文档介绍：of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of t引流或经会阴穿刺引流[2]。
二、Ⅱ型、Ⅲ型
（一）一般治疗
慢性前列腺炎患者应戒酒，忌辛辣刺激食物
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities3
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
；避免憋尿、久坐，注意保暖，加强体育锻炼。热水坐浴有助于缓解疼痛症状[3]。
（二）药物治疗
治疗Ⅱ型和Ⅲ型前列腺炎最常用的三种药物是抗生素、α-受体阻滞剂和非甾体抗炎镇痛药，其他药物对缓解前列腺炎的症状也有不同程度的疗效。
1．抗生素
目前，在治疗前列腺炎的临床实践中，最常用的一线药物是抗生素[1,4~6]，但是只有约5％的慢性前列腺炎患者有明确的细菌感染。
Ⅱ型：根据细菌培养结果和药物穿透前列腺包膜的能力来选择抗生素。药物穿透前列腺包膜的能力取决于其离子化程度、脂溶性、蛋白结合率、分子量及分子结构等。常用的抗生素是氟喹诺酮类药物，如环丙沙星、左氧氟沙星和洛美沙星等[5~6]。前列腺炎确诊后，抗生素治疗至少维持4~6周，其间应对患者进行阶段性的疗效评价 [1]。对疗效不满意者，可改用其他敏感抗生素。不推荐前列腺内注射抗生素的治疗方法[7]。
ⅢA型：抗生素治疗大多为经验性治疗，对其应用抗生素治疗的理论基础是推测某些常规培养阴性的病原体导致了该型炎症的发生。
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities5
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
因此推荐先口服氟喹诺酮等抗生素2~4周，然后根据其疗效反馈决定是否继续抗生素治疗。只有当患者的临床症状确有减轻时，才建议继续应用抗生素。推荐的总疗程为4 ~6周[1]。