电针“三阴”穴结合α受体阻滞剂治疗Ⅲ型前列腺炎的疗效

Clinical outcome of combination therapy of electro-acupuncture at Sanyin acupoint withα-blockers in the treatment of type Ⅲ prostatitis

目的评价电针"三阴"穴结合α受体阻滞剂治疗Ⅲ型前列腺炎的疗效。方法选择在门诊确诊为Ⅲ型前列腺炎的患者100例,随机分入对照组和试验组,每组50例。对照组仅接受α受体阻滞剂治疗,试验组接受电针"三阴"穴联合α受体阻滞剂治疗,两组治疗疗程均为4周。分别于治疗前和治疗后进行美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)评分,并根据治疗后前列腺按摩液(EPS)常规检查结果评价治疗效果。结果试验组治疗后排尿症状评分和总评分均显著低于对照组治疗后(P值均<0.05)。试验组治疗总有效率为64.0%(32/50),显著高于对照组的40.0%(20/50,P<0.05)。试验组治疗后ESP常规检查正常率为54.0%(27/50),显著高于对照组的24.0%(12/50,P<0.05)。两组均无不良反应发生,试验组无针刺并发症发生。结论电针"三阴"穴结合α受体阻滞剂是治疗Ⅲ型前列腺炎安全、有效的方法。

Objective To evaluate the efficacy of combination therapy of electro-acupuncture at Sanyin acupoint with a-blocker in the treatment of type Ⅲ prostatitis. Methods One hundred outpatients with type Ⅲ prostatitis were randomly divided into control group and experiment group （n = 50〉. α-blocker was applied in the control group. Combination therapy of electro-acupuncture at Sanyin acupoint with a-blockers was used in the experiment group. The course of treatment was 4 weeks in both groups. The U.S. National Institutes of Health chronic prostatitis symptom index （NIH-CPSI） score was performed before and after treatment. Prostate massage fluid （EPS） examination results were recorded after treatment as indicators of efficacy evaluation. Results After 4 weeks of treatment, urination score and total NIH-CPSI score in the experiment group were significantly lower than those in the control group （both P〈0.05）. In the experiment group, the effective rate of treatment was 64.0 % （32/50）, which was significantly higher than that in the control group （40.0 %, 20/50, P〈0.05）. After treatment, the normal rate of EPS in the experiment group was 54.0% （27/50）, which was significantly higher than that in the control group （24.0%, 12/50, P〈0.05）. No side effects and anal trauma occurred. Conclusion The combination therapy of electro-acupuncture at Sanyin acupoint with α-blockers is safe and effective in the treatment of type Ⅲ prostatitis.