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目的:观察分析中西医结合治疗慢性前列腺炎的临床疗效。方法:选取我院在2013年4月—2015年5月收治的400例慢性前列腺炎患者作为研究对象,根据随机数表法将所有患者分为对照组和观察组,每组200例。对照组患者给予盐酸索罗辛缓释胶囊治疗,观察组患者在对照组治疗基础上配合服用四子甲芪汤治疗。治疗4周后,比较两组患者的治疗总有效率、排尿症状评分、疼痛不适评分、生活质量评分、总评分、白细胞计数、最大尿流率、平均尿流率和不良反应状况。结果:治疗后,对照组患者治疗总有效率为73.5%(147/200),观察组患者治疗总有效率为92%(184/200),具有统计学差异(P<0.05)。两组患者排尿症状评分、疼痛不适评分、生活质量评分、总评分和白细胞计数(EPS-WBC)均显著下降,具有统计学差异(P<0.05),且观察组下降幅度显著大于对照组,具有统计学差异(P<0.05)。两组患者的最大尿流率及平均尿流率显著提高,且观察组优于对照组,具有统计学差异(P<0.05)。无任何不良反应。结论:中西医结合治疗慢性前列腺炎的临床疗效显著,可显著改善患者生活质量,安全可靠,具有临床推广价值。
Objective: To observe and analyze the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of chronic prostatitis. Methods: A total of 400 patients with chronic prostatitis admitted in our hospital from April 2013 to May 2015 were selected as study subjects. All patients were divided into control group and observation group according to random number table method, with 200 cases in each group. Patients in the control group were treated with solosin hydrochloride sustained-release capsules. Patients in the observation group were treated with Sizi Jiaqi Decoction on the basis of the control group. After 4 weeks of treatment, the total effective rate, voiding symptom score, pain discomfort score, quality of life score, total score, white blood cell count, maximum flow rate, average flow rate and adverse reactions were compared between the two groups. Results: After treatment, the total effective rate of the control group was 73.5% (147/200). The total effective rate of the observation group was 92% (184/200), with statistical difference (P <0.05). Urine symptom score, pain discomfort score, quality of life score, total score and white blood cell count (EPS-WBC) in both groups were significantly decreased (P <0.05), and the decrease in the observation group was significantly greater than that in the control group Statistical difference (P <0.05). The maximal urinary flow rate and average urinary flow rate of both groups were significantly increased, and the observation group was superior to the control group, with statistical significance (P <0.05). No adverse reactions. Conclusion: The clinical curative effect of the combination of traditional Chinese and western medicine in the treatment of chronic prostatitis is significant, which can significantly improve the quality of life of patients, is safe and reliable, and has clinical popularization value.