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[基于多中心真实世界研究的龙金通淋胶囊治疗湿热瘀阻证慢性前列腺炎的临床疗效再评价]

[Clinical efficacy of Longjintonglin Capsules on chronic prostatitis with damp-heat stasis syndrome Re-evaluation based on multicenter real-world study].

作者信息

Zhang Chun-He, Wang Yao-Wu, Sun Ping-Ping, Zhang He-Yun, Zhou Cheng-Gang, Zhao Heng-Tai, Li Jia-Gao, Guo Fu-Xiang, Bai Qiang-Min

机构信息

Department of Andrology, Yunnan Provincial Hospital of Traditional Chinese Medicine / The First Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming, Yunnan 650021, China.

The First Clinical Collgeg of Yunnan University of Chinese Medicine, Kunming, Yunnan 650500, China.

出版信息

Zhonghua Nan Ke Xue. 2022 Sep;28(9):831-836.

Abstract

OBJECTIVE

To re-evaluate the clinical efficacy of Longjintonglin Capsules (LJTL) in the treatment of chronic prostatitis with damp-heat stasis syndrome.

METHODS

This multicenter real-world study included 1 352 cases of chronic prostatitis with damp-heat and stagnation syndrome treated with LJTL (3 capsules once, tid, 30 minutes after meals, for 2 four-week courses) in addition to routine treatment. Before and after treatment, we analyzed the NIH-CPSI scores, the scores of Chinese medicine symptom quantitative classification and changes in individual symptom scores, and observed adverse reactions to medication.

RESULTS

The total effectiveness rate of LJTL was 93.64%. Compared with the baseline, the NIH-CPSI scores were significantly decreased after treatment ([24.27 ± 6.04] vs [8.17 ± 4.21], P < 0.05), and so were the scores on the pain symptoms ([9.63 ± 3.65] vs [3.02 ± 2.23], P < 0.05), voiding symptoms ([5.65 ± 2.15] vs [1.62 ± 1.36) and quality of life ([8.96 ± 2.32] vs [3.16 ± 1.89], P < 0.05). The effectiveness rate of LJTL was 95.9% on the Chinese medicine symptom frequent urination, 90.4% on painful urination, and 91.4% scanty dark urine, with a total effectiveness rate of 82.4% - 95.9%, all with statistically significant difference in comparison with the baseline (P < 0.05).

CONCLUSION

Longjintonglin Capsules combined with routine treatment can significantly improve the clinical symptoms of chronic prostatitis with damp-heat stasis syndrome, especially effective on the symptoms of frequent urination, painful urination and scanty dark urine. Besides, it recommendable for its antidepressant and antianxiety effects, and the effect of improving the quality of life of the chronic prostatitis patients with damp-heat stasis.

摘要

目的

重新评估龙金通淋胶囊(LJTL)治疗湿热瘀阻型慢性前列腺炎的临床疗效。

方法

本多中心真实世界研究纳入1352例湿热瘀阻型慢性前列腺炎患者,在常规治疗基础上加用LJTL(一次3粒,每日3次,饭后30分钟服用,共2个四周疗程)。治疗前后,分析美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)评分、中医症状量化分级评分及单项症状评分变化,并观察药物不良反应。

结果

LJTL总有效率为93.64%。与基线相比,治疗后NIH-CPSI评分显著降低([24.27±6.04] vs [8.17±4.21],P<0.05),疼痛症状评分([9.63±3.65] vs [3.02±2.23],P<0.05)、排尿症状评分([5.65±2.15] vs [1.62±1.36])及生活质量评分([8.96±2.32] vs [3.16±1.89],P<0.05)也显著降低。LJTL对中医症状尿频的有效率为95.9%,尿痛为90.4%,尿短赤为91.4%,总有效率为82.4% - 95.9%,与基线相比均有统计学差异(P<0.05)。

结论

龙金通淋胶囊联合常规治疗可显著改善湿热瘀阻型慢性前列腺炎的临床症状,尤其对尿频、尿痛、尿短赤症状疗效显著。此外,因其具有抗抑郁、抗焦虑作用,对改善湿热瘀阻型慢性前列腺炎患者的生活质量效果显著,故值得推荐。

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