生物反馈联合电针治疗ⅢB型慢性前列腺炎的临床疗效观察  

Clinical Effect of Biofeedback Combined with Electroacupuncture on Type Ⅲ B Chronic Prostatitis

作　　者：张苡鸣 倪钊[1] 李强[1] 董洪超[1] 欧阳松[1] 王勤章[1] ZHANG Yi-ming;NI Zhao;LI Qiang(Department of Urology,the First Affiliated Hospital of Medical College of Shihezi University,Shihezi 832000,China)

机构地区：[1]石河子大学医学院第一附属医院泌尿外科,新疆石河子832000

出　　处：《吉林医学》2023年第3期636-639,共4页Jilin Medical Journal

基　　金：省级社会发展领域临床应用研究项目[项目编号:2018AB023];省级重点领域科技攻关计划[项目编号:2021AB032]。

摘　　要：目的:探讨盆底生物反馈联合电针与盆底生物反馈治疗慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)的疗效。方法:收集2021年9月~2022年1月石河子大学医学院第一附属医院泌尿外科门诊诊断为CP/CPPS符合纳入标准患者69例,随机将其分为三组:联合组(生物反馈联合电针治疗,同时常规药物治疗)、单纯组(生物反馈治疗,同时常规药物治疗)、对照组(常规药物治疗)各23例,联合组治疗频率为3次/周的生物反馈联合电针治疗,同时睡前1粒盐酸坦索罗辛联合尼美舒利;单纯组治疗频率为每周三次的生物反馈治疗,同时睡前1粒盐酸坦索罗辛联合尼美舒利;对照组每天睡前一粒盐酸坦索罗辛联合尼美舒利。治疗周期2个月,于每月末随诊,治疗前后随诊进行慢性前列腺症状指数评分(NIH-CPSI)、生活质量(QoL)评分、国际前列腺症状评分(IPSS)、汉密尔顿抑郁量表(HAMD)评分。结果:三组治疗后NIH-CPSI总评分、IPSS评分、QoL评分、HAMD评分较治疗前均有降低(P<0.05),生物反馈治疗与生物反馈联合电针治疗均能明显降低CP/CPPS患者的NIH-CPSI总分;生物反馈联合电针治疗能明显降低IPSS评分;治疗1个月后生物反馈联合电针治疗能明显降低患者QoL评分,治疗2个月后生物反馈联合电针治疗与生物反馈治疗均能明显降低患者QoL评分;生物反馈联合电针治疗能明显降低患者HAMD评分。结论:生物反馈联合电针治疗对慢性前列腺炎患者症状的缓解作用明显,改善患者生活质量。Objective To explore the efficacy of pelvic floor biofeedback combined with electroacupuncture and pelvic floor biofeedback in the treatment of chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS).Method From September 2021 to January 2022, 69 patients with CP/CPPS who were diagnosed as meeting the inclusion criteria in the outpatient department of Urology of the First Affiliated Hospital of Shihezi University Medical College were randomly divided into three groups: the combined group 23 cases(biofeedback combined with electroacupuncture and routine drug treatment), the simple group 23 cases(biofeedback treatment and routine drug treatment), and the control group 23 cases(routine drug treatment),the treatment frequency of the combined group was biofeedback combined with electroacupuncture three times a week, and at the same time, a capsule of tamsulosin hydrochloride + nimesulide before going to bed;In the simple group, the treatment frequency was biofeedback treatment three times a week, and at the same time, a capsule of tamsulosin hydrochloride + nimesulide before going to bed;The control group took one capsule of tamsulosin hydrochloride + nimesulide before going to bed every day. The treatment period was 2 months, and the patients were followed up at the end of each month. NIH-CPSI score, QOL score, IPSS score and Hamilton Depression Scale(HAMD) score were performed before and after treatment. Results The total NIH-CPSI score, IPSS score, QOL score and Hamilton Depression Scale score of the three groups after treatment were lower than those before treatment(P<0.05). Biofeedback treatment and biofeedback combined with electroacupuncture can significantly reduce the total NIH-CPSI score of CP/CPPS patients;Biofeedback combined with electroacupuncture can significantly reduce IPSS score;One month after treatment, biofeedback combined with electroacupuncture can significantly reduce the QOL score of patients, and two months after treatment, biofeedback combined with electroacupuncture and biofeedback can si

关 键 词：生物反馈 电刺激 电针治疗 慢性前列腺炎/慢性骨盆疼痛综合征 

分 类 号：R697.33[医药卫生—泌尿科学]