电生理技术治疗慢性前列腺炎的临床疗效观察  

Electrophysiological technique for treatment of chronic prostatiti:Curative effect observation

作　　者：王松 胡建新[2] 汪珊 彭超 蔡季 丁敏 WANG Song;HU Jian-xin;WANG Shan;PENG Chao;CAI Ji;DING Min(Department of Urology and Andrology,Guizhou Medical University Affiliated Hospital Zhijin Hospital,Zhijin,Guizhou 552100,China;Department of Urology,Guizhou Provincial People's Hospital,Guiyang,Guizhou 550000,China)

机构地区：[1]贵州医科大学附属医院织金医院泌尿男科,贵州织金552100 [2]贵州省人民医院泌尿外科,贵州贵阳550000

出　　处：《中华男科学杂志》2024年第7期611-615,共5页National Journal of Andrology

基　　金：国家卫生健康委员会医药卫生科技发展研究中心项目(HDSL202001028)。

摘　　要：目的:观察电生理技术治疗慢性前列腺炎的临床效果。方法:选取2022年1月至2023年4月就诊于我院和贵州省人民医院(合作治疗组)符合纳入标准的40例慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)患者,随机分为对照组(n=20)和治疗组(n=20),治疗组采用低频神经肌肉电刺激联合药物治疗,对照组采取单纯药物治疗,对比分析治疗前后患者前列腺炎症症状评分(NIH-CPSI)、国际前列腺症状评分(IPSS)改善情况。结果:共完成并随访37例患者(治疗组退出1例,因对电极片过敏;对照组有2例丢失随访),两组患者基线资料比较,无显著差异(P>0.05);两组患者治疗前后NIH-CPSI评分和IPSS评分比较,差异具有统计学意义(P<0.05);比较两组患者治疗后IPSS评分,治疗组降低(15.84±0.92)分,对照组(7.17±0.40)分,两组比较,差异具有统计学意义(t=4.792,P<0.05);比较两组患者治疗后NIH-CPSI评分,治疗组平均降低(17.47±0.92)分,对照组(10.56±0.49)分,两组比较,差异具有统计学意义(t=6.654,P<0.05)。结论:电生理联合药物治疗效果明显优于单纯药物治疗,电生理治疗慢性前列腺炎临床疗效确切,值得推广应用。Objective:To observe the clinical effect of electrophysiological technique in treating chronic prostatitis.Methods:Choose 40 patients of chronic prostatitis/chronic pelvic pain syndrome(chronicprostatis/chronicpelvicpainsyndrome,CP/CPPS)in People's Hospital in Zhijin and People's hospital in Guizhou Province from January 2022 to April 2023,The patients were randomly divided into control group(n=20)and treatment group(n=20).The treatment group received low-frequency neuromuscular electrical stimulation combined with drug therapy,while the control group received drug therapy alone.The improvement of prostatitis symptom score(NIH-CPSI)and International Prostatitis Symptom score(IPSS)before and after treatment was compared and analyzed.Results:A total of 37 patients were followed up(1 patient in the treatment group withdrew due to hypersensitivity to the electrode;2 patients in the control group were lost to follow-up.)There was no significant difference in baseline data between the two groups(P>0.05).The NIH-CPSI score and IPSS score before and after treatment were compared between the two groups,and the difference was statistically significant(P<0.05).The IPSS score of the two groups after treatment was compared,the average reduction of the treatment group was 15.84±0.92 points,and that of the control group was 7.17±0.40 points,and the difference was statistically significant(t=4.792,P<0.05).The NIH-CPSI score of the two groups after treatment was compared,and the average reduction was 17.47±0.92 points in the treatment group and 10.56±0.49 points in the control group.The difference between the two groups was statistically significant(t=6.654,P<0.05).Conclusion:The effect of electrophysiological combined drug therapy is obviously better than that of simple drug therapy.Electrophysiological therapy for chronic prostatitis has definite clinical effect and is worth promoting and applying.

关 键 词：慢性前列腺炎/慢性盆腔疼痛综合征 电生理 慢性前列腺症状评分 国际前列腺症状评分 

分 类 号：R697.33[医药卫生—泌尿科学]