前列排瘀法治疗慢性盆腔疼痛综合征临床研究

Clinical Research of Eliminating Sedimentation on Treating Chronic Pelvic Pain Syndrome

目的:观察前列排瘀法治疗慢性盆腔疼痛综合征(CPPS)疗效及NIH—CPSI评分。方法:据NIH前列腺炎综合征分类标准,选择CPPS病例719例,根据EPSRt(前列腺液常规)分成Ⅲa和Ⅲb两组。721例均采用示指一指禅功前列排瘀法治疗,每3 d 1次,一次3～5 min,10次为1疗程。排瘀法治疗前、治疗后作EPSRt及NIH—CPSI评分进行疗效评价。结果:3个疗程后Ⅲa组显效率18.2%,有效率66.1%;Ⅲb组显效率16.1%,有效率69.6%。经统计分析,治疗前后差异有统计学意义(P<0.01)。两组间疗效差异无统计学意义(P>0.05)。每一疗程结束后,两组NIH-CPSI各类得分均有明显改善(P<0.01)。结论:前列排瘀法有排瘀散结,通利腺管,最终排出瘀浊的作用。能有效改善或消除盆腔疼痛综合征症状,提高生活质量。

Objective ： To explore the curative effects of the way by eliminating sedimentation from prostate with manipulation on treating chronic pelvic pain syndrome（CPPS） and the National Institutes of Health （NIH） -chronic prostatitis symptom index（CPSI） scores. Methods：According to the prostatitis classification standard of NIH,719 cases with CPPS were divided into Ⅲ A arid Ⅲ B group by EPSRt and treated with manipulation. EPSRt and NIH - CPSI scores were tested before treatment and each periods after treatment. Results ： After three periods of treatment, the effective ratio and total effective ratio of ⅢA were 18.2 % and 66.1% respectively. Those of Ⅲ B were 16.1% and 69.6% respectively. Statistical analysis showed the curative effect of two groups without a significant difference（ P 〉 0.05 ）. NIH -CPSI scores of two groups had＇significant improvement after each period of treatment （P 〈 0.01 ）. Conclusion：The way by eliminating sedimentation can improve the clinical symptom of CPPS and life quality, and it also （：an disperse the nub, discharge the turbid and clear the gland in order to eliminate sedimentation,and relieve sinus hyperaemia around the prostate.