| 引用本文:姚飞翔1 胡镜清1，2 张亚强3.慢性前列腺炎临床常见中医证候类型和症状/体征的初步研究[J].世界中医药,2013,8(06):. |
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| 慢性前列腺炎临床常见中医证候类型和症状/体征的初步研究 |
| Exploration about TCM Syndromes and Symptoms of Chronic Prostatitis |
| 投稿时间：2013-01-03 |
| DOI：10.3969/j.issn.1673-7202.2013.06.029 |
| 中文关键词: 慢性前列腺炎 证候 症状/体征 文献研究 |
| English Keywords:Chronic Prostatitis Syndromes Symptoms/Signs Literature investigation |
| 基金项目:国家自然科学基金资助项目（编号：30873460），构建表征证候动态变化纵向结局评价指标的示范研究；中医药行业科研专项课题（编号：201107006），中医慢病临床科研体系及其成果转化应用模式研究 |
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| 中文摘要: |
| 目的:了解慢性前列腺炎临床常见证候类型和症状/体征。方法:通过中国学术期刊全文数据库(CNKI)及万方数据库1979年至2011年5月所收录的有关慢性前列腺炎中医临床研究文献，对其中334篇含有慢性前列腺炎中医辨证分型和207篇含有证候症状/体征的文章进行分析，结合专家意见，确定常见证候及相关症状/体征。结果:慢性前列腺炎常见中医证候是湿热下注证、气滞血瘀证、湿热瘀阻证和肾阴虚证、肾阳虚证、脾气虚证。实证因素为湿热、气滞、血瘀，虚证因素则主要是肾虚和脾虚。常见临床症状/体征包括盆腔局部不适(会阴/少腹/阴器/腰骶等部位的疼痛、坠胀和其他不适)、排尿症状(如尿频、尿急、尿痛、尿末滴白、尿后滴沥)和其他症状(阴部潮湿、口苦、口干、血精等)等。对湿热下注证和气滞血瘀证症状/体征的进一步分析表明，湿热下注证主要包括4个方面的14个主要症状/体征，气滞血瘀证主要包括3个方面的13个主要症状/体征。结论:通过文献研究并结合专家意见，有助于慢性前列腺炎中医证候及其症状/体征的归纳和特征的抽提，可以作为进一步开展慢性前列腺炎中医证候诊断与评价指标体系构建的基础。 |
| English Summary: |
| To identify the common clinical syndromes and symptoms/signs of chronic prostatitis. Methods:We analyzed 334 articles related to TCM syndrome differentiationof chronic prostatitis and 207 articles on TCM syndromes and symptoms/signs， incorporated by CNKI and WANFAN Database from 1979 to May 2011 and futher identified the common syndromes， relevant symptoms/signs of chronic prostatitis under the guidance of the TCM specialists. Results:Dampness-heat attacking lower body， qi-blood stagnation， dampness-heat obstruction， kidney yin deficiency， kidney yang deficiency， and Spleen qi deficiency were the most common syndromes related to chronic prostatitis. Excessive syndromes include dampness-heat， Qi stagnation， blood stagnation while deficient syndromes mainly involves kidney or spleen. The symptoms/signs include pelvic local discomfort (pain， falling inflation or other discomforts of Huiyin/Shaofu/Yinqi/Yaodi)， micturition symptoms(such as frequent urination， urgent urination， sore urination， dripping white grime at the end of urination， trickling after urination) and other symptoms(dampness of private parts， bitter mouth， thirst， blood sperm)， etc. Syndromes of dampness-heat attacking lower body can have 14 symptoms in 4 aspects， syndromes of qi-blood stagnation mainly contains 13 symptoms in 3 aspects. Conclusion: By means of literature investigation and specialist consultation， we summarized the symptoms/ signs and defined characteristics of chronic prostatitis of TCM， which is conducive to establishing the diagnosis and treatment markers for Chronic Prostatitis. |
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