中医药治疗慢性前列腺炎的研究进展
Research Progress of Traditional Chinese Medicine in the Treatment of Chronic Prostatitis

慢性前列腺炎(CP)是前列腺炎中最常见者，患者通常以长期反复的骨盆区域疼痛为主要表现。CP的发病机制复杂，涉及多种环节，具有临床症状持续、难以治愈、容易复发等疾病特点，给患者带来严重负担。西医对本病的治疗方式较为单一，药物不良反应较多，中医药治疗CP历史悠久，治疗方式多样。笔者通过综述近年来中医药治疗CP的临床研究发现，中医药治疗CP疗效确切，安全性高，可通过改善炎症反应、调控内分泌细胞等机制来改善患者临床症状，提高生活质量，一些特色治疗方法如中药熏洗、针灸等表现出了明显的治疗优势。未来需要更多大规模的多中心随机对照研究来探究中医药治疗CP的深层次机制，以提高中医药治疗本病的可信度。
Chronic prostatitis (CP) is the most common form of prostatitis, and patients usually have persistent and recurrent pelvic pain as their main symptoms. The pathogenesis of CP is complex and involves multiple mechanisms, with clinical symptoms persisting, being difficult to cure, and being prone to recurrence, which brings serious burdens to patients. Western medicine has a relatively single treatment approach for this disease, with many adverse drug reactions, while traditional Chinese medicine has a long history of treating CP and has diverse treatment methods. Through a review of the recent clinical research on the treatment of CP with traditional Chinese medicine, the authors found that traditional Chinese medicine has a definite therapeutic effect and high safety, and can improve patients’ clinical symptoms by improving inflammatory responses and regulating endocrine cells. Some unique treatment methods such as herbal bath and acupuncture have shown obvious therapeutic advantages. In the future, more large-scale, multicenter, randomized controlled trials are needed to explore the deep-level mechanisms of traditional Chinese medicine in the treatment of CP, in order to enhance the credibility of traditional Chinese medicine in the treatment of this disease.