Sun Zhongming, Bao Yanzhong
Department of Reproductive Medicine, Zhejiang Provincial Hospital of Integrated Chinese and Western Medicine, Xiacheng, Hangzhou, Zhejiang 310003, P.R. China.
Exp Ther Med. 2013 May;5(5):1339-1344. doi: 10.3892/etm.2013.982. Epub 2013 Feb 27.
The aim of this study was to evaluate the curative effects of eliminating sedimentation inside the prostate via manipulation for the treatment of chronic pelvic pain syndrome (CPPS) using the National Institutes of Health (NIH)-chronic prostatitis symptom index (CPSI) scores. According to the prostatitis classification standard of the NIH, 721 patients with CPPS were divided into groups IIIA and IIIB by prostatic fluid routine examination (EPSRt) and treated using manipulation. The treatment was performed once per 3 days for 3-5 min and 10 treatments were considered to be a period. The EPSRt and NIH-CPSI scores were tested before and at the end of each period following treatment. After 3 treatment periods, the effectiveness and total effectiveness rates of the IIIA group were 72.3 and 15.9%, respectively and those of the IIIB group were 71.8 and 16.3%, respectively. Statistical analysis showed no significant differences between the curative effects in the two groups (P>0.05). The NIH-CPSI scores of the two groups were significantly improved following each treatment period (P<0.01). Eliminating sedimentation using manipulation dispersed the blockage, discharged the turbidity and cleared the gland, leading to the elimination of sedimentation and the relief of sinus hyperemia around the prostate, which significantly improved the clinical symptoms of CPPS and the quality of life of the patients.
本研究旨在采用美国国立卫生研究院(NIH)慢性前列腺炎症状指数(CPSI)评分,评估通过手法消除前列腺内沉积物治疗慢性盆腔疼痛综合征(CPPS)的疗效。根据NIH前列腺炎分类标准,通过前列腺液常规检查(EPSRt)将721例CPPS患者分为IIIA组和IIIB组,并采用手法治疗。治疗每3天进行1次,每次3 - 5分钟,10次治疗为1个疗程。在每个疗程治疗前及结束时检测EPSRt和NIH - CPSI评分。3个疗程治疗后,IIIA组的有效率和总有效率分别为72.3%和15.9%,IIIB组分别为71.8%和16.3%。统计学分析显示两组疗效差异无统计学意义(P>0.05)。两组的NIH - CPSI评分在每个疗程治疗后均显著改善(P<0.01)。手法消除沉积物可疏通堵塞、排出浊物、清理腺体,从而消除沉积物,缓解前列腺周围窦充血,显著改善CPPS的临床症状及患者生活质量。