泌尿男科医师应用《CUA前列腺炎诊断治疗指南》诊疗CPPS的调查

目的:了解中华医学会泌尿外科学分会(CUA)《前列腺炎诊断治疗指南》(以下简称《指南》)的推广和应用效果,及其对我国泌尿男科医师诊断、治疗CPPS的观念和实践的影响。方法:在全国21个城市173家医院泌尿男科发放问卷,回收问卷后,对有效问卷进行统计分析。结果:发放问卷1 056份,回收有效问卷851份(80.6%)。答卷者中,71.6%来自三级医院,高级和中级职称的医师占80.7%,97.5%的医师学习过《指南》。绝大多数医师认同Ⅲ型前列腺炎是一种临床综合征,诊断需要排除其他引起类似症状的疾病,治疗目标是缓解疼痛、改善排尿症状、提高生活质量。在学过或没学过指南的医师中,对部分观点的认同也有差异。在临床实际工作中,泌尿男科医师给CPPS患者最常选用的治疗方法(多选)是心理治疗(80.7%)、药物治疗(80.4%)、调整生活方式(79.6%);最常用的前3类药物是植物药(80.0%)、α受体阻滞剂(68.9%)和抗生素(61.0%)。结论:CUA《前列腺炎诊断治疗指南》得到了广泛的推广,其主要内容得到了深入的领会和应用,推动了我国泌尿男科医师规范化诊治CPPS的进程。

Application of CUA Guidelines on Prostatitis in the management of chronic pelvic pain syndrome: A nationwide survey

Objective: To investigate the application of the Chinese Urological Association(CUA) Guidelines on Prostatitis and its effects on the clinical practice patterns of diagnosing and treating chronic pelvic pain syndrome(CPPS) among Chinese urologists and andrologists.Methods: We conducted a questionnaire investigation on the application of the CUA Guidelines on Prostatitis among the urologists and andrologists of 173 hospitals in 21 cities of China,and performed statistical analyses on all the eligible questionnaires collected.Results: Of the 1 056 questionnaires distributed,851(80.6%) were eligible,of which 71.6% were from the urologists or andrologists in grade 3 hospitals,80.7% of them with senior or intermediate professional titles and 97.5% had studied the CUA Guidelines.Most of the subjects agreed that Type III prostatitis is a clinical syndrome,whose diagnosis should exclude other conditions with similar symptoms,and whose treatment should aim at relieving pain,alleviating urination symptoms and improving the quality of life.Those who had and those who had not studied the CUA Guidelines differed in their viewpoints on CPPS as illustrated in the book.In clinical practice,the most common treatment options for CPPS were psychological therapy(80.7%),medication(80.4%) and life style adjustment(79.6%),and the most frequently used drugs were phytotherapy(80.0%),alpha-blockers(68.9%) and antibiotics(61.0%).Conclusion: CUA Guidelines on Prostatitis has gained a nationwide application and promoted the standardization of the management of CPPS in China.