针灸联合体外低能量冲击波治疗慢性前列腺炎/慢性盆腔疼痛综合征的临床研究  

Clinical study of acupuncture-moxibustion combined with low-intensity extracorporeal shockwave therapy in treating chronic prostatitis/chronic pelvic pain syndromes

作　　者：徐柳汀 张斌 苗鹏程 吴悠悠 常德辉 XU Liuting;ZHANG Bin;MIAO Pengcheng;WU Youyou;CHANG Dehui(The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army,Lanzhou 730050,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,兰州730050

出　　处：《上海针灸杂志》2025年第2期153-157,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：军队保健专项科研课题(21BJZ43);甘肃省自然科学基金(22JR5RA001)。

摘　　要：目的观察针灸联合体外低能量冲击波治疗(low-intensity extracorporeal shockwave therapy,Li-ESWT)对慢性前列腺炎/慢性盆腔疼痛综合征(chronic prostatitis/chronic pelvic pain syndromes,CP/CPPS)患者的临床疗效。方法选取80例CP/CPPS患者,采用随机数字表法分为对照组和观察组,每组40例。对照组仅接受Li-ESWT治疗,观察组在对照组Li-ESWT治疗基础上联合针灸治疗。比较两组治疗前后美国国立卫生研究院慢性前列腺炎症状指数(National Institutes of Health chronic prostatitis symptom index,NIH-CPSI)、尿动力学指标[平均尿流率(average flow rate,Qave)和最大尿流率(maximum flow rate,Qmax)]和疼痛视觉模拟量表(visual analog scale,VAS)评分的变化。比较两组临床疗效和不良反应发生率。结果治疗后,两组NIH-CPSI和VAS评分均降低(P<0.05),且观察组均低于对照组(P<0.05)。治疗后,两组Qave和Qmax均升高(P<0.05),且观察组均高于对照组(P<0.05)。观察组总有效率为97.5%,显著高于对照组的80.0%(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论针灸联合Li-ESWT治疗能更有效地改善CP/CPPS患者的临床症状,提高尿动力学指标,疗效优于单一Li-ESWT治疗,且安全性较好。Objective To observe the clinical efficacy of acupuncture-moxibustion combined with low-intensity extracorporeal shockwave therapy(Li-ESWT)in treating patients with chronic prostatitis/chronic pelvic pain syndromes(CP/CPPS).Method Eighty participants with CP/CPPS were divided into a control group and an observation group using the random number table method,each consisting of 40 cases.The control group only received Li-ESWT,and the observation group was treated with Li-ESWT plus acupuncture-moxibustion.Before and after the treatment,the two groups were compared in terms of the National Institutes of Health chronic prostatitis symptom index(NIH-CPSI),urodynamic parameters[average flow rate(Qave)and maximum flow rate(Qmax)],and visual analog scale(VAS)score.The clinical efficacy and adverse reactions were also compared between the two groups.Result After the treatment,the NIH-CPSI and VAS scores dropped in both groups(P<0.05)and were lower in the observation group than in the control group(P<0.05).After the intervention,the Qave and Qmax increased in the two groups(P<0.05)and were higher in the observation group than in the control group(P<0.05).The total effective rate was 97.5% in the observation group,significantly higher than 80.0% in the control group(P<0.05).There was no significant difference in the adverse reaction rate between the two groups(P>0.05).Conclusion Compared to using Li-ESWT alone,acupuncture-moxibustion plus Li-ESWT can more effectively improve clinical symptoms and urodynamic parameters in treating CP/CPPS patients,producing more significant efficacy with a satisfactory safety rating.

关 键 词：针灸疗法 冲击波 慢性前列腺炎/慢性盆腔疼痛综合征 疼痛 尿频 尿急 

分 类 号：R246.2[医药卫生—针灸推拿学]