桃核承气汤治疗男性阴虚湿热证前列腺炎的疗效观察

发布时间：2018-05-30 01:42

  本文选题：桃核承气汤 + 前列腺炎　； 参考：《辽宁中医杂志》2017年10期

【摘要】：目的:探讨桃核承气汤治疗男性阴虚湿热证前列腺炎的疗效。方法:选择2014年5月—2016年5月本院接诊86例阴虚湿热证前列腺炎患者,通过随机数表法分为观察组和对照组,各43例。对照组给予前列康+盐酸左氧氟沙星胶囊的口服,观察组在对照组的基础上,联合使用桃核承气汤。治疗4周后,评价治疗效果。结果:治疗后,观察组前列腺体积小于对照组,残余尿量小于对照组,最大尿流率大于对照组[(2.08±0.13)cm3vs(2.65±0.18)cm3,(27.41±4.53)mL vs(34.98±6.87)mL,(20.82±3.46)mL/s vs(15.83±2.50)mL/s](P0.05);观察组白细胞介素-6(IL-6)、IL-8、肿瘤坏死因子(TNF-α)水平均低于对照组[(1.14±0.25)μg/L vs(1.46±0.30)μg/L,(6.54±1.10)μg/L vs(9.85±1.58)μg/L,(41.32±8.54)ng/L vs(53.09±11.34)ng/L](P0.05);观察组美国国立卫生研究院慢性前列腺炎症状积分指数(NIHCPSI)总分低于对照组[(9.46±1.76)分vs(16.89±2.86)分](P0.05);观察组临床疗效总有效率高于对照组[97.67%(42/43)vs79.07%(34/43)](P0.05);治疗过程中,观察组不良反应发生率低于对照组[2.33%(1/43)vs13.95%(6/43)](P0.05)。结论:在阴虚湿热证前列腺炎患者常规西医治疗基础上,联合应用桃核承气汤治疗效果显著,可有效缓解临床症状,促进病情恢复,值得应用推广。
[Abstract]:Objective: to study the curative effect of Taohe Chengqi decoction on male prostatitis with yin deficiency, dampness and heat syndrome. Methods: 86 patients with Yin-deficiency, damp-heat syndrome prostatitis were selected from May 2014 to May 2016. They were divided into observation group (n = 43) and control group (n = 43). The control group was given levofloxacin hydrochloride orally, and the observation group was treated with Taohe Chengqi decoction on the basis of the control group. After 4 weeks of treatment, the therapeutic effect was evaluated. Results: after treatment, the volume of prostate in the observation group was smaller than that in the control group, and the residual urine volume was smaller than that in the control group. 鏈，

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