基于浊瘀理论的中药联合穴位埋线治疗慢性前列腺炎/慢性盆腔疼痛综合症的作用机制研究

Study on the Mechanism of Traditional Chinese Medicine Combined with Acupoint Catgut Embedding in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome

目的探讨基于浊瘀理论的中药联合穴位埋线治疗慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)的疗效观察。方法选取我院2020年1月至2021年8月我院收治的80例CP/CPPS患者,所有病例符合CP/CPPS纳入标准及诊断标准。将病例按随机分组法分成试验组和对照组各40例,试验组给予中药汤剂联合穴位埋线治疗;对照组给予前列舒通胶囊联合前列安栓,疗程均为4周;对比两组治疗后的NIH-CPSI评分、肛门指检评分、中医症状评分以及前列腺常规结果。结果对照组NIH-CPSI评分为(13.22±6.129)分,肛门指检评分为(8.06±2.612)分,中医症状评分为(11.80±4.457)分;试验组NIH-CPSI评分为(10.73±5.464)分,肛门指检评分为(6.50±2.245)分,中医症状评分为(9.02±4.426)分,两组比较,试验组疗效优于对照组,差异有统计学意义(P<0.05),而两组前列腺常规检测评分比较,无显著性差异(P>0.05)。结论基于浊瘀理论的中药联合穴位埋线能改善CP/CPPS的肛门指检症状、中医症状评分以及NIH-CPSI评分,进而改善CP/CPPS患者的症状,疗效显著。

Objective To investigate the curative effect of TraditionalChinese Medicine combined with acupointcatgut embedding based on turbid-statis theory in the treatment of chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS)。Methods We select 80 patients with CP/CPPS admitted our hospital from January 2020 to August 2021 as the research objects,and all the cases met the inclusion criteria and diagnostic criteria of CP/CPPS.The patients were divided into experiment group and control group randomly,with 40 cases in each group.The experiment group was treated withTraditional Chinese Medicine decoction combined with acupoint embedding therapy,whereas the control group was treated with Qianlieshutong Capsules combined with Qianlieanshuan.NIH-CPSI total score,digital rectal examination score,TCM symptom score and results of routine prostate examination were compared between the two groups after treatment.Results For the control group,NIH-CPSI score is(13.22±6.129),digital rectal examination score is(8.06±2.612),and TCM symptom score is(11.80±4.457).For the experiment group,NIH-CPSI score is(10.73±5.464),digital rectal examination score is(6.50±2.245),and TCM symptom score is(9.02±4.426).The indicators suggest that thecurative effect in treatment group is superior to that in control group,and the results were statistically different(P<0.05).No statistical difference is observed between the two groups in terms of the results of routine prostate examination(P>0.05).Conclusion Traditional Chinese Medicine combined with acupointcatgut embedding based onturbid-stasis theory can improve the symptoms of CP/CPPS detected in digital rectal examination,the TCM symptom score and NIH-CPSI total score.The curative effect of the therapy is reliable and safe and improves the symptoms of CP/CPPS patients.