Objective To explore the effect of electrochemical intervened treatment and traditional Chinese medicine on Ⅱ type and Ⅲ A type chronic prostatitis. Methods 100 cases with chronic prostatitis patients were randomly divided into treatment group and control group, with 50 cases in each group. Treatment group was treated with instillation Chinese herbal medicine combined with electrochemical intervened treatment, and control group with instillation antibiotics combined with electrochemical intervened treatment. NIH -CPSI symptom scores and laboratory data analysis were performed at 2, 4, 8 wceks and 6 months. Results At the first 2 weeks, NIH - CPSI symptom scores and white in the prostatic secretion in two groups reduced. At 4 weeks, the changes had been even more pronounced. At 8 weeks, the total rates of treatment group and control group were 71.7％ and 65.9％ respectively, the total effective rate were 91.3％ and 89.3％. At the first six months of follow-up, the recurrence rates of treatment group and control group were 15.6％ and 26％, and there was a significant difference between two groups (P＜0.05). Conclusion Instillation Chinese herbal medicine into bladder combined with electrochemical intervened treatment is very effective to treat Ⅱ type and Ⅲ A type chronic prostatitis.%目的 探讨电化学介入辅助利湿清热汤灌注膀胱治疗Ⅱ型和ⅢA型慢性前列腺炎的临床疗效.方法 将未曾接受过经尿道电化学介入、确诊为Ⅱ型和ⅢA型的慢性前列腺炎100例门诊患者随机分成治疗组和对照组各50例,分别采用利湿清热汤和抗生素灌注膀胱配合经尿道电化学介入治疗,在治疗后第2、4、8周及6个月对比NIH-CPSI症状评分及实验室检查数据,并进行统计学处理.结果 第2周时,两组NIH-CPSI症状评分和前列腺液中自细胞均减少;第4周时,变化更明显,部分患者NIH-CPSI和前列腺液中白细胞达到正常.8周后,治疗组和对照组总治愈率分别为71.7%和65.9%,总有效率分别是91.3%和89.3%,两者差异无统计学意义.第6个月随访,治疗组复发率15.2%,低于对照组的25.5%,两者差异有统计学意义(P<0.05).结论 利湿清热汤膀胱灌注配合电化学介入治疗Ⅱ型和ⅢA型慢性前列腺炎具有较好的临床疗效,且复发率低.
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