Correlation between Routine Parameters of Digital Rectal Examination and Expressed Prostatic Secretions and Traditional Chinese Medicine Syndromes of Chronic Prostatitis

Yong Zhu, Yue-Xing Gu, Jin Yue, Zheng-jian Liu, Q. Zeng
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Abstract

Objective: To explore and analyze the correlation of routine parameters of digital rectal examination and expressed prostatic secretions (EPS) with traditional Chinese medicine (TCM) syndromes of chronic prostatitis (CP). Methods: According to features of TCM syndromes, 114 CP patients were divided into four groups: group A (syndrome of dampness-heat pouring downward), group B (syndrome of qi stagnation and blood stasis), group C (syndrome of yin deficiency with effulgent fire), and group D (syndrome of kidney yang deficiency). Data collected by digital rectal examination and EPS were divided into different grades according to different criteria. Finally, we performed a statistical analysis of the data. Results: The sizes of the prostates in group C were smaller than those in any other group (p < 0.05). The texture of the prostates in group B was harder than that in any other group (p < 0.05). The rates of tenderness in the prostate were higher in groups A and B than in the other two groups (p < 0.05). The rates of abnormal amounts of small particles of lecithin were higher in groups C and D than in the other two groups (p < 0.05). Finally, the rates of abnormal amounts of white blood cells were higher in groups A and B than in the other two groups (p < 0.05). Conclusion: There is a certain correlation of routine parameters of digital rectal examination and EPS with TCM syndromes of CP, which can provide effective instruction on the differentiation of TCM syndromes.
直肠指诊常规参数与前列腺分泌物表达及慢性前列腺炎中医证候的相关性研究
目的:探讨和分析直肠指检常规参数及前列腺表达分泌物(EPS)与慢性前列腺炎(CP)中医证型的相关性。方法:根据中医证候特点,将114例CP患者分为四组:A组(湿热下倾证)、B组(气滞血瘀证)、C组(阴虚火盛证)、D组(肾阳虚证)。根据不同的标准,将直肠指检和EPS收集的数据分为不同的等级。最后,我们对数据进行了统计分析。结果:C组前列腺体积明显小于其他各组(p < 0.05)。B组前列腺质地较其他各组硬(p < 0.05)。A、B组前列腺压痛发生率高于其他两组(p < 0.05)。C、D组卵磷脂小颗粒异常率高于其他两组(p < 0.05)。最后,A组和B组白细胞异常率高于其他两组(p < 0.05)。结论:直肠指诊常规参数及EPS与CP中医证型有一定的相关性,可为辨证论治提供有效指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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