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目的:了解中华医学会泌尿外科学分会《前列腺炎诊断治疗指南》(简称《指南》)的推广和应用效果,及其对我国泌尿外科医师诊断、治疗慢性骨盆疼痛综合征(chronic pelvic pain syndrome,CPPS)的观念和实践的影响。方法:在全国63个城市399家医院泌尿外科发放问卷,回收问卷后,对有效问卷进行统计分析。结果:发放问卷2 251份,回收有效问卷2 046份(90.9%)。答卷人中,92.5%来自三级和二级医院,高级和中级职称的医师占72.3%,90.2%的医师学习过《指南》。绝大多数医师认同Ⅲ型前列腺炎是一种临床综合征,诊断需要排除其他引起类似症状的疾病,治疗目标是缓解疼痛、改善排尿症状、提高生活质量。在学过或没学过《指南》的医师中,对部分观点的认同也有差异。临床实际工作中,泌尿外科医师对于CPPS患者最常选用的治疗方法(多选)是药物治疗(95.0%)、调整生活方式(88.9%)、心理治疗或辅导(79.9%);最常用的前3类药物是植物药(84.5%)、α受体阻滞剂(79.0%)和抗生素(64.0%)。结论:中华医学会泌尿外科学分会《前列腺炎诊断治疗指南》得到了广泛的推广,其主要内容得到了深入的领会和应用,推动了我国泌尿外科医师规范化诊治CPPS的进程。
OBJECTIVE: To understand the promotion and application effect of the Guidebook for the Diagnosis and Treatment of Prostatitis (referred to as the “Guidebook”) of the Urology Branch of the Chinese Medical Association and its application in the diagnosis and treatment of chronic pelvic pain syndrome in our country. CPPS) the concept and practice of influence. Methods: The questionnaires were distributed in the urology department of 399 hospitals in 63 cities of China. After the questionnaires were collected, the valid questionnaires were analyzed statistically. Results: 2 251 questionnaires were distributed and 2 046 valid questionnaires (90.9%) were recovered. Of respondents, 92.5% came from tertiary and secondary hospitals, 72.3% were senior and intermediate-level doctors, and 90.2% of them had studied the Guide. The vast majority of physicians agree that type III prostatitis is a clinical syndrome, the diagnosis needs to exclude other diseases that cause similar symptoms, the treatment goal is to relieve pain, improve urination symptoms, improve quality of life. Among the doctors who studied or did not study the Guide, there were also differences in the recognition of some of the views. In clinical practice, the most common choice for urologists for CPPS is drug treatment (95.0%), lifestyle modification (88.9%), psychotherapy or counseling (79.9%), and the most commonly used Category 3 drugs are botanicals (84.5%), alpha blockers (79.0%) and antibiotics (64.0%). Conclusion: The Guidebook of Diagnosing and Treating Prostatitis of Urology Branch of Chinese Medical Association has been extensively popularized. Its main contents have been deeply comprehended and applied, which has promoted the normalization and treatment of CPPS by urologists in our country.