腹针联合常规药物治疗湿热瘀滞型ⅢA型前列腺炎的疗效观察  

Observation on the efficacy of abdominal acupuncture plus conventional medication for typeⅢA prostatitis of damp heat stasis type

作　　者：刘利红 高瞻[1] 息金波 丁家森 张泽家 王雄[1] 张晨 LIU Lihong;GAO Zhan;XI Jinbo;DING Jiasen;ZHANG Zejia;WANG Xiong;ZHANG Chen(Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]北京中医药大学第三附属医院,北京100029

出　　处：《上海针灸杂志》2025年第2期158-163,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：中国中医科学院科技创新工程重大攻关项目(CI2021A02205)。

摘　　要：目的观察腹针联合常规药物治疗湿热瘀滞型ⅢA型前列腺炎的临床疗效。方法纳入72例湿热瘀滞型ⅢA型前列腺炎患者,采用随机数字表法按1:1分为对照组和治疗组,每组36例;治疗中两组均脱落3例,最终完成有效病例为66例,每组33例。对照组予盐酸克林霉素棕榈酸酯分散片联合宁泌泰胶囊治疗,治疗组在对照组常规药物治疗基础上联合腹针治疗。观察两组治疗前后美国国立卫生院-慢性前列腺炎症状指数(National Institutes of Health-chronic prostatitis symptom index,NIH-CPSI)、中医证候积分及前列腺液中白细胞计数的变化。比较两组临床疗效及不良反应发生情况。结果治疗组总有效率为93.9%,显著高于对照组的72.7%(P<0.05)。治疗后,两组NIH-CPSI症状评分中排尿症状、疼痛不适以及生活质量各单项评分和总分以及中医证候积分均较同组治疗前降低(P<0.05),且治疗组上述评分均低于对照组(P<0.05)。治疗后,两组前列腺液中白细胞计数均减少(P<0.05),且治疗组低于对照组(P<0.05)。两组不良反应发生情况比较,差异无统计学意义(P>0.05)。结论在常规药物治疗基础上,腹针可进一步减轻湿热瘀滞型ⅢA型前列腺炎的临床症状,降低前列腺液白细胞计数,提高临床疗效。Objective To observe the clinical efficacy of abdominal acupuncture plus conventional medication for type ⅢA prostatitis of damp heat stasis type.Method Seventy-two patients suffering from type ⅢA prostatitis of damp heat stasis type were allocated,using a random number table,at a ratio of 1:1 to a control group and a treatment group,with 36 cases in each group.Three cases dropped out in each group during treatment.Finally,66 cases(33 in each group)completed treatment.The control group was treated with Clindamycin palmitate hydrochloride dispersed tablets plus Ning Mi Tai capsules and the treatment group received by abdominal acupuncture in addition.The National Institutes of Health-chronic prostatitis symptom index(NIH-CPSI)score,the TCM syndrome score and the count of white blood cells in prostatic fluid were observed in the two groups before and after treatment.The clinical therapeutic effects and the incidences of adverse reactions were compared between the two groups.Result The total efficacy rate was 93.9% in the treatment group,which was significantly higher than 72.7% in the control group(P<0.05).After treatment,the subscores of NIH-CPSI such as voiding symptom,pain and discomfort and quality of life and the total score of NIH-CPSI,and the TCM syndrome score decreased in the two groups compared with before(P<0.05),and were lower in the treatment group than in the control group(P<0.05).After treatment,the count of white blood cells in prostatic fluid decreased in the two groups compared with before(P<0.05)and were lower in the treatment group than in the control group(P<0.05).The incidence of adverse reactions had no statistically significant difference between the two groups(P>0.05).Conclusion On the basis of conventional medication,abdominal acupuncture can further relieve the clinical symptoms of type ⅢA prostatitis of damp heat stasis type,decrease the count of white blood cells in prostatic fluid and improve the clinical therapeutic effect.

关 键 词：针刺疗法 腹针 针药并用 前列腺炎 慢性前列腺炎/慢性盆腔疼痛综合征 湿热瘀滞 炎症 

分 类 号：R246.2[医药卫生—针灸推拿学]