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慢性前列腺炎/慢性骨盆疼痛综合征的管理中的替代疗法。

Alternative therapies in the management of chronic prostatitis/chronic pelvic pain syndrome.

机构信息

Smith Institute for Urology, Hofstra North Shore LIJ School of Medicine, Lake Success, New York, NY, USA.

出版信息

World J Urol. 2013 Aug;31(4):761-6. doi: 10.1007/s00345-013-1097-0. Epub 2013 Jun 6.

DOI:10.1007/s00345-013-1097-0
PMID:23740129
Abstract

PURPOSE

Standard medical therapy for Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) including such agents as nonsteriodal anti-inflammatories, alpha-blockers, antimicrobial therapy, and 5a-reductase inhibitors has not been uniformly effective. The purpose of this review is to focus on the role of alternative therapies available for the management of CP/CPPS.

METHODS

We performed a systematic review of the literature for articles published in PubMed up to 2012 pertaining to commonly employed alternative therapies.

RESULTS

The evidence for alternative therapies such as diet and lifestyle modifications, phytotherapy, acupuncture, myofascial physical therapy, and stress management/cognitive behavioral therapy is reviewed.

CONCLUSION

CP/CPPS often requires a multimodal approach and alternative therapies should be considered as adjuncts in the treatment of refractory CP/CPPS patients.

摘要

目的

慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)的标准医学治疗包括非甾体抗炎药、α-受体阻滞剂、抗菌治疗和 5α-还原酶抑制剂等药物,但并非对所有患者均有效。本文旨在探讨 CP/CPPS 治疗中可供选择的替代疗法。

方法

我们对 PubMed 截至 2012 年发表的与常用替代疗法相关的文献进行了系统回顾。

结果

本文对饮食和生活方式改变、植物药治疗、针灸、肌筋膜物理疗法和应激管理/认知行为疗法等替代疗法的证据进行了综述。

结论

CP/CPPS 通常需要多模式治疗,对于难治性 CP/CPPS 患者,替代疗法可作为辅助治疗手段。

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A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome.一项针对难治性慢性前列腺炎/慢性盆腔疼痛综合征男性患者的慢性盆腔疼痛认知行为症状管理项目的可行性试验。
Can Urol Assoc J. 2011 Oct;5(5):328-32. doi: 10.5489/cuaj.10201.
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Pollen extract for chronic prostatitis-chronic pelvic pain syndrome.花粉提取物治疗慢性前列腺炎/慢性骨盆疼痛综合征。
Urol Clin North Am. 2011 Aug;38(3):285-92. doi: 10.1016/j.ucl.2011.04.004. Epub 2011 Jun 12.
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Safety and effectiveness of an internal pelvic myofascial trigger point wand for urologic chronic pelvic pain syndrome.
Qianliexin capsule exerts anti-inflammatory activity in chronic non-bacterial prostatitis and benign prostatic hyperplasia via NF-κB and inflammasome.
前列欣胶囊通过 NF-κB 和炎性小体在慢性非细菌性前列腺炎和良性前列腺增生中发挥抗炎作用。
J Cell Mol Med. 2021 Jun;25(12):5753-5768. doi: 10.1111/jcmm.16599. Epub 2021 May 13.
4
Optimal acupoint and session of acupuncture for patients with chronic prostatitis/chronic pelvic pain syndrome: a meta-analysis.慢性前列腺炎/慢性盆腔疼痛综合征患者针灸的最佳穴位与疗程:一项荟萃分析
Transl Androl Urol. 2021 Jan;10(1):143-153. doi: 10.21037/tau-20-913.
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Is Acupuncture Another Good Choice for Physicians in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome? Review of the Latest Literature.针灸是医生治疗慢性前列腺炎/慢性盆腔疼痛综合征的另一个好选择吗?最新文献综述
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Phytotherapy and physical therapy in the management of chronic prostatitis-chronic pelvic pain syndrome.植物疗法和物理疗法在慢性前列腺炎-慢性盆腔疼痛综合征管理中的应用。
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World J Mens Health. 2017 Aug;35(2):120-128. doi: 10.5534/wjmh.2017.35.2.120. Epub 2017 Apr 30.
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BMC Urol. 2017 Apr 21;17(1):32. doi: 10.1186/s12894-017-0223-5.
内部骨盆肌筋膜触发点棒治疗泌尿科慢性骨盆疼痛综合征的安全性和有效性。
Clin J Pain. 2011 Nov-Dec;27(9):764-8. doi: 10.1097/AJP.0b013e31821dbd76.
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