Pan Zhi-Qiang, Chen Ming, Jia Yun-Peng
Department of Urinary Surgery, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China.
Zhen Ci Yan Jiu. 2022 Apr 25;47(4):343-8. doi: 10.13702/j.1000-0607.20210278.
To observe the clinical curative effect of wentongzhenfa (warming and promoting technique of acupuncture) combined with extracorporeal shock wave in treatment of type Ⅲ prostatitis.
A total of 96 patients with type Ⅲ prostatitis were randomly divided into an observation group (48 cases) and a control group (48 cases). In the control group, the extracorporeal shock wave was combined with even-needling technique of acupuncture at Guanyuan (CV4), Mingmen (GV4), Zhongji (CV3), Zusanli (ST36), etc. In the observation group, the extracorporeal shock wave was combined with "warming and promoting technique" of acupuncture at the same acupoints as the control group. The treatment lasted 30 min each time, once daily in either group. There were 2 days of interval after consecutive treatment for 5 days. Totally, the duration of treatment was 1 month in two groups. The clinical curative effect was assessed after treatment. Before and after treatment, the changes in the concentrations of tumor nerosis factor-α (TNF-α), interleukin-1β(IL-1β) and IL-6 in prostatic fluid were determined; and the symptoms were scored, i.e. frequent, urgent and burning painful urine, difficulty in urination, dribbling urine, distending pain in perineum, bitter taste and dry mouth, and scrotal dampness. The changes in the scores of National Institute of Health chronic prostatitis symptom index (NIH-CPSI), international index of erectile function (IIEF), visual analogue scale (VAS) were evaluated befroe and after treatment. Successively, before treatment, after treatment, as well as 1 and 3 months after treatment, the quality of life was evaluated by Karnofsky in the patients of two groups.
After treatment, the total effective rate was 89.6% (43/48) in the observation group, higher than 70.8% (34/48) in the control group (<0.05). Compared with those before treatment, the concentrations of TNF-α and IL-1β in the prostatic fluid were all decreased (<0.05) and the concentration of IL-6 was increased (<0.05), the scores of symptoms, NIH-CPSI, IIEF and VAS were all reduced (<0.05) in two groups. The changes of the above indexes were more obvious in the observation group than those in the control group (<0.05). After treatment and 1 and 3 months after treatment, Karnofsky scores all increased (<0.05) in two groups，and the increases were more significant in the observation group (<0.05).
"Warming and promoting technique" of acupuncture combined with extracorporeal shock wave promotes the elimination of local inflammatory factors, relieves clinical symptoms, improves the quality of life, as well as has a satisfactory short-term and medium-term curative effect on type Ⅲ prostatitis.
观察温通针法联合体外冲击波治疗Ⅲ型前列腺炎的临床疗效。
将96例Ⅲ型前列腺炎患者随机分为观察组（48例）和对照组（48例）。对照组采用体外冲击波联合针刺关元（CV4）、命门（GV4）、中极（CV3）、足三里（ST36）等穴位的平补平泻针法。观察组采用体外冲击波联合与对照组相同穴位的针刺“温通针法”。每次治疗持续30分钟，两组均每日1次。连续治疗5天后间隔2天。两组治疗疗程均为1个月。治疗后评估临床疗效。治疗前后测定前列腺液中肿瘤坏死因子-α（TNF-α）、白细胞介素-1β（IL-1β）和IL-6浓度的变化；对尿频、尿急、尿痛、排尿困难、尿滴沥、会阴部胀痛、口苦咽干、阴囊潮湿等症状进行评分。评估治疗前后美国国立卫生研究院慢性前列腺炎症状指数（NIH-CPSI）、国际勃起功能指数（IIEF）、视觉模拟评分（VAS）评分的变化。随后，在治疗前、治疗后以及治疗后1个月和3个月，采用卡氏评分法评估两组患者的生活质量。
治疗后，观察组总有效率为89.6%（43/48），高于对照组的70.8%（34/48）（P<0.05）。与治疗前相比，两组前列腺液中TNF-α和IL-1β浓度均降低（P<0.05），IL-6浓度升高（P<0.05），症状评分、NIH-CPSI、IIEF和VAS评分均降低（P<0.05）。观察组上述指标的变化较对照组更明显（P<0.05）。治疗后及治疗后1个月和3个月，两组卡氏评分均升高（P<0.05），且观察组升高更显著（P<0.05）。
针刺“温通针法”联合体外冲击波可促进局部炎症因子的消除，缓解临床症状，提高生活质量，对Ⅲ型前列腺炎具有满意的近期和中期疗效。
