ABSTRACT
Objective: To explore the safety and clinical efficacy of Longqing Tablets in the adjuvant treatment of acute epididymitis. Methods: A total of 80 cases of acute epididymitis aged from 18 to 40 were randomly divided into control group and observation group. The control group was treated with antibiotics, while the observation group was treated with antibiotics combined with Longqing Tablets (six tablets per time, bid) for 14 d. The clinical efficacy, obvious and effective rate, pain relief time, semen analysis before and after treatment were compared between the two groups. Results: After two weeks of treatment, 28 patients in the observation group were effective, 12 patients were effective, 0 patients were ineffective, the marked efficiency was 70.0%, the total effective rate was 100%. Totally 19 patients in the control group were effective, 18 patients were effective, three patients were ineffective, the marked efficiency was 47.5%, and the total effective rate was 92.5%. The marked efficiency and total effective rate in the observation group were higher than those in the control group, the difference was statistically significant (P 0.05). Two weeks after treatment, the total sperm motility, normal morphological sperm rate and sperm concentration in the observation group were better than those in the control group, and the difference was statistically significant (P < 0.05). The pain relief time of the observation group (51.0 ± 28.5) h was shorter than that of the control group (70.0 ± 23.5) h, and the difference was statistically significant (P < 0.05). Two months after treatment, the scrotal color Doppler ultrasonography showed five cases of epididymal nodules in the observation group and nine cases in the control group. Conclusion: Longqing Tablets are safe and effective in the adjuvant treatment of acute epididymitis. It can effectively relieve pain and promote the decline of inflammation, and has no obvious adverse effect on semen quality. The effect of continuous application is exact, which is helpful to shorten the course of disease, and is worthy of application and promotion.
ABSTRACT
Objective To summarize the nursing for acute epididymitis within intermittent catheterization. Methods From August, 2013 to February, 2016, twelve patients suffering acute epididymitis within intermittent catheterization after spinal cord injury were reviewed. Re-sults Epididymitis was cured in all the patients after retention catheterization, psychological nuring, diet and drinking guide, reasonable drug use, etc. Conclusion Acute epididymitis within intermittent catheterization can be controlled by appropriate medication and nursing.
ABSTRACT
PURPOSE: We investigated if there are some differences in clinical charecteristics of acute epididymitis between child and adult and if ordinary therapeutic regimen based on antibiotics is the most appropriate one. MATERIALS AND METHODS: We reviewed medical records of 64 patients with acute epididymitis retrospectively, who took admission treatment from July, 1996 to June, 1998 at our hospital. These patients were divided into two groups, child and adult group, younger and older than 16 years respectively. The diagnosis of acute epididymitis was made by symptoms, physical examinations, doppler sonography, and/or radionuclide scan. Chronic epididymitis, recurrent epididymitis, patients taken antibiotics before admission, and surgical epididymis were excluded from this study. We investigated the age of the patients, symptoms, symptom duration and signs. Complete blood count, urinalysis, and urine culture were performed. Independent-samples T-test was used for the comparative analysis of the results. RESULTS: Symptoms including scrotal swelling and pain were not different between two groups significantly. Signs including scrotal tenderness, fever, and leucocytosis were not different between two groups significantly. However, there were statistically significant differences between two groups in studies of urine. Pyuria or positive urine culture were 20.8%(5 of 24) in child group and 52.5%(21 of 40) in adult group(p<0.001). CONCLUSIONS: In acute epididymitis, evidences of urinary tract infection were significantly lower in children than in adults. So, although further studies are needed to find out the exact cause of acute epididymitis, at least ordinary therapeutic regimen based on antibiotics would not be the best one for the majority of children without evidence of urinary tract infection.