Wu Jun, Hu Xiang-Nong, Yang Jian-Jun
Department of Urology, Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210018, China.
Department of Urology, Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu 210018, China.
Zhonghua Nan Ke Xue. 2020 Nov;26(11):996-999.
To investigate the effect of biofeedback and electrical stimulation combined with prostate massage on chronic prostatitis /chronic pelvic pain syndrome (CP/CPPS).
A total of 76 cases of diagnosed CP/CPPS were randomly divided into groups A (n = 20), treated by prostatic massage twice a week, B (n = 20), treated by biofeedback and electrical stimulation 5 times a week, and C (n = 20) treated by biofeedback and electrical stimulation 5 times a week combined with prostatic massage twice a week, all for 14 days. Another 16 cases were included in group D as controls left untreated. NIH-CPSI scores were obtained before and at 30 days after treatment and compared among different groups of the patients.
Compared with the baseline, the patients in groups A, B and C showed significant decreases after treatment in the NIH-CPSI scores for pain (［13.55 ± 2.37］ vs ［10.85 ± 2.28］, ［13.40 ± 2.28］ vs ［10.60 ± 2.23］, and ［13.70 ± 3.42］ vs ［8.65 ± 1.69］), urinary symptoms (［5.50 ± 1.43］ vs ［3.65 ± 1.27］, ［5.65 ± 1.31］ vs ［3.95 ± 1.28］, and ［5.40 ± 1.35］ vs ［2.95 ± 1.28］), quality of life (［8.70 ± 1.81］ vs ［6.90 ± 1.71］, ［8.90 ± 1.12］ vs ［5.80 ± 1.85］, and ［8.95 ± 1.47］ vs ［4.35 ± 1.53］) and the total NIH-CPSI scores (［27.75 ± 2.65］ vs ［21.40 ± 3.03］, ［27.95 ± 3.24］ vs ［20.35 ± 3.95］, and ［28.05 ± 3.78］ vs ［15.95 ± 2.41］) (P < 0.05). Even more remarkable reduction was observed in the total NIH-CPSI scores in group C than in A and B (P < 0.05), but with no statistically significant difference between groups A and B (P > 0.05) or in the control group before and after the treatment (P > 0.05).
Biofeedback and electrical stimulation combined with prostate massage has a synergistic effect on CP/CPPS by alleviating pain and urinary symptoms and improving the quality of life.
探讨生物反馈及电刺激联合前列腺按摩治疗慢性前列腺炎/慢性盆腔疼痛综合征（CP/CPPS）的效果。
将76例确诊为CP/CPPS的患者随机分为A组（n = 20），每周进行2次前列腺按摩；B组（n = 20），每周进行5次生物反馈及电刺激治疗；C组（n = 20），每周进行5次生物反馈及电刺激治疗并联合每周2次前列腺按摩，疗程均为14天。另选取16例患者作为D组为未治疗的对照组。在治疗前及治疗30天后获取患者的美国国立卫生研究院慢性前列腺炎症状指数（NIH-CPSI）评分，并在不同组患者间进行比较。
与基线相比，A、B、C组患者治疗后NIH-CPSI评分中的疼痛评分（［13.55±2.37］对［10.85±2.28］、［13.40±2.28］对［10.60±2.23］、［13.70±3.42］对［8.65±1.69］）、排尿症状评分（［5.50±1.43］对［3.65±1.27］、［5.65±1.31］对［3.95±1.28］、［5.40±1.35］对［2.95±1.28］）、生活质量评分（［8.70±1.81］对［6.90±1.71］、［8.90±1.12］对［5.80±1.85］、［8.95±1.47］对［4.35±1.53］）及NIH-CPSI总分（［27.75±2.65］对［21.40±3.03］、［27.95±3.24］对［20.35±3.95］、［28.05±3.78］对［15.95±2.41］）均显著降低（P < 0.05）。C组NIH-CPSI总分的降低幅度比A组和B组更显著（P < 0.05），但A组和B组之间差异无统计学意义（P > 0.05），对照组治疗前后差异也无统计学意义（P > 0.05）。
生物反馈及电刺激联合前列腺按摩通过减轻疼痛、改善排尿症状及提高生活质量对CP/CPPS具有协同治疗作用。
