Department of Internal Medicine, Integrative Cancer Center, East-West Neo Medical Center, Kyung Hee University, Sangil-dong, Gangdong-Ku, Seoul, Republic of Korea.
Curr Urol Rep. 2011 Aug;12(4):288-96. doi: 10.1007/s11934-011-0186-0.
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is the most common category of clinical prostatitis. The etiologic factors of CP/CPPS still remain unknown, and standard therapies often fail to achieve sustainable amelioration of symptoms; therefore, various treatment therapies have been approached. Recently, there is increasing evidence that acupuncture could be a safe and effective treatment in managing CP/CPPS. However, acupuncture therapy still is ranked as low-priority treatment, which results from the fact that the studies, mostly reported in nontraditional medical journals, had not employed standard definitions of the condition or validated-outcome parameters, and that the mechanism of acupuncture effects on CP/CPPS remains to be elucidated. In this article, we review the recent clinical research using acupuncture to reveal its clinical utility for CP/CPPS and the possible mechanisms of action. This article could encourage health care providers and urologists to apply acupuncture for managing pains of CP/CPPS with standard treatment.
慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)是最常见的前列腺炎临床类型。CP/CPPS 的病因仍不清楚,标准治疗常不能持续改善症状;因此,已经尝试了各种治疗方法。最近越来越多的证据表明,针刺可能是治疗 CP/CPPS 的一种安全有效的方法。然而,针刺疗法仍然被列为低优先级治疗,这是因为这些研究主要发表在非传统医学期刊上,没有采用 CP/CPPS 的标准定义或经过验证的疗效参数,而且针刺对 CP/CPPS 的作用机制仍有待阐明。本文综述了近年来针刺治疗 CP/CPPS 的临床研究,揭示了其临床应用价值及可能的作用机制。本文可以鼓励医疗保健提供者和泌尿科医生在使用标准治疗方法的同时,将针刺应用于 CP/CPPS 的疼痛管理。