【摘要】：本研究旨在探討活血祛濕法對(duì)慢性骨盆疼痛綜合征的影響,提出慢性骨盆疼痛綜合征是以淤血及濕濁阻滯,不通則痛,通則不痛的病機(jī)為主,確立了以泄實(shí)散邪止痛為先機(jī)的治療方法,采用廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院泌尿外科導(dǎo)師李信平副教授經(jīng)驗(yàn)方予以驗(yàn)證,論文分四部分。目的：觀察活血祛濕法對(duì)治療慢性骨盆疼痛綜合征的影響,驗(yàn)證其疼痛為瘀血及濕濁阻滯經(jīng)絡(luò)所致病機(jī)及與單純活血化瘀法治療比較所占明顯優(yōu)勢(shì)。方法：采用謝桐編著《前列腺外科》慢性骨盆疼痛綜合征分類(lèi)標(biāo)準(zhǔn),收集40例慢性骨盆疼痛綜合征患者,隨機(jī)分為治療組20例,對(duì)照組20例。治療組予口服李信平副教授經(jīng)驗(yàn)方活血祛濕方加減,對(duì)照組口服前列通瘀膠囊。治療4周后,主要按美國(guó)國(guó)立衛(wèi)生研究院慢性前列腺炎癥狀評(píng)分指數(shù)(NIH-CPSI)統(tǒng)計(jì),評(píng)定療效。結(jié)果：治療組20例,痊愈5例,顯效9例,有效5例,無(wú)效1例,有效率95%(19/20),降低了患者NIH-CPSI的總評(píng)分,與治療前比較有顯著性差異(P0.05)；對(duì)照組20例,痊愈1例,顯效4例,有效10例,無(wú)效5例,總有效率75%(15/20),與治療組之間總有效率經(jīng)x2分析無(wú)顯著性統(tǒng)計(jì)學(xué)差異(P0.05)；總顯效率25%(5/20),與治療組之間總顯效率經(jīng)秩和檢驗(yàn)有顯著性統(tǒng)計(jì)學(xué)差異(P0.05)；治療期間患者無(wú)嚴(yán)重不良反應(yīng)。結(jié)論：活血祛濕法治療慢性骨盆疼痛綜合征療效顯著,并能改善排尿癥狀,提高生活質(zhì)量,減輕前列腺周?chē)M織壓痛及提高前列腺炎中卵磷脂小體數(shù)量,未出現(xiàn)嚴(yán)重不良反應(yīng),說(shuō)明慢性骨盆疼痛綜合征的治療當(dāng)以活血祛濕為主要原則,其臨床療明顯優(yōu)于單純活血祛瘀。
[Abstract]:The purpose of this study was to investigate the effect of activating blood circulation and removing dampness on chronic pelvic pain syndrome. This paper established the treatment method of relieving pain by releasing the pathogenic factors of the powder, which was verified by Li Xinping, an associate professor of urology, the first affiliated hospital of Guangzhou University of traditional Chinese Medicine. The paper is divided into four parts. Objective: to observe the effect of activating blood circulation and removing dampness on the treatment of chronic pelvic pain syndrome. Methods: 40 patients with chronic pelvic pain syndrome were randomly divided into treatment group (n = 20) and control group (n = 20). The treatment group was treated with Li Xinping's experience prescription of activating blood circulation and removing dampness, while the control group was treated with Qianlie Tongyu capsule. After 4 weeks of treatment, the efficacy was evaluated according to the National Institutes of Health chronic Prostatitis symptom score Index (NIH-CPSI). Results: in the treatment group, 5 cases were cured, 9 cases were effective, 5 cases were effective, 1 case was ineffective, the effective rate was 95% (19 / 20), the total score of NIH-CPSI was decreased, there was significant difference compared with before treatment (P0.05). In the control group, 1 case was cured, 4 cases were effective, 10 cases were effective, 5 cases were ineffective, the total effective rate was 75% (15 / 20), and there was no significant difference between the treatment group and the treatment group by x2 analysis (P0.05). The total effective rate was 25% (5 / 20), and there was significant difference between the treatment group and the treatment group by rank sum test (P0.05). Conclusion: the method of activating blood circulation and removing dampness is effective in treating chronic pelvic pain syndrome, and can improve urination symptoms, improve quality of life, relieve tenderness of periprostatic tissue and increase the number of lecithin bodies in prostatitis. There is no serious adverse reaction. It shows that the main principle of treating chronic pelvic pain syndrome is to promote blood circulation and remove dampness, and its clinical treatment is obviously superior to that of promoting blood circulation and removing blood stasis.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R277.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 倪良玉;;Ⅲ型前列腺炎的病因病機(jī)及其治療探討[J];山西中醫(yī);2007年06期

2 賈金銘,薛慈民,張蜀武,呂延偉,鄭德全;前列安栓治療慢性前列腺炎的療效和安全性[J];中華男科學(xué);2001年06期

3 石志超;從血瘀精道論治慢性前列腺炎[J];遼寧中醫(yī)雜志;2001年11期

4 李占玲;楊吉相教授治療慢性前列腺炎的經(jīng)驗(yàn)[J];遼寧中醫(yī)雜志;2001年11期

5 許志良,曾金雄;從肝論治前列腺痛體會(huì)[J];福建中醫(yī)藥;2000年02期

6 陳全壽,廖偉森;中藥外治慢性前列腺炎50例療效觀察[J];浙江中醫(yī)雜志;2000年02期

7 盧國(guó)頻,劉桂濱,劉燦康,范曉平;前列清顆粒治療慢性前列腺炎150例療效觀察[J];新中醫(yī);2000年02期

8 秦云峰;前列腺痛中醫(yī)病因病機(jī)辨治的再認(rèn)識(shí)[J];男科學(xué)報(bào);1999年04期

9 許崇偉,丁明青,朱繼軍;活血止痛散配合治療無(wú)菌性前列腺炎臨床觀察[J];中成藥;1999年07期

10 石志超,陳子華;前列腺丸治療非細(xì)菌性前列腺炎臨床研究[J];遼寧中醫(yī)雜志;1998年09期

相關(guān)會(huì)議論文 前1條

1 劉春英;;慢性非炎癥性盆腔疼痛綜合癥[A];首屆全國(guó)生殖醫(yī)學(xué)論壇暨生殖相關(guān)疾病診療技術(shù)學(xué)術(shù)研討會(huì)論文集[C];2007年

，

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