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目的 :从尿流动力学角度探讨慢性非细菌性前列腺炎的可能病因及治疗选择。方法 :96例门诊诊断为慢性非细菌性前列腺炎患者根据尿流动力学的变化按其最大尿流率大于或小于 15ml/s分成A、B两组 ;接受基本相同的治疗 ,服用哈乐或马沙尼 ,随访 6周 ,每 2周随访一次 ;观察两组尿流率的变化和患者临床症状、症状评分和前列腺液中WBC计数的变化以及两者之间的关系。结果 :A组患者尿流率变化无统计学意义 ;B组患者尿流率治疗前后的变化有统计学意义 ;且两组患者对治疗的反应差异有统计学意义。结论 :对临床表现以梗阻症状为主、尿流率低下的患者使用α -受体阻断剂有一定疗效 ;而对不是以梗阻症状为主 (如表现为尿频等刺激症状 ) ,尿流率基本正常的患者 ,使用α -受体阻断剂应慎重。
Objective: To investigate the possible causes and treatment options of chronic nonbacterial prostatitis from the perspective of urodynamics. Methods: Ninety-six outpatients diagnosed as chronic nonbacterial prostatitis were divided into A and B groups according to the change of urodynamics according to the maximum uroflow rate of 15 ml / s or more. Patients undergoing the same treatment were treated with Hale or Ma Shany, followed up for 6 weeks, followed up every 2 weeks; observed the changes of urinary flow rate in the two groups and clinical symptoms, symptom scores and changes in prostatic fluid WBC count and the relationship between the two. Results: There was no significant difference in urinary flow rate between group A and group B. The change of urinary flow rate before and after treatment in group B was statistically significant. There was significant difference between the two groups in the response to treatment. Conclusion: Obstructive symptom is the main symptom in clinical manifestations, and α - receptor antagonist is effective in patients with low urinary flow rate. However, the main symptoms of obstruction are not obstructive symptoms (such as urinary frequency and other irritation symptoms), urinary flow rate Basically normal patients, the use of α - receptor blockers should be careful.