文献类型：期刊文献

中文题名：基于《黄帝内经》“摄生养慎”理论的慢性前列腺炎中医辨证施护方案构建与应用

英文题名：Construction and application of traditional Chinese medicine syndrome differentiation-based nursing scheme for chronic prostatitis based on"health preservation and caution"theory in the Huangdi Neijing

作者：赵雪红[1];何晨曦[2];丁思怡[1];李永荣[3];王庆胜[4];张春雷[5];焦鸿梅[5]

第一作者：赵雪红

机构：[1]甘肃中医药大学护理学院,兰州730000;[2]秦安县人民医院中医科,甘肃天水741600;[3]甘肃中医药大学附属医院全科医学,兰州730000;[4]甘肃中医药大学中医临床学院,兰州730000;[5]中国人民解放军联勤保障部队第九四○医院泌尿外科,兰州730050

第一机构：甘肃中医药大学护理学院

年份：2026

卷号：35

期号：4

起止页码：96

中文期刊名：中国性科学

外文期刊名：Chinese Journal of Human Sexuality

基金：甘肃省卫生健康行业科研计划项目(GSWSHL2024-19);甘肃省科技计划项目青年科技基金(24JRRA1132)。

语种：中文

中文关键词：慢性前列腺炎;摄生养慎;辨证施护;方案构建

外文关键词：Chronic prostatitis;Health preservation and caution;Syndrome differentiation-based nursing scheme;Scheme construction

摘要：目的 探讨基于《黄帝内经》“摄生养慎”理论的中医辨证施护方案在慢性前列腺炎患者中的应用效果。方法 选取2024年5月至2025年4月中国人民解放军联勤保障部队第九四○医院泌尿外科收治的104例慢性前列腺炎患者作为研究对象,采用随机数字表法将患者分为对照组(常规治疗与护理)和试验组(在常规干预基础上开展中医辨证施护方案),每组52例。比较两组治疗前及治疗后4周美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)评分、前列腺液常规、中医证候积分、疾病感知评分及生存质量评分。结果 治疗4周后,试验组NIH-CPSI评分、中医证候积分、疾病感知评分、生存质量评分均显著低于对照组[(14.75±4.12)分vs.(18.90±5.76)分,10.00(8.25,12.00)分vs.12.00(10.00,16.75)分,(36.19±6.40)分vs.(44.17±8.60)分,(48.69±9.05)分vs.(59.27±9.97)分](P<0.05);且前列腺液白细胞计数(WBC)显著低于对照组[1.00(1.00,2.00)个/HP vs.4.00(2.00,5.00)个/HP];卵磷脂小体计数显著高于对照组[3.00(2.00,3.00)个/HP vs.2.00(2.00,3.00)个/HP](P<0.05)。结论 基于“摄生养慎”理论的中医辨证施护方案能有效缓解慢性前列腺炎患者的临床症状,改善前列腺液WBC及卵磷脂小体水平,同时有助于减轻患者对疾病的负性认知,降低其生存质量受损程度,促进疾病康复。
Objective To explore the application effect of the traditional Chinese medicine(TCM)syndrome differentiation-based nursing scheme based on the"health preservation and caution"theory in the Huangdi Neijing on patients with chronic prostatitis.Methods A total of 104 patients with chronic prostatitis admitted to the 940th Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army from May 2024 to April 2025 were selected as the research subjects and randomly divided into the control group(conventional treatment and care)and experimental group(TCM syndrome differentiation-based nursing scheme on the basis of conventional intervention),with 52 cases in each group.The national institutes of health-chronic prostatitis symptom index(NIH-CPSI)Score,routine test results of prostatic fluid,TCM syndrome scores,disease perception scores and quality of life scores of the two groups were compared before treatment and at 4 weeks after treatment.Results After 4 weeks of treatment,the NIH-CPSI scores,TCM syndrome scores,disease perception scores,and quality of life scores of the experimental group were significantly lower than those of the control group[(14.75±4.12)points vs.(18.90±5.76)points,10.00(8.25,12.00)points vs.12.00(10.00,16.75)points,(36.19±6.40)points vs.(44.17±8.60)points,(48.69±9.05)points vs.(59.27±9.97)points](P<0.05);and the white blood cell(WBC)in prostatic fluid was significantly lower than that of the control group[1.00(1.00,2.00)cells/HP vs.4.00(2.00,5.00)cells/HP];and the amount of lecithin granules was significantly higher than that of the control group[3.00(2.00,3.00)cells/HP vs.2.00(2.00,3.00)cells/HP(P<0.05)].Conclusions The traditional Chinese medicine syndrome differentiation-based nursing scheme based on the"health preservation and caution"theory can effectively alleviate the clinical symptoms of patients with chronic prostatitis,improve the levels of WBC and lecithin bodies in prostatic fluid,and help reduce patients'negative cognition of the disease at the same time,lower the damage degree to their quality of life,and promote the recovery of the disease.