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目的 :观察清浊汤联合微波疗法综合治疗慢性非细菌性前列腺炎的临床疗效。方法 :将64例已确诊为慢性非细菌性前列腺炎患者,中医辨证均为湿热瘀阻型,按随机数字表法分为两组各32例,对照组仅给予常规西药口服治疗,观察组给予自拟中药汤剂联合微波疗法综合治疗,两组均以10d为1个疗程,连续治疗3个疗程。结果:观察组有效率为87.5%,对照组为53.1%,观察组疗效显著优于对照组(P<0.01)。两组治疗前NIH-CPSI积分、疼痛不适及排尿障碍评分和生活质量评分比较,差异无统计学意义(P>0.05);治疗后均明显改善(P<0.05),观察组更佳;同时通过检测发现治疗前后卵磷脂小体水平均上升,有统计学意义(P<0.05)。观察组卵磷脂小体上升幅度大于对照组(P<0.05)。随访3个月后观察组复发率明显低于对照组(P<0.05)。结论 :自拟中药汤剂联合微波疗法综合治疗慢性非细菌性前列腺炎能显著提高其临床疗效,降低NIH-CPSI积分,提高生活质量,可以提高卵磷脂小体数量,降低复发率,值得临床、特别是广大基层医院推广应用。
Objective: To observe the clinical efficacy of Qingzhuo Decoction combined with microwave in the treatment of chronic nonbacterial prostatitis. Methods: Sixty-four patients with chronic nonbacterial prostatitis were diagnosed. All patients were divided into two groups according to the random number table, 32 cases in each group. The control group was given only conventional western medicine oral treatment and the observation group was given Self-made traditional Chinese medicine decoction combined with microwave therapy, two groups were 10d for a course of treatment, continuous treatment of 3 courses. Results: The effective rate of the observation group was 87.5% and that of the control group was 53.1%. The observation group was significantly better than the control group (P <0.01). There was no significant difference in NIH-CPSI score, pain discomfort, dysuria score and quality of life score between the two groups before treatment (P> 0.05), after treatment, both groups were significantly improved (P <0.05) Test found that lecithin body before and after treatment were increased, with statistical significance (P <0.05). Observation group lecithin body increased more than the control group (P <0.05). After 3 months of follow-up, the recurrence rate of the observation group was significantly lower than that of the control group (P <0.05). Conclusion: The combination of traditional Chinese medicine decoction and microwave therapy in the treatment of chronic nonbacterial prostatitis can significantly improve its clinical efficacy, reduce NIH-CPSI score, improve quality of life, can increase the number of lecithin body, reduce the recurrence rate, it is worth clinical, In particular, the promotion and application of the grassroots hospitals.