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Ⅲ型慢性前列腺炎的综合治疗分析
http://www.100md.com 《白求恩军医学院学报》 2007年第1期
慢性前列腺炎;综合性治疗,,慢性前列腺炎;综合性治疗,1资料与方法,2结果,3讨论,参考文献
     【摘 要】 目的 探讨Ⅲ型慢性前列腺炎(CPⅢ型)的有效治疗方法。方法 分析205例CPⅢ型患者的病史和实验室检查结果,依据美国国立卫生研究院(NIH)前列腺炎的诊断标准进行分类,综合治疗8~12周。Ⅲa型77例给予甲砜霉素或复方新诺明抗生素口服4周,并给予硝基呋喃类栓剂(呋喃妥因栓)纳肛8周。Ⅲb型128例给予甲砜霉素或复方新诺明抗生素口服4周,消炎痛栓纳肛8~12周。所有患者加服中成药清淋冲剂、参阳胶囊8~12周并配合心理治疗及热水坐浴。根据慢性前列腺炎症状指数评分(CPSI)、症状及体征判断疗效。结果 治疗8~12周后显效155例(75.6%),有效36例(17.6%),无效14例(6.8%)。结论 综合性治疗是CPⅢ型的有效治疗方法。

    【关键词】 慢性前列腺炎;综合性治疗

    Analysis of Comprehensive Treatment for the Type Ⅲ Chronic Prostatitis LIU Junping,GE Jinshan,CHEN Wenbin,et al.Department of Urology, the 260 Hospital of PLA, Shijiazhuang 050041,China

    【Abstract】 Objective To study the clinical treatment of the type Ⅲ chronic prostatitis (CPⅢ). Methods Based on National Institute Health (NIH) classification, 205 cases of the type Ⅲ chronic prostatitis were surveyed by analysis of their laboratory results and clinical history. In addition, the type Ⅲ chronic prostatitis symptom index (CPSI) of each patient was evaluated. 77 cases were type Ⅲa and 128 cases were type Ⅲb. All patients were comprehensively treated for 8 to 12 weeks. Thiamphenicol or Sulfamethoxazole tablet compound and Nitrofurantion suppositorum were given to type Ⅲa for 8 weeks.Thiamphenicol or Sulfamethoxazole tablet compound for 4 weeks, and with Indomethacin suppositorum for 8 to 12 weeks were given to type Ⅲb. All patients were additionally treated by psychological and physical therapies. Traditional Chinese Medicine was also used in all patients. Results 155 patients (75.6%) were significantly improved, 36(17.6 %) slightly improved and only 14 (6.8%) did not respond to the therapy. Conclusion Comprehensive treatment is an effective method for the patients with type Ⅲ chronic prostatitis. ......

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