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宁泌泰胶囊治疗慢性前列腺炎/慢性盆腔疼痛综合征患者的疗效与安全性:一项多中心、随机、双盲、安慰剂对照试验

Efficacy and Safety of Ningmitai Capsule in Patients With Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A Multicenter, Randomized, Double-blind, Placebo-controlled Trial.

作者信息

Zhang Kai, Liu Yuexin, Yang Wenbo, Wang Jiaji, Yang Jianlin, Zhang Guangyin, Bai Wenjun, Chen Shan

机构信息

Department of Urology, Peking University First Hospital, Beijing, China.

Department of Urology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

出版信息

Urology. 2021 Jul;153:264-269. doi: 10.1016/j.urology.2021.01.018. Epub 2021 Jan 20.

Abstract

OBJECTIVE

To validate the efficacy and safety of Ningmitai capsule (NMT) in the patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).

METHODS

We conducted a multicenter, randomized, double-blind, placebo-controlled trial in 120 men with CP/CPPS to evaluate the efficacy and safety of NMT. Participants were randomly assigned (1:1) to NMT or placebo treatment for 4 weeks at 3 centres. The patients were evaluated by the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) at baseline, the end of 2 and 4 weeks of treatment. The primary endpoints were the changes of the NIH-CPSI pain scores from baseline to the end of 2 and 4 weeks of the treatment. The secondary endpoints include the changes of the NIH-CPSI total scores, urinary symptoms scores and the quality of life (QoL) as well as the responder rate.

RESULTS

After 2 and 4 weeks of treatment, the mean decreases of the NIH-CPSI pain scores, total scores and QoL in the NMT group were all significantly superior to those in the placebo group. The responder rate was significantly higher in the NMT group than that in the placebo group at both 2 and 4 weeks. No adverse events were reported during the treatment.

CONCLUSION

NMT could significantly improve the pain symptoms and QoL in the patients with CP/CPPS as early as in 2 weeks, and the efficacy enhanced at the end of the 4-week treatment. The safety of NMT was confirmed in this trial.

摘要

目的

验证宁泌泰胶囊(NMT)治疗慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)患者的有效性和安全性。

方法

我们在120例CP/CPPS男性患者中开展了一项多中心、随机、双盲、安慰剂对照试验,以评估NMT的有效性和安全性。参与者在3个中心被随机(1:1)分配接受NMT或安慰剂治疗4周。在基线、治疗2周和4周结束时,通过美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)对患者进行评估。主要终点是从基线到治疗2周和4周结束时NIH-CPSI疼痛评分的变化。次要终点包括NIH-CPSI总分、尿路症状评分和生活质量(QoL)的变化以及缓解率。

结果

治疗2周和4周后,NMT组NIH-CPSI疼痛评分、总分和QoL的平均下降均显著优于安慰剂组。在2周和4周时,NMT组的缓解率均显著高于安慰剂组。治疗期间未报告不良事件。

结论

NMT可在2周内显著改善CP/CPPS患者疼痛症状和QoL,且在4周治疗结束时疗效增强。本试验证实了NMT的安全性。

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