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Article(id=1322928077986201985, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926492627378659, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2025.09.023, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793340232606, onlineDateStr=2026-10-30, pubDate=1757433600000, pubDateStr=2025-09-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793340232606, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793340232606, creator=13701087609, updateTime=1793340232606, updator=13701087609, issue=Issue{id=1322926492627378659, tenantId=1146029695717560320, journalId=1255847919539208197, year='2025', volume='43', issue='9', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1757433600000', pubDateStr='2025-09-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1793339854628, creator='13701087609', updateTime=1793340762858, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322930302095590169, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926492627378659, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322930302095590170, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1322926492627378659, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=130, endPage=133, ext={EN=ArticleExt(id=1322928078191722882, articleId=1322928077986201985, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Study on Longqing Tablets（癃清片）in Treatment of Chronic Prostatitis with Dampness-Heat and Blood Stasis, columnId=1256183361521967297, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Target on National Project, runingTitle=null, highlight=null, articleAbstract=
Objective

To study the clinical study of Longqing Tablets（癃清片）in the treatment of chronic prostatitis with dampness-heat stasis.

Methods

A total of 80 patients diagnosed with chronic prostatitis with damp-heat and blood stasis were selected and divided into two groups according to random number table. Forty cases in control group were treated with Tamlosin Hydrochloride Sustained-Release Tablet，and the other 40 cases in study group were treated with Longqing Tablets. The clinical efficacy，chronic prostatitis syndrome score index（NIH-CPSI），urodynamic indexes and prostatic fluid related indexes of the two groups were compared.

Results

The total effective rate of the study group was95.00%，higher than that（77.50%）of the control group，and there was statistical significance（P<0.05）. After treatment，the NIH-CPSIscore of the study group was lower than that of the control group，and the difference was statistically significant（P<0.05）. After treatment，compared with those of the control group，themaximum urine flow rate and maximum bladder volume in the study group were higher，and the changes of residual urine volume and maximum detrusor pressure were lower，and there was statistical significance（P<0.05）. After treatment，the levels of monocyte chemoattractant protein-1（MCP-1），macrophage-stimulating factor（M-CSF），vascular cell adhesion molecule 1（VCAM-1），interleukin-10（IL-10）and C-reactive protein（CRP）in the study group were lower than those in the control group，and the differences were statistically significant（P<0.05）.

Conclusion

After Longqing Tablets treating patients with chronic prostatitis with dampness-heatand blood stasis，the clinical symptoms can be alleviated，the inflammatory response can be effectively reduced and the antibacterial effect is good. It can promote the recovery of the patients，and have high clinical application value.

, authors=Xiuju ZHANG1, Xiaowei NIE2, Qinghe GAO1, Shaoming LIU3, authorsList=Xiuju ZHANG, Xiaowei NIE, Qinghe GAO, Shaoming LIU, authorCompany=null, correspAuthors=Shaoming LIU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322928080892854667, articleId=1322928077986201985, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=癃清片治疗湿热瘀滞型慢性前列腺炎临床研究, columnId=1256183362172142382, journalTitle=中华中医药学刊, columnName=国家项目点击, runingTitle=null, highlight=null, articleAbstract=
目的

研究癃清片治疗湿热瘀滞型慢性前列腺炎临床。

方法

抽取80例经检查被确诊为湿热瘀滞型慢性前列腺炎的患者，按随机数字表分为两组，对照组40例予以盐酸坦洛新缓释片治疗，研究组40例予以癃清片治疗。对两组患者的临床疗效、慢性前列腺炎症状积分指数（NationalInstitu-tes of Health Chronic Prostatitis Symptom Index，NIH-CPSI）、尿动力学指标以及前列腺液相关指标进行对比。

结果

研究组总有效率与对照组相比，95.00%高于77.50%，差异有统计学意义（P<0.05）。治疗后，与对照组相对比，研究组NIH-CPSI评分更低，差异有统计学意义（P<0.05）。治疗后，与对照组相对比，研究组最大尿流率、膀胱最大容量更高，残余尿量、最大逼尿肌压力变化更低，差异有统计学意义（P<0.05）。治疗后，与对照组相对比，研究组单核细胞趋化蛋白-1（Monocyte chemoattractant protein-1，MCP-1）、巨噬细胞集落刺激因子（macrophage-stimulating factor，M-CSF）、血管细胞黏附分子1（Vascular cell adhesion molecule 1，VCAM-1）、白介素10（interleukin 10，IL-10）、C-反应蛋白（C-reactive protein，CRP）水平均更低，差异有统计学意义（P<0.05）。

结论

湿热瘀滞型慢性前列腺炎患者采取癃清片进行治疗后，减轻患者的临床症状，有效减轻其炎性反应，抗菌效果好，促进患者恢复，临床应用价值较高。

, authors=张修举1, 聂哓伟2, 高庆和1, 刘绍明3, authorsList=张修举, 聂哓伟, 高庆和, 刘绍明, authorCompany=null, correspAuthors=刘绍明, authorNote=

张修举（1987-），男，山东郓城人，主治医师，博士，研究方向：中西医诊治男科疾病。

, correspAuthorsNote=
刘绍明（1975-），男，四川射洪人，副主任医师，博士，研究方向：中西医结合防治泌尿男科疾病。E-mail：。
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张修举（1987-），男，山东郓城人，主治医师，博士，研究方向：中西医诊治男科疾病。

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张修举（1987-），男，山东郓城人，主治医师，博士，研究方向：中西医诊治男科疾病。

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unstructuredReference=夏康，庞然，莫君甫，等. 癃清片及盐酸坦洛新缓释片围术期联合用药对前列腺增生症患者术后排尿功能的影响［J］. 重庆医学，2023，52（13）：2014-2018., articleTitle=癃清片及盐酸坦洛新缓释片围术期联合用药对前列腺增生症患者术后排尿功能的影响, refAbstract=null), Reference(id=1322928087696015833, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, doi=null, pmid=null, pmcid=null, year=2022, volume=40, issue=1, pageStart=135, pageEnd=139, url=null, language=null, rfNumber=[32], rfOrder=31, authorNames=冯武兵, 陈晨, journalName=四川中医, refType=null, unstructuredReference=冯武兵，陈晨. 前列清瘀汤联合西药治疗慢性前列腺炎（湿热瘀滞证）对患者EPS中MCP-1、M-CSF水平影响分析［J］. 四川中医，2022，40（1）：135-139., articleTitle=前列清瘀汤联合西药治疗慢性前列腺炎（湿热瘀滞证）对患者EPS中MCP-1、M-CSF水平影响分析, refAbstract=null)], funds=[Fund(id=1322928083652706745, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, awardId=82104880, language=CN, fundingSource=国家自然科学基金项目(82104880), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1322928081127735692, tenantId=1146029695717560320, 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组别例数显效一般无效总有效
对照组4024（60.00）7（17.50）9（22.50）31（77.50）
研究组4030（75.00）8（20.00）2（5.00）38（95.00）
χ2值---5.164 7
P值---0.023 1
), ArticleFig(id=1322928083061309874, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, language=CN, label=表1, caption=

两组慢性前列腺炎患者临床疗效比较

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组别例数显效一般无效总有效
对照组4024（60.00）7（17.50）9（22.50）31（77.50）
研究组4030（75.00）8（20.00）2（5.00）38（95.00）
χ2值---5.164 7
P值---0.023 1
), ArticleFig(id=1322928083132613043, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
组别例数时间生活质量排尿症状疼痛或不适
对照组40治疗前8.58±1.318.48±2.2710.59±3.21
治疗后6.75±1.33①5.89±1.35①8.74±2.24①
t值6.199 86.202 22.989 2
P值0.000 00.000 00.003 7
研究组40治疗前8.59±1.298.47±2.2810.58±3.23
治疗后3.25±1.05①②4.91±1.18①②5.75±1.20①②
t值20.304 88.770 28.865 4
P值0.000 00.000 00.000 0
治疗前t值0.034 40.019 70.013 9
治疗前P值0.972 60.984 40.989 0
治疗后t值13.063 23.456 87.441 6
治疗后P值0.000 00.000 90.000 0
), ArticleFig(id=1322928083208110516, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, language=CN, label=表2, caption=

两组慢性前列腺炎患者NIH-CPSI的比较（±s）

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组别例数时间生活质量排尿症状疼痛或不适
对照组40治疗前8.58±1.318.48±2.2710.59±3.21
治疗后6.75±1.33①5.89±1.35①8.74±2.24①
t值6.199 86.202 22.989 2
P值0.000 00.000 00.003 7
研究组40治疗前8.59±1.298.47±2.2810.58±3.23
治疗后3.25±1.05①②4.91±1.18①②5.75±1.20①②
t值20.304 88.770 28.865 4
P值0.000 00.000 00.000 0
治疗前t值0.034 40.019 70.013 9
治疗前P值0.972 60.984 40.989 0
治疗后t值13.063 23.456 87.441 6
治疗后P值0.000 00.000 90.000 0
), ArticleFig(id=1322928083287802293, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
组别例数时间最大尿流率/（mL/s）膀胱最大容量/（mL）残余尿量/（mL）最大逼尿肌压力变化/（cmH2O）
对照组40治疗前6.34±1.54238.59±6.2269.89±7.238.24±1.11
治疗后11.88±2.71①280.64±6.35①30.14±5.16①7.22±0.94①
t值11.240 929.919 428.303 04.435 1
P值0.000 00.000 00.000 00.000 0
研究组40治疗前6.36±1.58238.25±6.2169.26±7.198.31±1.04
治疗后14.73±2.69①②298.36±7.52①②25.75±4.79①②5.25±0.52①②
t值16.968 538.981 031.851 716.644 2
P值0.000 00.000 00.000 00.000 0
治疗前t值0.057 30.244 70.390 80.291 1
治疗前P值0.954 40.807 40.697 00.771 8
治疗后t值4.720 611.386 63.943 511.598 3
治疗后P值0.000 00.000 00.000 20.000 0
), ArticleFig(id=1322928083367494070, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, language=CN, label=表3, caption=

两组慢性前列腺炎患者尿流动力学指标比较（±s）

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组别例数时间最大尿流率/（mL/s）膀胱最大容量/（mL）残余尿量/（mL）最大逼尿肌压力变化/（cmH2O）
对照组40治疗前6.34±1.54238.59±6.2269.89±7.238.24±1.11
治疗后11.88±2.71①280.64±6.35①30.14±5.16①7.22±0.94①
t值11.240 929.919 428.303 04.435 1
P值0.000 00.000 00.000 00.000 0
研究组40治疗前6.36±1.58238.25±6.2169.26±7.198.31±1.04
治疗后14.73±2.69①②298.36±7.52①②25.75±4.79①②5.25±0.52①②
t值16.968 538.981 031.851 716.644 2
P值0.000 00.000 00.000 00.000 0
治疗前t值0.057 30.244 70.390 80.291 1
治疗前P值0.954 40.807 40.697 00.771 8
治疗后t值4.720 611.386 63.943 511.598 3
治疗后P值0.000 00.000 00.000 20.000 0
), ArticleFig(id=1322928083455574455, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, language=EN, label=null, caption=null, figureFileSmall=null, figureFileBig=null, tableContent=
组别例数时间MCP-1/（ng/L）M-CSF/（μg/L）VCAM-1/（m/mL）IL-10/（ng/L）CRP/（mg/L）
对照组40治疗前533.34±90.611.83±0.5493.20±15.5115.41±2.2513.50±1.34
治疗后417.78±60.85①0.85±0.49①76.32±10.14①11.74±1.54①7.78±0.98①
t值6.696 28.500 15.761 28.513 021.791 5
P值0.000 00.000 00.000 00.000 00.000 0
研究组40治疗前521.35±90.591.81±0.4892.77±15.5015.34±2.2213.53±1.33
治疗后365.41±40.92①②0.53±0.41①②65.45±9.35①②8.21±0.98①②5.23±0.50①②
t值9.921 712.824 19.545 318.582 636.944 6
P值0.000 00.000 00.000 00.000 00.000 0
治疗前t值0.591 80.175 10.124 00.140 10.100 5
治疗前P值0.555 70.861 50.901 60.889 00.920 2
治疗后t值4.516 93.167 74.984 312.230 714.659 0
治疗后P值0.000 00.002 20.000 00.000 00.000 0
), ArticleFig(id=1322928083531071928, tenantId=1146029695717560320, journalId=1255847919539208197, articleId=1322928077986201985, language=CN, label=表4, caption=

两组慢性前列腺炎患者前列腺液相关指标比较（±s）

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组别例数时间MCP-1/（ng/L）M-CSF/（μg/L）VCAM-1/（m/mL）IL-10/（ng/L）CRP/（mg/L）
对照组40治疗前533.34±90.611.83±0.5493.20±15.5115.41±2.2513.50±1.34
治疗后417.78±60.85①0.85±0.49①76.32±10.14①11.74±1.54①7.78±0.98①
t值6.696 28.500 15.761 28.513 021.791 5
P值0.000 00.000 00.000 00.000 00.000 0
研究组40治疗前521.35±90.591.81±0.4892.77±15.5015.34±2.2213.53±1.33
治疗后365.41±40.92①②0.53±0.41①②65.45±9.35①②8.21±0.98①②5.23±0.50①②
t值9.921 712.824 19.545 318.582 636.944 6
P值0.000 00.000 00.000 00.000 00.000 0
治疗前t值0.591 80.175 10.124 00.140 10.100 5
治疗前P值0.555 70.861 50.901 60.889 00.920 2
治疗后t值4.516 93.167 74.984 312.230 714.659 0
治疗后P值0.000 00.002 20.000 00.000 00.000 0
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癃清片治疗湿热瘀滞型慢性前列腺炎临床研究
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张修举 1 , 聂哓伟 2 , 高庆和 1 , 刘绍明 3
中华中医药学刊 | 国家项目点击 2025,43(9): 130-133
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中华中医药学刊 |国家项目点击 2025 , 43 (9) : 130 -133
癃清片治疗湿热瘀滞型慢性前列腺炎临床研究
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张修举1, 聂哓伟2, 高庆和1, 刘绍明3
作者信息
  • 1.中国中医科学院西苑医院，北京 100091
  • 2.北京中医药大学第三附属医院，北京 100029
  • 3.北京中医药大学东方医院，经开区院区，北京 100176
通讯作者:
刘绍明（1975-），男，四川射洪人，副主任医师，博士，研究方向：中西医结合防治泌尿男科疾病。E-mail：。
作者简介:

张修举（1987-），男，山东郓城人，主治医师，博士，研究方向：中西医诊治男科疾病。

Study on Longqing Tablets（癃清片）in Treatment of Chronic Prostatitis with Dampness-Heat and Blood Stasis
Xiuju ZHANG1, Xiaowei NIE2, Qinghe GAO1, Shaoming LIU3
Affiliations
  • 1.Andrology Department，Xiyuan Hospital，China Academy of Chinese Medical Sciences，Beijing 100091，China
  • 2.Traditional Chinese Medicine Comprehensive Department，The Third Affiliated Hospital of Beijing University of Chinese Medicine，Beijing 100029，China
  • 3.Comprehensive Surgery of Economic Development Zone，Dongfang Hospital，Beijing University of Chinese Medicine，Beijing 100176，China
出版时间: 2025-09-10 doi: 10.13193/j.issn.1673-7717.2025.09.023
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摘要
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目的

研究癃清片治疗湿热瘀滞型慢性前列腺炎临床。

方法

抽取80例经检查被确诊为湿热瘀滞型慢性前列腺炎的患者，按随机数字表分为两组，对照组40例予以盐酸坦洛新缓释片治疗，研究组40例予以癃清片治疗。对两组患者的临床疗效、慢性前列腺炎症状积分指数（NationalInstitu-tes of Health Chronic Prostatitis Symptom Index，NIH-CPSI）、尿动力学指标以及前列腺液相关指标进行对比。

结果

研究组总有效率与对照组相比，95.00%高于77.50%，差异有统计学意义（P<0.05）。治疗后，与对照组相对比，研究组NIH-CPSI评分更低，差异有统计学意义（P<0.05）。治疗后，与对照组相对比，研究组最大尿流率、膀胱最大容量更高，残余尿量、最大逼尿肌压力变化更低，差异有统计学意义（P<0.05）。治疗后，与对照组相对比，研究组单核细胞趋化蛋白-1（Monocyte chemoattractant protein-1，MCP-1）、巨噬细胞集落刺激因子（macrophage-stimulating factor，M-CSF）、血管细胞黏附分子1（Vascular cell adhesion molecule 1，VCAM-1）、白介素10（interleukin 10，IL-10）、C-反应蛋白（C-reactive protein，CRP）水平均更低，差异有统计学意义（P<0.05）。

结论

湿热瘀滞型慢性前列腺炎患者采取癃清片进行治疗后，减轻患者的临床症状，有效减轻其炎性反应，抗菌效果好，促进患者恢复，临床应用价值较高。

慢性前列腺炎  /  湿热瘀滞型  /  癃清片  /  尿动力学
Objective

To study the clinical study of Longqing Tablets（癃清片）in the treatment of chronic prostatitis with dampness-heat stasis.

Methods

A total of 80 patients diagnosed with chronic prostatitis with damp-heat and blood stasis were selected and divided into two groups according to random number table. Forty cases in control group were treated with Tamlosin Hydrochloride Sustained-Release Tablet，and the other 40 cases in study group were treated with Longqing Tablets. The clinical efficacy，chronic prostatitis syndrome score index（NIH-CPSI），urodynamic indexes and prostatic fluid related indexes of the two groups were compared.

Results

The total effective rate of the study group was95.00%，higher than that（77.50%）of the control group，and there was statistical significance（P<0.05）. After treatment，the NIH-CPSIscore of the study group was lower than that of the control group，and the difference was statistically significant（P<0.05）. After treatment，compared with those of the control group，themaximum urine flow rate and maximum bladder volume in the study group were higher，and the changes of residual urine volume and maximum detrusor pressure were lower，and there was statistical significance（P<0.05）. After treatment，the levels of monocyte chemoattractant protein-1（MCP-1），macrophage-stimulating factor（M-CSF），vascular cell adhesion molecule 1（VCAM-1），interleukin-10（IL-10）and C-reactive protein（CRP）in the study group were lower than those in the control group，and the differences were statistically significant（P<0.05）.

Conclusion

After Longqing Tablets treating patients with chronic prostatitis with dampness-heatand blood stasis，the clinical symptoms can be alleviated，the inflammatory response can be effectively reduced and the antibacterial effect is good. It can promote the recovery of the patients，and have high clinical application value.

chronic prostatitis  /  NIH-chronic prostatitis symptom index  /  Longqing Tablets（癃清片）  /  urodynamics
张修举, 聂哓伟, 高庆和, 刘绍明. 癃清片治疗湿热瘀滞型慢性前列腺炎临床研究. 中华中医药学刊, 2025 , 43 (9) : 130 -133 . DOI: 10.13193/j.issn.1673-7717.2025.09.023
Xiuju ZHANG, Xiaowei NIE, Qinghe GAO, Shaoming LIU. Study on Longqing Tablets（癃清片）in Treatment of Chronic Prostatitis with Dampness-Heat and Blood Stasis[J]. Chinese Archives of Traditional Chinese Medicine, 2025 , 43 (9) : 130 -133 . DOI: 10.13193/j.issn.1673-7717.2025.09.023
正文
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慢性前列腺炎是临床上比较常见、高发的泌尿生殖系统疾病，好发于青、中年男性群体。有研究表明[1-3]，约有50%男性一生当中的某个阶段会受到慢性前列腺炎的困扰，而35岁以上的男性群体中约36%～40%会出现不同程度的慢性前列腺炎。该病具有病因、病机较为复杂，病情顽固等特点，且极易反复发作，治愈率较低，虽然不会危及到患者的生命安全，但是其临床症状会严重影响患者的身体健康，降低其生活质量。西医治疗慢性前列腺炎疗效不理想，且不良反应较多，停药后也极易反复发作[4]。随着中医药技术的发展，采取中医药治疗该病已逐渐得到临床的关注和认同。从中医的角度上看，慢性前列腺炎属于“白淫”“精浊”“劳淋”等范畴[5]。根据中医辨证分型可将该病分为4～6种，其中以湿热瘀滞型最为常见。湿热瘀滞型慢性前列腺炎患者的病机为湿热、血瘀、肾虚，核心为气滞血瘀。癃清片是名中医根据多年临床经验，在中医理论指导下研发的中药三类新型中成药，在泌尿系统感染的治疗中得到了广泛的应用[6]。基于此，为探讨癃清片治疗给湿热瘀滞型慢性前列腺炎患者带来的临床效果，选取我院80例经检查被确诊为湿热瘀滞型慢性前列腺炎的患者作为研究对象，现报道如下。
1　临床资料
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1.1　一般资料
抽中2021年4月—2023年10月在北京中医药大学东方医院收入治疗的湿热瘀滞型慢性前列腺炎患者80例作为研究对象，按随机数字表法划分组别，各40例。研究组年龄30～55岁，平均（43.23±10.21）岁；病程3～10年，平均（6.45±1.23）年。对照组年龄31～57岁，平均（43.32±10.30）岁；病程3～10年，平均（6.44±1.27）年。两组比较，差异无统计学意义（P>0.05）。
1.2　诊断标准
①符合《中国泌尿外科疾病诊断治疗指南》[7]中对慢性前列腺炎的诊断标准；②患者伴有尿频、尿痛、尿急、排尿无力等临床症状。
1.3　中医辨证标准
参考《中医病证诊断疗效标准》[8]中对该病的辨证，符合湿热瘀滞型；伴尿频、尿痛、尿急，且伴有灼热感，排尿或是在排便时尿道会溢出白浊。腰骶部、睾丸部伴有坠胀感、疼痛；舌质红，苔黄腻或薄黄，脉滑数。
1.4　纳入标准
①符合慢性前列腺炎的诊断标准，并经临床检查被确诊的患者；②患者年龄在25～70周岁；③临床资料完整；④患者对该研究知情，签署相关文件参与。
1.5　排除标准
①合并出现前列腺肿瘤、前列腺增生、尿路疾病的患者；②急性前列腺的患者；③合并心脑血管、肝肾功能不全等疾病的患者；④一周内进行过相关治疗的患者；⑤对研究药物过敏的患者。
2　治疗方法
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2.1　对照组
予以盐酸坦洛新缓释片（昆明积大制药股份有限公司；国药准字H20051461）治疗，规格为每片0.2 mg，1片/次，1次/d，饭后服用。连续服用4周。
2.2　研究组
研究组40例予以癃清片（津药达仁堂集团股份有限公司隆顺榕制药厂；国药准字Z10920030）治疗，规格为每片0.6 mg，6片/次，2次/d。连续服用4周。
3　观察指标与统计学方法
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3.1　观察指标
（1）临床疗效：参考《中医病证诊断疗效标准》[8]制定，治愈：患者临床症状、体征消失，前列腺检查时触诊压痛消失，中医证候积分降低60%以上，质地恢复正常；显效：患者临床症状、体征较前明显改善，中医证候积分降低45%～60%，前列腺检查时触诊压痛较前明显减轻；有效：患者临床症状、体征改善，中医证候积分降低30%～44%，前列腺检查时触诊压痛减轻；无效：患者临床症状、体征无改善，中医证候积分降低30%以下。治疗总有效率为治愈率、显效率与有效率总和。（2）慢性前列腺炎症状积分指数（National Institu-tes of Health Chronic Prostatitis Symptom Index，NIH-CPSI）[9]：该评分量表分为3个部分，包括生活质量、排尿症状、疼痛或不适，分值0～43分。生活质量包括三项，分值0～12分；排尿症状两项，分值0～10分；疼痛或不适四项，分值0～21分。分值越高，患者症状越严重。（3）尿流动力学指标：最大尿流率、膀胱最大容量、残余尿量以及最大逼尿肌压力变化。（4）前列腺液相关指标：取患者治疗前、治疗四周后的前列腺液，采取酶联免疫吸附法检测前列腺液中单核细胞趋化蛋白-1（Monocyte chemoattractant protein-1，MCP-1）、巨噬细胞集落刺激因子（macrophage-stimulating factor，M-CSF）、血管细胞黏附分子1（Vascular cell adhesion molecule 1，VCAM-1）、白介素10（interleukin 10，IL-10）、C-反应蛋白（C-reactive protein，CRP）。
3.2　统计学方法
采用SPSS 25.0统计学软件分析数据。计量资料经Shapiro-Wilk检验均符合正态分布，以（）表示，采用t检验；计数资料以频数率（%）表示，采用χ2检验。P<0.05时表示差异具有统计学意义。
4　疗效标准与治疗结果
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4.1　临床疗效
研究组总有效率与对照组相比，95.00%高于77.50%，差异有统计学意义（P<0.05）。详见表1。
4.2　两组NIH-CPSI比较
治疗前，两组NIH-CPSI评分比较差异无统计学意义（P>0.05）；治疗后，与对照组相对比，研究组NIH-CPSI评分更低，差异有统计学意义（P<0.05）。详见表2。
4.3　两组尿流动力学指标比较
治疗前，两组患者尿流动力学指标比较差异无统计学意义（P>0.05）；治疗后，与对照组相对比，研究组最大尿流率、膀胱最大容量更高，残余尿量、最大逼尿肌压力变化更低，差异有统计学意义（P<0.05）。详见表3。
4.4　两组前列腺液相关指标比较
治疗前，两组患者MCP-1、M-CSF、VCAM-1、IL-10、CRP比较差异无统计学意义（P>0.05）；治疗后，与对照组相对比，研究组MCP-1、MCSF、VCAM-1、IL-10、CRP水平均更低，差异有统计学意义（P<0.05）。详见表4。
5　讨论
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慢性前列腺炎属于临床常见病、高发病，该病主要是以排尿的异常、慢性盆腔的疼痛为主要临床表现，部分患者还会出现阳痿、早泄等性功能异常、精神神经症状等的一组炎性病变[10-12]。其病因较多，多认为与病原体因素如沙眼衣原体、支原体、真菌、病毒等感染性因素相关，其次还与尿液的刺激、免疫反应异常、神经损伤等相关[13-15]。慢性前列腺炎病程较长且顽固，其临床症状比较复杂多样，治愈率相对较低，极易反复发作。该病在全球均呈现发病率上升的趋势，西医治疗该病疗效并不理想。西医采取抗生素、抗菌消炎药物等治疗慢性前列腺炎具有一定疗效，但是前列腺在生理、解剖上具有特殊性，其外周的脂质包膜会屏蔽多种抗生素的药物渗透，加上炎症反应的刺激，多种抗菌药物难以进入前列腺发挥杀菌效果，因此疗效欠佳。反之，中医治疗慢性前列腺炎具有先天的优势，可有效治疗慢性前列腺炎患者。
中医学认为，湿热瘀滞属于慢性前列腺炎的基本病机，因此临床以湿热瘀滞型慢性前列腺炎较为常见。由于湿热下注，气血不通，气滞血瘀，使湿热加重，湿热互作，使病程持续，迁延难愈，久则虚，实则肾虚[16]。所以，湿热、血瘀以及肾虚是慢性前列腺炎的主要病理基础，其核心为气滞血瘀。因此，治疗时应以清热通淋、活血化瘀为主。癃清片[17]属于中成药，临床常用该药物治疗泌尿系统感染疾病。该药物由十种中药材构成，包括泽泻、金银花、败酱草、牡丹皮、车前子、赤芍、白花蛇舌草、黄连、仙鹤草以及黄柏。其中，泽泻[18]具有利水渗湿、化浊降脂以及泄热的功效；金银花[19]可清热解毒、疏散风热；败酱草[20]祛痰排脓、清热解毒；牡丹皮[21]活血化瘀、清热凉血；车前子[22]可清热利尿、渗湿止泻；赤芍[23]能活血祛瘀；白花蛇舌草[24]具有清热解毒、利湿通淋的作用；黄连[25]、黄柏[26]清热燥湿、泻火、解毒；仙鹤草[27]补虚、提气。从现代药理学角度上看，白花蛇舌草[24]具有较好消炎、抑菌功效；车前子[22]具有较为明显的利尿效果，同时还具有抑菌、抗炎效果；赤芍[23]可以抑制血小板的聚集，起到抗凝、抗血栓的作用，对治疗心血管疾病具有较好功效；金银花[19]可抗菌、抗肿瘤、保护胃黏膜；仙鹤草[27]具有止痢、杀菌的功效，对金黄色葡萄球菌、枯草杆菌、大肠杆菌等均有较好的抑制作用。诸药合用，可起到清热利湿、通淋、活血化瘀、散结的作用。因此，现代药理学认为癃清片[28-30]可以破坏细菌的P菌毛，抑制药物的黏附，增加其尿量，增强患者尿流的机械冲洗效果，让细菌不能生存，提高吞噬细胞的功能，进而提高自身免疫能力，起到较好的抗菌效果，加速患者康复。同时，还能显著减少前列腺炎时前列腺液中白细胞数量，使卵磷脂小体增多，减少炎性细胞浸润及水肿。此外，癃清片中含有的槲皮素[31]可以抑制巨噬细胞的炎性反应，进而减少炎性细胞的释放，对氧化应激产生抑制，从而抑制细胞的凋亡。在本研究中，研究组总有效率更高，NIH-CPSI评分、尿动力学指标水平更低（P<0.05）。说明采取癃清片治疗湿热瘀滞型慢性前列腺炎的疗效显著，可有效减轻患者的临床症状，改善患者的排尿情况。MCP-1属于趋化因子，与炎性反应相关；M-CSF会促进造血红细胞的分化，VCAM-1参与炎性反应、免疫调节，属于黏附分子；IL-10属于多效应的抗炎因子，参与慢性前列腺炎的发展进程；而CRP是评估前列腺炎的重要指标[32]。治疗后，研究组MCP-1、M-CSF、VCAM-1、IL-10、CRP水平均更低（P<0.05）。说明采取癃清片治疗后，可有效减轻机体的炎性反应，促进患者恢复。
本次研究结果表明，采用癃清片治疗湿热瘀滞型慢性前列腺炎可有效改善患者生活质量、排尿症状、疼痛或不适等相关临床症状，可减轻患者机体的炎性反应，抗菌、抗炎效果良好，可用于湿热瘀滞型慢性前列腺炎临床治疗。虽然本次研究结果显示癃清片治疗湿热瘀滞型慢性前列腺炎具有积极临床应用价值，但未来仍需在临床实践中进一步进行长效性及安全性验证。
基金
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  • 国家自然科学基金项目(82104880)
文献
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2025年第43卷第9期
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doi: 10.13193/j.issn.1673-7717.2025.09.023
  • 首发时间：2026-10-30
  • 出版时间：2025-09-10
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国家自然科学基金项目(82104880)
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    1.中国中医科学院西苑医院，北京 100091
    2.北京中医药大学第三附属医院，北京 100029
    3.北京中医药大学东方医院，经开区院区，北京 100176

通讯作者:

刘绍明（1975-），男，四川射洪人，副主任医师，博士，研究方向：中西医结合防治泌尿男科疾病。E-mail：。
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2种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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