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目的探讨认知疗法联合药物治疗ⅢA型前列腺炎的疗效。方法将2013年8月至2014年4月之间于我院门诊就诊的167例ⅢA型前列腺炎患者随机分成A组(87例)和B组(80例)。A组采用认知疗法联合药物(坦索罗辛+左氧氟沙星)治疗,B组单纯采用药物治疗。两组均治疗8周后,比较其临床疗效(包括NIH-CPSI评分和EPS-WBC计数)及治疗前后抑郁自评表SDS得分、焦虑自评量表SAS得分和国际勃起功能指数ⅡEF-5得分。结果临床总有效率A组为89.7%,B组为72.5%(P<0.01),治疗8周后,SDS、SAS、ⅡEF-5评分均比治疗前改善(P<0.01),且治疗后A组改善情况均高于B组(P<0.01)。结论认知疗法联合药物治疗ⅢA型前列腺炎有助于改善患者的心理状况,提高治疗效果,具有较好的临床实用价值。
Objective To investigate the efficacy of combination of cognitive therapy and type ⅢA prostatitis. Methods A total of 167 patients with type ⅢA prostatitis in our hospital from August 2013 to April 2014 were randomly divided into group A (87 cases) and group B (80 cases). Group A was treated with combination of cognitive therapy (tamsulosin + levofloxacin) and group B with drug alone. Eight weeks after treatment, the clinical efficacy (including NIH-CPSI score and EPS-WBC count) and SDS scores before and after depression, self-rating anxiety scale SAS scores and International Index of Erectile Function IIEF-5 scores . Results The total clinical effective rate was 89.7% in Group A and 72.5% in Group B (P <0.01). After 8 weeks of treatment, the scores of SDS, SAS and IIEF-5 improved significantly (P <0.01) Group improved better than group B (P <0.01). Conclusion Cognitive therapy combined with medical treatment of type ⅢA prostatitis can help to improve the patient’s psychological status and improve the therapeutic effect, and has good clinical value.