摘要
目的探讨'鸡尾酒'式疗法对慢性前列腺炎(CP)的临床效果.方法 选择中、重度慢性前列腺炎(CP)患者100例,其中细菌性前列腺炎13例,非细菌性前列腺炎87例,采用'鸡尾酒'式疗法,应用抗生素、α1-受体阻滞剂、选择性环氧化酶(COX-2)抑制剂、蛋白水解酶制剂和中成药等治疗1.5～6.0个月,分析疗效.结果 100例患者随访8～18个月,行2次慢性前列腺炎症状评分(CPSI),平均(16.5±7.5)分,与治疗前的(25.0±15.0)分比较差别有显著性意义(P＜0.05).治疗前、后WBC均值间差别有显著性意义(P＜0.05).治疗期和随访期疗效间差别无显著性意义(P＞0.05).结论 适宜的抗生素,α1-受体阻滞剂,选择性COX-2抑制剂,蛋白水解酶制剂和中药等'鸡尾酒'式疗法对慢性前列腺炎有较好疗效.
Objective To study the clinical effect of cocktail - theraphy on chronic prostatitis （CP）. Methods 100 CP cases were selected including 12 germ CP and 88 no - germ CP, we treated CP for 1.5 -6 months with the cocktail - theraphy namely α-adrenoceptor blocker combined with antibiotics, cycllooxygenase -2 inhibitor, proteinase and chinese patient medicines, its effects was evaluated by the chronic prostatitis symptom index （ CPSI）, examination prostate secretion （EPS） and germ examination. Results The CPSI score of the treated group decreased from 33.4 to 13.4, the number of WBC from 33.4/HP to 12.8/HP, was significant difference with pretreatment after following 10. 3 months. After treatment, germ culture is negative in 9/12 （70. 1% ） germ CP by PPMT. According to CPSI, there were 20.5% curative rate, 47.0% significant effective rate, 18.5% effective rate, 14. 0% no effective rate. Conclusion The cocktail - theraphy with α1-adrenoceptor blocker combined with antibiotics, cycllooxygenase-2 inhibitor, proteinase and Chinese herb, is good effective to CP.
出处
《中国全科医学》
CAS
CSCD
2005年第16期1357-1358,共2页
Chinese General Practice
