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目的 :探讨青少年慢性盆底疼痛综合征 (CPPS)或慢性非细菌性前列腺炎 (CNBP)的临床特点及治疗方法。方法 :依据美国国立卫生研究院 (NIH)前列腺炎的诊断标准 ,将 30例青少年患者分为Ⅲa 型 8例 ,Ⅲb 型2 2例 ;按前列腺炎症状严重程度评分 (SSI)进行分组治疗 ,规律性治疗 1～ 3个月。全部患者均配合精神心理及物理疗法 ,部分患者服用清热解毒和 (或 )活血化瘀类中药。Ⅲa 型患者以广谱抗生素及α1 受体阻滞剂治疗为主 ,Ⅲb 型则分别给予α1 受体阻滞剂及镇静镇痛肌松治疗。结果 :治疗后SSI评分降低 ,显效 18例 ,有效 8例 ,无效 4例 ,总有效率为 87%。结论 :青少年CPPS不完全同于成人CPPS ,综合性治疗是一种有效的方法
Objective: To investigate the clinical features and treatment of chronic pelvic pain syndrome (CPPS) or chronic non-bacterial prostatitis (CNBP) in adolescents. Methods: According to the diagnostic criteria of National Institutes of Health (NIH) prostatitis, 30 adolescent patients were divided into 8 cases of type Ⅲa and 22 cases of type Ⅲb. The patients were divided into groups according to the symptom severity of prostatitis (SSI) Sexual treatment 1 to 3 months. All patients were with mental and physical therapy, some patients taking detoxification and (or) blood circulation of traditional Chinese medicine. Ⅲ a type of patients with broad-spectrum antibiotics and α 1 receptor blockers based, Ⅲ b type were given α 1 blockers and sedative and analgesic muscle relaxants. Results: After treatment, the SSI score decreased, markedly effective in 18 cases, effective in 8 cases, ineffective in 4 cases, the total effective rate was 87%. Conclusion: Adolescent CPPS is not exactly the same as adult CPPS, comprehensive treatment is an effective method