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针刺治疗慢性前列腺炎/慢性盆腔疼痛综合征:一项随机对照试验的研究方案

Acupuncture for chronic prostatitis/chronic pelvic pain syndrome: study protocol for a randomized controlled trial.

作者信息

Qin Zongshi, Liu Yan, Zhou Kehua, Wu Jiani, Pang Ran, Li Ning, Xu Chang, Kwong Joey S W, Liu Zhishun

机构信息

Department of Acupuncture and Neurology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

School of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Trials. 2017 Dec 22;18(1):616. doi: 10.1186/s13063-017-2383-8.

Abstract

BACKGROUND

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition affecting men of all ages. Acupuncture may be an effective treatment option for CP/CPPS, but evidence is limited. We propose to evaluate the effectiveness of acupuncture in a rigorously conducted trial.

METHODS

Ten hospitals will recruit 440 participants with CP/CPPS in China from October 2017 to December 2019. Participants will be randomly allocated to acupuncture or sham acupuncture with a 1:1 ratio using computerized simple random sampling. The whole study consists of 2-week baseline, 8-week treatment, and 24-week follow up. Twenty 30-mintute sessions of acupuncture or sham acupuncture treatment will be provided between week 1 and 8. The two co-primary outcomes are the proportion of responders at week 8 and week 32. Secondary outcomes include proportion of responders in the two groups at different time points; change in the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) total score; change in the NIH-CPSI subscales; change in the International Prostate Symptom Score; change in the Hospital Anxiety and Depression Scale; expectation assessments; proportions of participants in each response category of the Global Response Assessment; change in the International Index of Erectile Function 5; change in the five-level EuroQol five-dimensional questionnaire and a visual analogue scale; and changes in peak and average urinary flow rate.

DISCUSSION

This study will provide robust evidence on whether acupuncture is effective for relieving symptoms of CP/CPPS.

TRIALS REGISTRATION

ClinicalTrials.gov, NCT03213938. Registered on 5 July 2017.

摘要

背景

慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)是一种影响各年龄段男性的常见病症。针灸可能是治疗CP/CPPS的一种有效选择,但证据有限。我们提议在一项严格实施的试验中评估针灸的有效性。

方法

从2017年10月至2019年12月,中国的十家医院将招募440名CP/CPPS患者。采用计算机化简单随机抽样,将参与者以1:1的比例随机分配到针灸组或假针灸组。整个研究包括2周的基线期、8周的治疗期和24周的随访期。在第1周和第8周之间将提供20次每次30分钟的针灸或假针灸治疗。两个共同主要结局是第8周和第32周时反应者的比例。次要结局包括两组在不同时间点反应者的比例;美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)总分的变化;NIH-CPSI各子量表的变化;国际前列腺症状评分的变化;医院焦虑抑郁量表的变化;期望评估;全球反应评估各反应类别中参与者的比例;国际勃起功能指数5的变化;五级欧洲五维健康量表和视觉模拟量表的变化;以及最大尿流率和平均尿流率的变化。

讨论

本研究将为针灸是否有效缓解CP/CPPS症状提供有力证据。

试验注册

ClinicalTrials.gov,NCT03213938。于2017年7月5日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6f/5741861/99f63e1e3da3/13063_2017_2383_Fig1_HTML.jpg

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