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目的:了解K粉所致慢性前列腺炎的临床表现及转归。方法:对20例滥用K粉者依据CCMD-3氯胺酮依赖的诊断标准作临床分析。结果:K粉所致慢性前列腺炎以尿频、尿急、尿痛、伴射精痛、血精、早泄、阳痿以及乏力、焦虑、失眠和疑病、轻度抑郁等植物神经功能紊乱症状为主。给予小剂量镇静安眠药、抗炎等对症、支持、脱毒、心理等治疗,可消除戒断症状及慢性前列腺炎症状。结论:K粉对前列腺素的抑制及欣快、性欲亢进、梦幻等作用是导致慢性前列腺炎的主要原因。及时治疗、脱毒可消除症症状,复吸复发率高。
Objective: To understand the clinical manifestations of K powder caused by chronic prostatitis and prognosis. Methods: A total of 20 cases of abuse of K powder based on CCMD-3 ketamine-dependent diagnostic criteria for clinical analysis. Results: Chronic prostatitis caused by K powder was the main symptom of autonomic dysfunction with frequent urination, urinary urgency, dysuria, ejaculation pain, blood sperm, premature ejaculation, impotence and fatigue, anxiety, insomnia and suspicion, mild depression and so on. Give small doses of sedative sleeping pills, anti-inflammatory and other symptomatic, supportive, detoxification, psychotherapy and other treatment, to eliminate withdrawal symptoms and symptoms of chronic prostatitis. Conclusion: The inhibitory effect of K powder on prostaglandins and euphoria, sexual desire, fantasy and other effects are the main causes of chronic prostatitis. Timely treatment, detoxification can eliminate symptoms, relapse relapse rate.