Sun Xiaoyong, Lin Tangtang, Fang Jinying, Liu Jinming, Yao Wenliang, Geng Liguo, Zhang Jinfeng
Department of Chinese Medicine, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi 341000, China.
Department of Andrology, Nanchang Reproductive Hospital, Nanchang, Jiangxi 330000, China.
Evid Based Complement Alternat Med. 2022 Sep 28;2022:7150204. doi: 10.1155/2022/7150204. eCollection 2022.
To analyse the clinical efficacy of biofeedback electrical stimulation combined with doxycycline in the treatment of type IIIA chronic prostatitis.
Eighty patients who met the diagnostic criteria of type IIIA chronic prostatitis in our hospital between February 2020 and February 2022 were selected and equally divided into the drug group and electrical stimulation group according to the random number table method. The drug group was treated with medication alone for 4 weeks; the electrostimulation group was treated with biofeedback electrostimulation on top of medication for 12 weeks. The expressed prostatic secretious (EPS) routine (lecithin bodies, white blood cells) and the maximum urinary flow rate ( ) and mean urinary flow rate ( ) were measured before and after treatment in both groups, and the National Institutes of Health chronic prostatitis symptom index (NIH-CPSI) was used to score the urinary symptom, pain or discomfort, and quality of life and determine the efficacy of the treatment in both groups.
After treatment, the number of lecithin bodies and white blood cells in EPS improved significantly in both groups compared to before, and both the electrical stimulation group was better than the drug group ( < 0.05). After treatment, the and were significantly higher in both groups than before, and both the electrical stimulation groups were higher than the drug group ( < 0.05). After treatment, the urinary symptom scores, pain or discomfort scores, quality of life scores, and total NIH-CPSI scores were significantly lower in both groups than before, and all were lower in the electrical stimulation group than in the drug group ( < 0.05). After treatment, the overall efficiency of patients in the electrical stimulation group was significantly higher than that of the drug group ( < 0.05).
Biofeedback electrical stimulation combined with doxycycline in the treatment of type IIIA chronic prostatitis can synergistically improve the patient's inflammation level, urinary dysfunction, relieve pelvic floor tension myalgia, and improve their quality of life, opening up new avenues for the rehabilitation of patients with type IIIA chronic prostatitis.
分析生物反馈电刺激联合多西环素治疗ⅢA型慢性前列腺炎的临床疗效。
选取2020年2月至2022年2月在我院符合ⅢA型慢性前列腺炎诊断标准的80例患者,根据随机数字表法将其均分为药物组和电刺激组。药物组单纯药物治疗4周;电刺激组在药物治疗基础上联合生物反馈电刺激治疗12周。两组治疗前后均检测前列腺液(EPS)常规指标(卵磷脂小体、白细胞)、最大尿流率( )及平均尿流率( ),并采用美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)对患者的排尿症状、疼痛或不适、生活质量进行评分,以判定两组的治疗效果。
治疗后,两组EPS中卵磷脂小体数量及白细胞数量较治疗前均显著改善,且电刺激组均优于药物组( <0.05)。治疗后,两组 和 均显著高于治疗前,且电刺激组均高于药物组( <0.05)。治疗后,两组排尿症状评分、疼痛或不适评分、生活质量评分及NIH-CPSI总分均显著低于治疗前,且电刺激组均低于药物组( <0.05)。治疗后,电刺激组患者的总有效率显著高于药物组( <0.05)。
生物反馈电刺激联合多西环素治疗ⅢA型慢性前列腺炎可协同改善患者的炎症水平、排尿功能障碍,缓解盆底紧张性肌痛,提高生活质量,为ⅢA型慢性前列腺炎患者的康复开辟了新途径。