慢性前列腺炎是以腰骶部、会阴部疼痛和尿道刺激症状为主的临床综合征,属于疑难病与常见病,常见于20~50岁中青年男性。慢性前列腺炎发病缓慢、病因繁杂、症状多样、持久存在等特点,属于泌尿男科临床常见的疑难病之一。与正常人群相比,慢性前列腺炎在健康人群中的发病率为6.0%~32.9%,部分患者伴有头晕、失眠、多梦、焦虑、抑郁等症状,甚至出现勃起功能障碍、早泄、遗精等,严重影响患者的日常生活和心理健康。慢性前列腺炎有多种治疗选择,包括药物治疗和心理治疗,例如中医中药治疗,针灸治疗,西药治疗等。本文通过对慢性前列腺炎的中西医治疗方法进行检索,探究其最新的治疗研究进展,为慢性前列腺炎患者的防治提供参考。Chronic prostatitis is a clinical syndrome dominated by lumbosacral and perineal pain and urethral irritation, which is a difficult and common disease, and is common in young and middle-aged men aged 20~50. Chronic prostatitis is one of the common and difficult diseases in urology and andrology. Compared with the normal population, the incidence of chronic prostatitis in healthy people is 6.0%~32.9%, and some patients are accompanied by dizziness, insomnia, dreaminess, anxiety, depression and other symptoms, and even erectile dysfunction, premature ejaculation, sperm loss, etc., which seriously affects the daily life and mental health of patients. There are a variety of treatment options for chronic prostatitis, including medication and psychotherapy, such as TCM treatment, acupuncture treatment, Western medicine treatment, etc. This article explores the latest research progress of traditional Chinese and Western medicine treatments for chronic prostatitis and provides a reference for the prevention and treatment of chronic prostatitis.
慢性前列腺炎(CP)是前列腺炎中最常见者,患者通常以长期反复的骨盆区域疼痛为主要表现。CP的发病机制复杂,涉及多种环节,具有临床症状持续、难以治愈、容易复发等疾病特点,给患者带来严重负担。西医对本病的治疗方式较为单一,药物不良反应较多,中医药治疗CP历史悠久,治疗方式多样。笔者通过综述近年来中医药治疗CP的临床研究发现,中医药治疗CP疗效确切,安全性高,可通过改善炎症反应、调控内分泌细胞等机制来改善患者临床症状,提高生活质量,一些特色治疗方法如中药熏洗、针灸等表现出了明显的治疗优势。未来需要更多大规模的多中心随机对照研究来探究中医药治疗CP的深层次机制,以提高中医药治疗本病的可信度。Chronic prostatitis (CP) is the most common form of prostatitis, and patients usually have persistent and recurrent pelvic pain as their main symptoms. The pathogenesis of CP is complex and involves multiple mechanisms, with clinical symptoms persisting, being difficult to cure, and being prone to recurrence, which brings serious burdens to patients. Western medicine has a relatively single treatment approach for this disease, with many adverse drug reactions, while traditional Chinese medicine has a long history of treating CP and has diverse treatment methods. Through a review of the recent clinical research on the treatment of CP with traditional Chinese medicine, the authors found that traditional Chinese medicine has a definite therapeutic effect and high safety, and can improve patients’ clinical symptoms by improving inflammatory responses and regulating endocrine cells. Some unique treatment methods such as herbal bath and acupuncture have shown obvious therapeutic advantages. In the future, more large-scale, multicenter, randomized controlled trials are needed to explore the deep-level mechanisms of traditional Chinese medicine in the treatment of CP, in order to enhance the credibility
