针灸治疗 IIIB 型慢性盆腔痛综合征患者的疗效:97 例报告。
Effectiveness of acupuncture in patients with category IIIB chronic pelvic pain syndrome: a report of 97 patients.
机构信息
Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
出版信息
Pain Med. 2010 Apr;11(4):518-23. doi: 10.1111/j.1526-4637.2009.00794.x. Epub 2010 Jan 22.
OBJECTIVE
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is of significant interest in urology and unfortunately, the therapy modalities recommended are not fully effective. Therefore, we undertook a pilot study to determine whether acupuncture improves the pain, voiding symptoms, and quality of life in men with category IIIB CP/CPPS.
DESIGN
Prospective, one-group trial, cohort study.
SETTING
Outpatient urology clinic.
PATIENTS AND INTERVENTIONS
Ninety-seven CP/CPPS patients received six sessions of acupuncture to the BL-33 acupoints once a week. The National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was completed by each patient before and after the treatment and on 12th and 24th weeks following the treatment.
OUTCOME MEASURES
Mean values of total CPSI score, pain subscore, urinary subscore, and quality of life subscore after the treatment and on follow-up after the treatment were compared with the baseline values.
RESULTS
There was a statistically significant decrease in all of the subscores evaluated at all periods compared with the baseline. Eighty-six patients out of 93 (92.47%) were NIH-CPSI responders (more than 50% decrease in total NIH-CPSI score from baseline) at the end of the treatment.
CONCLUSIONS
The results of this study suggest that acupuncture appears to be a safe and potentially effective treatment in improving the symptoms and quality of life of men clinically diagnosed with CP/CPPS.
目的
慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)在泌尿科备受关注,但遗憾的是,推荐的治疗方法并非完全有效。因此,我们进行了一项试点研究,以确定针灸是否能改善 IIIB 型 CP/CPPS 男性的疼痛、排尿症状和生活质量。
设计
前瞻性、单组试验、队列研究。
地点
泌尿科门诊。
患者和干预措施
97 名 CP/CPPS 患者每周接受一次 BL-33 穴位的六次针灸治疗。每位患者在治疗前、治疗后以及治疗后第 12 周和第 24 周使用国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)进行评估。
结果测量
治疗后和治疗后随访时的总 CPSI 评分、疼痛分项评分、排尿分项评分和生活质量分项评分的平均值与基线值进行比较。
结果
与基线相比,所有评估分项在所有时期均有统计学显著下降。93 名患者中有 86 名(92.47%)在治疗结束时达到 NIH-CPSI 应答标准(总 NIH-CPSI 评分从基线下降超过 50%)。
结论
这项研究的结果表明,针灸似乎是一种安全且有潜力有效的治疗方法,可改善临床诊断为 CP/CPPS 的男性的症状和生活质量。