生物反馈电刺激和低能量体外冲击波在慢性前列腺炎/慢性盆腔疼痛综合征患者中的疗效观察  

Comparative efficacy study of biofeedback electrical stimulation and low-intensity extracorporeal shockwave in the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome

作　　者：徐柳汀 张斌 苗鹏程 康印东 吴悠悠 常德辉 Xu Liuting;Zhang Bin;Miao Pengcheng;Kang Yindong;Wu Youyou;Chang Dehui(Department of Urology,The 94Oth Hospital of Joint Logistics Support Force of Chinese People's Liberation Army,Lanzhou730050,Gansu,China;Department of Endocrinology,The 94oth Hospital of Joint Logistics Support Force of Chinese People's Liberation Army,Lanzhou730050,Gansu,China)

机构地区：[1]中国人民解放军联勤保障部队第九四〇医院泌尿外科全军泌尿外科中心,甘肃兰州730050 [2]中国人民解放军联勤保障部队第九四〇医院内分泌科,甘肃兰州730050

出　　处：《中国男科学杂志》2024年第3期54-60,共7页Chinese Journal of Andrology

基　　金：军队保健专项科研课题(21BJZ43);军队计生专项科研课题(21JSZ13);940医院院内专项培育项目(2021yxky017);甘肃省自然科学基金(22JR5RA001)。

摘　　要：目的对比BF/ES和Li-ESWT在治疗CP/CPPS中的有效性。方法选择2023年1月至2023年10月在本院门诊就诊的50例CP/CPPS患者,随机分为对照组(17)、实验组A(17)、实验组B(16),对照组基于UPOINTS系统指导治疗,实验组A联合BF/ES,实验组B联合Li-ESWT,比较各组治疗前后NIH-CPSI、IPSS、Qmax、VAS,IIEF-5、C-ISFPE、EPS-WBC,评价疗效差异。结果治疗前三组临床资料无统计学差异。治疗后三组在所有指标上均较治疗前有改善,具有统计学差异;与对照组相比,实验组A对U/T/O型患者症状改善更显著,实验组B对U/S型患者治疗效果更好,具有统计学差异。结论基于UPOINTS系统指导个体化治疗,联合BF/ES和Li-ESWT在CP/CPPS治疗中都具有一定的疗效。BF/ES可改善T/O型患者的盆底肌肉功能,减轻症状。Li-ESWT可改善S型患者性功能,BF/ES和Li-ESWT均可改善U型患者排尿症状。Objective To compare the effectiveness of biofeedback electrical stimulation(BF/ES)and low-intensity extracorporeal shockwave therapy(Li-ESWT)in the treatment of chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS).Methods Fifty CP/CPPS outpatients from January 2023 to October 2023 were selected and randomly divided into the control group(17 patients),experimental group A(17 patients),and experimental group B(16 patients).The control group was treated based on the UPOINTS system guidance,the experimental group A was combined BF/ES,and the experimental group B was combined with Li-ESWT.To compare NIH chronic prostatitis symptom index(NIH-CPSI),international prostate symptom score(IPSS),and maximum urinary flow rate(Qmax),visual analogue scale(VAS),the international index of erectile function-5(IIEF-5),the Chinese index of sexual function for premature ejaculation(C-ISFPE),and expressed prostatic secretions leukocyte(EPS-WBC)before and after treatment in each group,and to evaluate the difference in clinical efficacy among the three groups.Results There was no statistical difference in the clinical data of the three groups before treatment.After treatment,all three groups showed improvement in all indicators compared with the pre-treatment period,which was statistically different;compared with the control group,experimental group A showed improvement in the treatment of U/T/O phenotypic domains and the experimental group B showed improvement in the treatment of U/S phenotypic domains with statistically significant difference.Conclusion Individualized treatment guided by the UPOINTS system,combined with BF/ES and Li-ESWT are both effective in CP/CPPS treatment.BF/ES improves pelvic floor muscle function and reduces symptoms in patients with T/O phenotypic domains.Li-ESWT improves sexual function in patients with S phenotypic domain.Both BF/ES and Li-ESWT improve urinary symptoms in patients with U phenotypic domain.

关 键 词：慢性前列腺炎 慢性盆腔疼痛综合征 UPOINTS临床表现分型系统 生物电反馈 体外冲击波疗法 疗效对比研究 

分 类 号：R697.33[医药卫生—泌尿科学] R454.1[医药卫生—外科学]