Zhang Kai, Bai Wen-Jun, Shang Xue-Jun, Xiao Yun-Xiang, Liu Ji-Hong, Li Zheng, Deng Chun-Hua, Wang Huai-Peng
Department of Urology, Peking University First Hospital, Beijing 100034, China.
Zhonghua Nan Ke Xue. 2013 Feb;19(2):127-31.
To investigate the application of the Chinese Urological Association (CUA) Guidelines on Prostatitis and its effects on the clinical practice patterns of diagnosing and treating chronic pelvic pain syndrome (CPPS) among Chinese urologists and andrologists.
We conducted a questionnaire investigation on the application of the CUA Guidelines on Prostatitis among the urologists and andrologists of 173 hospitals in 21 cities of China, and performed statistical analyses on all the eligible questionnaires collected.
Of the 1 056 questionnaires distributed, 851 (80.6%) were eligible, of which 71.6% were from the urologists or andrologists in grade 3 hospitals, 80.7% of them with senior or intermediate professional titles and 97.5% had studied the CUA Guidelines. Most of the subjects agreed that Type III prostatitis is a clinical syndrome, whose diagnosis should exclude other conditions with similar symptoms, and whose treatment should aim at relieving pain, alleviating urination symptoms and improving the quality of life. Those who had and those who had not studied the CUA Guidelines differed in their viewpoints on CPPS as illustrated in the book. In clinical practice, the most common treatment options for CPPS were psychological therapy (80.7%), medication (80.4%) and life style adjustment (79.6%), and the most frequently used drugs were phytotherapy (80.0%), alpha-blockers (68.9%) and antibiotics (61.0%).
CUA Guidelines on Prostatitis has gained a nationwide application and promoted the standardization of the management of CPPS in China.
探讨中国泌尿外科和男科疾病诊断治疗指南(CUA指南)中前列腺炎相关内容的应用情况及其对中国泌尿外科医生和男科医生诊断和治疗慢性盆腔疼痛综合征(CPPS)临床实践模式的影响。
对中国21个城市173家医院的泌尿外科医生和男科医生进行了关于CUA前列腺炎指南应用情况的问卷调查,并对所有收集到的合格问卷进行统计分析。
共发放问卷1056份,其中851份(80.6%)合格。合格问卷中,71.6%来自三级医院的泌尿外科医生或男科医生,80.7%具有高级或中级职称,97.5%学习过CUA指南。大多数受试者认为Ⅲ型前列腺炎是一种临床综合征,诊断时应排除其他有类似症状的疾病,治疗应旨在缓解疼痛、减轻排尿症状并提高生活质量。学习过和未学习过CUA指南的人对CPPS的观点如书中所述存在差异。在临床实践中,CPPS最常见的治疗方法是心理治疗(80.7%)、药物治疗(80.4%)和生活方式调整(79.6%),最常用的药物是植物药(80.0%)、α受体阻滞剂(68.9%)和抗生素(61.0%)。
CUA前列腺炎指南已在全国范围内得到应用,促进了中国CPPS管理的规范化。