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前列安栓治疗湿热瘀阻证慢性前列腺炎的安全性和有效性:一项随机、单盲、平行对照、多中心Ⅲ期临床试验

[Safety and efficacy of QianlieanSuppository for chronic prostatitis of damp-heat and blood-stasis syndrome: a randomized, single-blind, parallel controlled, multi-centered phase III clinical trial].

作者信息

Xie Jian-Xing, Hu Hai-Tang, Xiao Dong-Ni, Xie He-Zhi, Zhu Cheng-Bin, Yang Wen-Tao, Huang Xian-Xun, He Xue-Jun, Liang Guo-Rong, Wang Zhi-Gang

机构信息

Department of Andrology, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong 510405, China.

出版信息

Zhonghua Nan Ke Xue. 2009 Nov;15(11):1049-52.

Abstract

OBJECTIVE

To evaluate the safety and efficacy of Qianliean Suppository in the treatment of chronic prostatitis of damp-heat and blood-stasis syndrome.

METHODS

We conducted a randomized, single-blind, parallel-controlled, multi-centered clinical trial among 467 subjects, who were assigned to a trial group (n = 349) and a control group (n = 118), the former treated with Qianliean Suppository anally one pill per night for 28 days and the latter given Yejuhua Suppository in the same way. The efficacy was evaluated by the TCM syndrome, NIH-CPSI, main clinical symptoms and WBC count in EPS.

RESULTS

After the treatment, the total rates of recovery, excellence and effectiveness for the TCM syndrome were 4.4%, 58.0% and 90.7% respectively in the trial group, significantly higher than 0.9%, 33.1% and 70.4% in the control group (P < 0.025). Remarkable decreases were observed in the NIH-CPSI total score and the scores on pain and discomfort, voiding symptoms and quality of life in the former group compared with the latter (P < 0.025). The trial group also showed a marked alleviation of such main chronic prostatitis symptoms as urgent micturition and perineal pain and discomfort (P < 0.05), as well as an obvious improvement (55.2%) of the WBC count in EPS as compared with 32.4% in the control group (P < 0.05). No serious adverse events occurred in either of the two groups (0.56% [2/349 ] vs 0.83% [1/118]).

CONCLUSIONS

Qianliean Suppository is safe and effective for the treatment of chronic prostatitis of damp-heat and blood-stasis syndrome.

摘要

目的

评价前列安栓治疗湿热瘀阻型慢性前列腺炎的安全性和有效性。

方法

我们对467名受试者进行了一项随机、单盲、平行对照、多中心临床试验,将其分为试验组(n = 349)和对照组(n = 118),试验组每晚经肛门给予前列安栓1粒,共治疗28天,对照组则以同样方式给予野菊花栓。通过中医证候、美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)、主要临床症状及前列腺液白细胞计数来评估疗效。

结果

治疗后,试验组中医证候的痊愈率、显效率和有效率分别为4.4%、58.0%和90.7%,显著高于对照组的0.9%、33.1%和70.4%(P < 0.025)。与对照组相比,试验组NIH-CPSI总分及疼痛与不适、排尿症状和生活质量评分显著降低(P < 0.025)。试验组尿频、会阴疼痛与不适等慢性前列腺炎主要症状也明显减轻(P < 0.05),前列腺液白细胞计数明显改善(55.2%),而对照组为32.4%(P < 0.05)。两组均未发生严重不良事件(0.56%[2/349] vs 0.83%[1/118])。

结论

前列安栓治疗湿热瘀阻型慢性前列腺炎安全有效。

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