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目的:比较针刺联合西药与分别单独运用针刺、西药治疗慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)的临床疗效差异。方法:将90例患者随机分为针药组、针刺组和西药组,每组30例。针药组予以针刺联合西药治疗,针刺头穴取神庭、囟会、前顶、百会、承光、通天等,体穴取中极、关元、膀胱俞、次髎等,每天1次,每次30min;西药口服左氧氟沙星0.2g、每天2次,盐酸坦索罗辛0.2mg、每天1次。针刺组、西药组分别予以和针药组相同的针刺、西药单独使用治疗。12d为一疗程,共观察2个疗程。比较3组治疗后的临床疗效,及治疗前后美国国立卫生研究院慢性前列腺炎症状积分(NIH-CPSI)总评分及疼痛症状积分、焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分。结果:研究过程中脱落2例,最后针药组30例、西药组29例、针刺组29例纳入统计。治疗后针药组痊愈21例、显效6例、有效2例、无效1例,针刺组分别为12、10、5、2例,西药组分别为11、12、4、2例,针药组优于其他两组(均P<0.05);各组治疗后各项评分均得到改善(均P<0.01);针药组改善NIH-CPSI总评分及SAS、SDS评分优于针刺组与西药组(P<0.05,P<0.01);针药组、针刺组改善NIH-CPSI疼痛症状评分优于西药组(P<0.05,P<0.01),而针药组与针刺组差异无统计学意义(P>0.05)。结论:针刺联合西药治疗CP/CPPS疗效优于单独使用针刺或西药治疗,且能够缓解患者前列腺炎症状以及焦虑、抑郁状态。
Objective: To compare the clinical efficacy of acupuncture plus western medicine and acupuncture alone and western medicine in the treatment of chronic prostatitis / chronic pelvic pain syndrome (CP / CPPS). Methods: 90 patients were randomly divided into acupuncture group, acupuncture group and western medicine group, 30 cases in each group. Acupuncture acupuncture combined with Western medicine acupuncture treatment, acupuncture points to take the forehead Shennong, fontanelle, before the top, Baihui, Chenguang, Tongtian, body acupoints in the pole, Guan Yu, bladder Yu, Times, each time 30min; Western medicine levofloxacin 0.2g, 2 times a day, tamsulosin hydrochloride 0.2mg, 1 day. Acupuncture group, western medicine group were given the same acupuncture and acupuncture, western medicine alone for treatment. 12d for a course of treatment, a total of 2 courses of observation. The clinical efficacy of the three groups were compared before and after treatment, and NIH-CPSI total score and pain symptom scores, SAS scores and depression self-rating scale (before and after treatment) SDS) score. Results: In the study, there were 2 cases of shedding, the last 30 cases of acupuncture group, 29 cases of western medicine group and 29 cases of acupuncture group. After treatment, acupuncture was cured in 21 cases, 6 cases were markedly effective, 2 cases were effective and 1 case was ineffective. There were 12, 10, 5 and 2 cases in the acupuncture group and 11, 12, 4 and 2 cases in the western medicine group respectively. (All P <0.05). The scores of all groups improved after treatment (all P <0.01). The scores of improving NIH-CPSI total score, SAS and SDS scores of acupuncture group were better than those of acupuncture group Western medicine group (P <0.05, P <0.01); acupuncture group and acupuncture group improved NIH-CPSI pain symptom score than Western medicine group (P <0.05, P <0.01), but acupuncture group and acupuncture group difference Statistical significance (P> 0.05). Conclusion: Acupuncture combined with western medicine is superior to acupuncture or western medicine alone in treating CP / CPPS, and it can relieve symptoms of prostatitis, anxiety and depression in patients.