针刺治疗慢性前列腺炎/慢性盆底疼痛综合征临床观察

Clinical Effect of Acupuncture in Treatment of Chronic prostatitis/Chronic Pelvic Pain Syndrome

目的观察针刺治疗慢性前列腺炎/慢性盆底疼痛综合征的近期疗效及远期疗效。方法选取117例慢性前列腺炎/慢性盆底疼痛综合征患者,将其随机分为治疗组(60例)和对照组(57例)。治疗组选取肾俞、中髎、会阳、三阴交针刺,而对照组选取肾俞、中髎、会阳、三阴交旁非经非穴点微针刺。每周治疗3次,治疗8周。采用美国国立卫生研究院慢性前列腺炎症状指数(National Institutes of Health-Chronic Prostatitis Symptom Index,NIH-CPSI)和挤压前列腺分泌物(expressed prostatic secretion,EPS)积分评价临床疗效。结果治疗组临床疗效明显优于对照组(P<0.05)。治疗后,两组NIH-CPSI和EPS积分均较治疗前明显降低(P<0.05),治疗组EPS积分降低程度明显大于对照组(P<0.05)。治疗后12周随访时,治疗组NIH-CPSI较治疗后无明显变化(P>0.05),而明显低于对照组(P<0.05)。结论针刺肾俞、中髎、会阳、三阴交治疗慢性盆底疼痛综合征的近期疗效和远期疗效良好。

Objective To investigate the short- and long-term clinical effects of acupuncture in the treatment of chronic prostatitis/chronic pelvic pain syndrome （CP/CPPS）. Methods A total of 117 patients with CP/CPPS were randomly divided into treatment group with 60 patients and control group with 57 patients. The patients in the treatment group were given acupuncture at Shenshu, Zhongliao, Huiyang, and Sanyinjiao acupoints, and those in the control group were given minimal acupuncture at sham acupoints next to Shenshu, Zhongliao, Huiyang, and Sanyinjiao acupoints. Acupuncture was performed three times a week for 8 weeks in total. The National Institutes of Health Chronic Prostatitis Symptom Index （NIH-CPSI） and expressed prostatic secretion （EPS） score were used to evaluate the clinical outcome. Results After treatment, the treatment group had a significantly better clinical outcome than the control group （P〈0.05）. Both groups had significant reductions in NIH-CPSI and EPS score after treatment （P〈0.05）, and the treatment group had a significantly greater reduction in EPS score than the control group （P〈0.05）. The treatment group showed no significant change in NIH-CPSI from immediately to 12 weeks after treatment （P〉0.05）, and the treatment group had a significantly lower NIH-CPSI than the control group at 12 weeks after treatment （P〈0.05）. Conclusion Acupuncture at Shenshu, Zhongliao, Huiyang, and Sanyinjiao acupoints have good short- and long-term clinical effects in the treatment of CP/CPPS.