、NIH-CPSI总评分值均无明显差异,治疗后各评分有明显下降,两组组内、组间比较差异显著,而且观察组较对照组下降程度则更为显著,对照组总有效率为78.5％,观察组为98.7％,两组差异有统计学意义(P＜0.05).结论 中西医结合认知行为干预治疗慢性非细菌性前列腺炎,临床疗效较佳,症状好转明显,具有重要的临床意义,值得进一步探讨.

Clinical comparison of integrated chinese and western medicine combined cognitive behavior intercention for non-bacterial prostatitis

Objectives To explore the efficacy of integrated Chinese and Western Medicine combined cognitive behavior intervention for non-bacterial prostatitis.Methods 146 cases of patients with chronic nonbacterial prostatitis in our hospital from November 2013 and February 2015,were selected as the study objects,who were randomly divided into a control group and an observation group by registration order.The Patients in the control group were treated with Bazheng Tang associated with Tamsulosin Hydrochloride Sustained Release Capsules,and ones in the observation group,besides that,were given extra cognitive behavioral intervention.After 2 months,clinical effects and scores of NIH-CPSI were compared between two groups before and after treatment.Results Total scores of dysuria and pain,life quality and NIH-CPSI,were significantly decreased posttreatment,there were significant differences between the two groups.The scores of the indexes decreased more obviously in the observation group.The total effective rate of the control group was 78.5％,of the observation group was 98.7％,and the difference between two groups was statistically significant(P ＜ 0.05).Conclusions Integrated Chinese and Western Medicine combined cognitive behavior intervention for non -bacterial prostatitis is an effective and safe therapy.This method has an important clinical significance and is worth further investigation.