目的：观察前列通瘀汤联合西药对早期前列腺炎患者前列腺炎症状评分（NIH-CPSI） 与血清睾丸素（T）、血清泌乳素（PRL） 水平的影响。方法：选取100 例早期前列腺炎患者作为研究对象，依据治疗方案不同分为对照组及研究组各50 例。对照组采用西药治疗，研究组在对照组的基础上加用前列通瘀汤治疗。2 组均治疗2 个月。比较2 组治疗前后NIH-CPSI 评分、勃起功能评分、前列腺液白细胞计数（EPS-WBC） 变化，观察2 组临床疗效，比较2 组治疗前后血清T、血清PRL 水平变化。结果：治疗后，2 组NIH-CPSI 评分及EPS-WBC 均较治疗前下降，勃起功能评分均较治疗前升高；研究组NIH-CPSI 评分及EPS-WBC 均小于对照组，勃起功能评分高于对照组，差异均有统计学意义（P＜0.05）。研究组临床疗效总有效率为92.0%，对照组为78.0%，2 组比较，差异有统计学意义（P＜0.05）。治疗后，2 组血清T、血清PRL 水平均较治疗前上升，研究组上述2 项水平均高于对照组，差异均有统计学意义（P＜0.05）。结论：前列通瘀汤联合西药治疗前列腺炎，可有效提高疗效，缓解临床症状，改善勃起功能。
Abstract： Objective： To observe the effect of Qianlie Tongyu tang combined with western medicine on scores of National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI) and levels of testosterone(T) and prolactin(PRL) in serum in patients with early prostatitis. Methods：A total of 100 cases of patients with early prostatitis were selected as the research objects ， and divided into the control group and the study group according to different treatment plans ， with 50 cases in each group. The control group was treated with western medicine，and the study group was additionally treated with Qianlie Tongyu tang based on the treatment of the control group. Both groups were treated for two months. Before and after treatment， the changes in NIH- CPSI scores， erectile function scores and white blood cell in expressed prostatic secretion(EPS-WBC) in the two groups were compared. Clinical effects in the two groups were observed. The changes in the levels of serum T and PRL in the two groups were compared. Results：After treatment，NIH-CPSI scores and EPS-WBC in the two groups were decreased when compared with those before treatment，and erectile function scores were increased； the NIH-CPSI score and EPS-WBC in the study group were lower or fewer than those in the control group，and the erectile function score was higher，differences being significant(P＜0.05). The total effective rate of clinical effect was 92.0% in the study group and 78.0% in the control group，the difference being significant(P＜0.05). After treatment，the levels of serum T and PRL in the two groups were increased when compared with those before treatment， and the above two levels in the study group were higher than those in the control group，differences being significant(P＜0.05). Conclusion：The therapy of Qianlie Tongyu tang combined with western medicine for prostatitis can effectively improve the curative effect， alleviate clinical symptoms and improve erectile function.