CAJ | 학술논문

目的：评估α受体阻滞剂联合体外短波治疗慢性非细菌性前列腺炎的临床疗效。方法：收治180例慢性非细菌性前列腺炎患者依据NIH-CPSI评分及前列腺液结果，随机分为治疗组（α受体阻滞剂联合体外短波治疗组）和对照组（单一α受体阻滞剂治疗组、单一体外短波治疗组），每组60例，治疗4周后，对比分析三组患者治疗前后的NIH-CPSI评分，比较三组的疗效。结果：三组患者均能有效缓解慢性非细菌性前列腺炎患者症状。联合治疗组的NIH-CPSI评分改善情况较其他两组明显。α受体阻滞剂组治愈率26％，总有效率72％；体外短波组治愈率20％，总有效率66.7％；联合治疗组总有效率为93.3％，治愈率为48％.治疗过程中均未见明显不良副反应。治愈率、总有效率比较，联合治疗组显著高于单一治疗组（P＜0.05）。结论：对于伴有下尿路症状的慢性非细菌性前列腺炎患者，α受体阻滞剂联合体外短波治疗具有治愈率高、安全性好、并发症少等优点；能迅速有效地改善CNP 患者的临床症状，在临床上值得推广应用。
목적：평고α수체조체제연합체외단파치료만성비세균성전렬선염적림상료효。방법：수치180례만성비세균성전렬선염환자의거NIH-CPSI평분급전렬선액결과，수궤분위치료조（α수체조체제연합체외단파치료조）화대조조（단일α수체조체제치료조、단일체외단파치료조），매조60례，치료4주후，대비분석삼조환자치료전후적NIH-CPSI평분，비교삼조적료효。결과：삼조환자균능유효완해만성비세균성전렬선염환자증상。연합치료조적NIH-CPSI평분개선정황교기타량조명현。α수체조체제조치유솔26％，총유효솔72％；체외단파조치유솔20％，총유효솔66.7％；연합치료조총유효솔위93.3％，치유솔위48％.치료과정중균미견명현불량부반응。치유솔、총유효솔비교，연합치료조현저고우단일치료조（P＜0.05）。결론：대우반유하뇨로증상적만성비세균성전렬선염환자，α수체조체제연합체외단파치료구유치유솔고、안전성호、병발증소등우점；능신속유효지개선CNP 환자적림상증상，재림상상치득추엄응용。
Objectives:To investigate the clinical effect ofα-blockers and external shortwave treatment on Chronic Nonbacterial Prostatitis(CNP).Methods:According to the score of NIH-CPSI and prostate fluid examina-tion results,1 80 patients with CNP were selected and randomly divided into the control groups(α-blockers group and external shortwave group)and the treatment group (the combined treatment group),with 60 patients in each group.After 4weeks of treatment,the pre-and post-treatment scores on NIH-CPSI pain symptoms and the curative effect of each group were compared.Results:The symptoms of CNP in three groups were all improve effectively.As for the score of NIH-CPSI pain symptoms,the treatment group was even more significantly improved than the control group (P<0 .01 ).The total effective rate and curative rate of the treatment group were 93.3%and 48%, which was significantly higher than that in the control groups (α-blockers group with total effective rate of 72%and curative rate of 26%,the external shortwave group with total effective rate of 66.7%and curative rate of 20%)(P<0.05).No obvious adverse reaction happened in the process of treatment.Conclusion:For the CNP patients with the urinary tract symptoms,the combined treatment ofα-blockers and external shortwave treatment can more signifi-cantly improve the symptoms of patients than the separate treatment,which has the advantages of high cure rate,se-curity and fewer complications.It is worthy of clinical application.