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针刺治疗慢性前列腺炎的临床疗效评价:Meta分析

Evaluation of Clinical Effect of Acupuncture on Chronic Prostatitis: Meta Analysis.

作者信息

Fang Wen, Wang Shi, Dong Jin-Kai, Zhang Jing-Yun, Li Xue-Chao, Fu Cheng-Wei, Liu Qing-Guo

机构信息

School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.

Department of Traditional Chinese Medical, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.

出版信息

Am J Mens Health. 2025 Jan-Feb;19(1):15579883241290035. doi: 10.1177/15579883241290035.

Abstract

This study aims to evaluate the clinical efficacy of acupuncture and moxibustion in CP treatment and assess the quality of clinical literature. Controlled clinical trials (CCT) and randomized controlled trials (RCTs) from PubMed, Web of Science, NLM, CNKI, and Wanfang (January 2003 to January 2023) were analyzed. Relevant data were extracted and statistically analyzed using RevMan 5.1 software. Twenty high-quality papers (JADAD≥3) involving 1,661 patients were included. Meta-analysis showed a significant difference in the overall response rate between the test and control groups in CP treatment (odds ratio [OR] = 4.08 [95% CI = 3.13, 5.33],  < .001). The National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) posttreatment comparison showed significantly better symptom improvement in the acupuncture and moxibustion group (mean difference [MD] = -4.87 [95% CI = -6.145, -3.59]). Acupuncture and moxibustion significantly improve response rates and symptom scores in CP treatment compared with control treatments (drugs, sham acupuncture). This suggests that acupuncture and moxibustion are effective for CP and worth promoting, though further exploration of their mechanisms is needed.

摘要

本研究旨在评估针灸治疗慢性前列腺炎(CP)的临床疗效,并评价临床文献质量。分析了来自PubMed、Web of Science、美国国立医学图书馆(NLM)、中国知网(CNKI)和万方数据库(2003年1月至2023年1月)的对照临床试验(CCT)和随机对照试验(RCT)。提取相关数据并使用RevMan 5.1软件进行统计分析。纳入了20篇高质量论文(JADAD评分≥3),涉及1661例患者。Meta分析显示,在CP治疗中,试验组和对照组的总有效率存在显著差异(优势比[OR]=4.08[95%置信区间(CI)=3.13,5.33],P<0.001)。治疗后美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)比较显示,针灸组的症状改善明显更好(平均差值[MD]=-4.87[95%CI=-6.145,-3.59])。与对照治疗(药物、假针灸)相比,针灸在CP治疗中显著提高了有效率和症状评分。这表明针灸对CP有效且值得推广,不过仍需进一步探索其作用机制。

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