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目的:探讨慢性非细菌性前列腺炎/慢性骨盆疼痛综合征(CAP/CPPS)Ⅲa型与Ⅲb患者症状的区别。方法:以前列腺炎症状评分(NIH-CPSI)评估CAP/CPPS患者症状情况,按四杯法留取尿液,对患者前列腺液、按摩后尿液、精液行白细胞计数,并对样本行细菌培养。将128例CAP/CPPS患者分型,分析Ⅲa型与Ⅲb患者症状的区别。结果CAP/CPPS患者中,依据EPS、VB3或精液中WBC数目而分型的Ⅲa型与Ⅲb患者间的CPSI中的疼痛、排尿不适、生活质量及总分差异无显著性(P值分别为0.77、0.65、0.11、0.52)。CAP/CPPS患者EPS、VB3或精液中WBC数目与CPSI中的疼痛、排尿不适、生活质量及总分无显著相关性(P>0.05)。结论:CAP/CPPS患者Ⅲa型与Ⅲb型间症状严重程度差异无显著性,白细胞计数与CAP/CPPS患者症状的严重程度无明显相关性。
Objective: To investigate the difference between chronic non-bacterial prostatitis / chronic pelvic pain syndrome (CAP / CPPS) Ⅲa and Ⅲb patients. Methods: The symptom of patients with CAP / CPPS were evaluated by NIH-CPSI. Urine was collected by four-cup method and white blood cell count was performed on prostatic fluid, post-massage urine and semen of patients. Bacterial culture . 128 patients with CAP / CPPS were typed to analyze the difference between Ⅲa and Ⅲb patients. Results There were no significant differences in pain, urination discomfort, quality of life and total score among CPSI patients with type IIIa and IIIb who were classified according to EPS, VB3 or semen WBC in CAP / CPPS patients (P = 0.77 , 0.65,0.11,0.52). There was no significant correlation between the number of WBC in EPS, VB3 or semen of CAP / CPPS patients and the pain, urination discomfort, quality of life and total score in CPSI (P> 0.05). CONCLUSION: There is no significant difference in the severity of symptoms between type Ⅲa and type Ⅲb in patients with CAP / CPPS. There is no significant correlation between the number of white blood cells and the severity of symptoms in patients with CAP / CPPS.