首页|归黄方治疗Ⅲ型前列腺炎精室湿热瘀滞证的临床研究

归黄方治疗Ⅲ型前列腺炎精室湿热瘀滞证的临床研究

扫码查看
目的:观察归黄方治疗Ⅲ型前列腺炎精室湿热瘀滞证的有效性与安全性.方法:纳入Ⅲ型前列腺炎精室湿热瘀滞证患者120例,随机分为试验组(归黄方)60例,对照组(盐酸坦索罗辛缓释胶囊)60例.连续服药6周,随访4周.观察治疗前后美国国立卫生研究院慢性前列腺炎临床症状积分指数(NIH-CPSI)、中医症状评分、前列腺按摩液常规,以及血尿常规、肝肾功能、心电图.结果:两组治疗后均可显著降低NIH-CPSI总评分、疼痛评分、排尿评分、生活质量影响评分、中医症状评分、WBC数量(P<0.05),增加卵磷脂小体数量(P<0.05).试验组在治疗6周结束后,NIH-CPSI评分由(28.34±9.23)分降低为(6.78±3.53)分;对照组在治疗结束后,NIH-CPSI评分由(27.81±8.28)分降低为(14.48±4.27)分.试验组与对照组比较,除治疗第2周时排尿评分与对照组无明显差别以外(P>0.05),第4、6、10周时试验组在降低NIH-CPSI总评分、疼痛评分、排尿评分、生活质量影响评分及中医症状评分方面,均优于对照组(P<0.05).试验组在减少WBC数目、增加卵磷脂小体数量方面优于对照组(P<0.05).安全性检查两组治疗后均未见明显异常,治疗过程未见明显不良反应.结论:归黄方治疗Ⅲ型前列腺炎精室湿热瘀滞证安全、有效.
Guihuang Formula for type Ⅲ prostatitis with damp-heat stasis syndrome in the essence chamber:A clinical trial
Objective:To investigate the efficacy and safety of Guihuang Formula(GHF)in the treatment of type Ⅲ prostatitis with the syndrome of damp-heat stasis in the essence chamber.Methods:This study included 120 cases of type Ⅲ prostatitis with damp-heat stasis syndrome in the essence chamber,which were randomly and equally divided into a GHF and a control group,the for-mer treated with GHF and the latter with Tamsulosin Hydrochloride Sustained-Release Capsules,both for 6 successive weeks.We fol-lowed up the patients for 4 weeks,recorded the NIH-CPSI,TCM symptom scores,and results of prostatic fluid routine,blood and u-rine routine,liver and kidney function and electrocardiogram examinations,and compared them between the two groups of patients be-fore and after treatment.Results:Compared with the baseline,the total NIH-CPSI scores were significantly decreased in both the GHF and control groups after 6 weeks of treatment,even more significantly in the former group(28.34±9.23 vs 6.78±3.53,P<0.05)than in the latter(27.81±8.28 vs 14.48±4.27,P<0.05),so were the scores on pain,voiding symptoms,quality of life(QOL)impact,TCM symptoms and WBC count(all P<0.05),while the number of lecithin bodies remarkably increased(P<0.05).There were statically significant differences in the above parameters at 4,6 and 10 weeks of medication(P<0.05),but not at 2 weeks(P>0.05).No obvious abnormalities or adverse reactions were observed in either of the two groups during the treatment.Conclusion:Guihuang Formula is safe and effective in the treatment of type Ⅲ prostatitis with the syndrome of damp-heat stasis in the essence chamber.

chronic prostatitisGuihuang Formulaclinical trialessence chamber dampness-heat stasis

高庆和、刘胜京、赵明、赵子维、郭博达

展开 >

中国中医科学院西苑医院男科,北京 100091

北京大学第三医院泌尿外科,北京 100191

慢性前列腺炎 归黄方 临床试验 精室湿热瘀滞

国家自然科学基金青年项目中国中医科学院优秀青年科技人才培养专项

82104880ZZ16-YQ-010

2024

中华男科学杂志
南京军区南京总医院

中华男科学杂志

CSTPCD
影响因子:1.052
ISSN:1009-3591
年,卷(期):2024.30(8)