温通针法联合体外冲击波治疗Ⅲ型前列腺炎的临床研究

潘志强; 陈明; 贾云鹏

doi:10.13702/j.1000-0607.20210278

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温通针法联合体外冲击波治疗Ⅲ型前列腺炎的临床研究

临床研究 | 更新时间：2023-08-11

- 温通针法联合体外冲击波治疗Ⅲ型前列腺炎的临床研究
- Clinical study of type Ⅲ prostatitis treated with “warming and promoting technique” of acupuncture combined with extracorporeal shock wave
- 针刺研究 2022年47卷第4期页码：343-348
- 作者机构：
  
  甘肃省中医院泌尿外科
- 作者简介：
- 基金信息：
  
  国家中医药管理局甘肃郑氏针法学术流派传承工作室项目(No.2305135901);甘肃省自然科学基金项目(No.1707RJZA026)
- DOI：10.13702/j.1000-0607.20210278
  中图分类号：
- 纸质出版日期：2022
- 稿件说明：
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潘志强, 陈明, 贾云鹏. 温通针法联合体外冲击波治疗Ⅲ型前列腺炎的临床研究[J]. 针刺研究, 2022,47(4):343-348.

PAN Zhi-qiang, CHEN Ming, JIA Yun-peng. Clinical study of type Ⅲ prostatitis treated with “warming and promoting technique” of acupuncture combined with extracorporeal shock wave[J]. Acupuncture research, 2022, 47(4): 343-348.
潘志强, 陈明, 贾云鹏. 温通针法联合体外冲击波治疗Ⅲ型前列腺炎的临床研究[J]. 针刺研究, 2022,47(4):343-348. DOI： 10.13702/j.1000-0607.20210278.

PAN Zhi-qiang, CHEN Ming, JIA Yun-peng. Clinical study of type Ⅲ prostatitis treated with “warming and promoting technique” of acupuncture combined with extracorporeal shock wave[J]. Acupuncture research, 2022, 47(4): 343-348. DOI： 10.13702/j.1000-0607.20210278.

摘要

目的:观察温通针法联合体外冲击波治疗Ⅲ型前列腺炎的临床疗效。方法:将96例确诊为Ⅲ型前列腺炎的患者随机分为观察组(48例)和对照组(48例)。对照组给予体外冲击波联合针刺关元、命门、中极、足三里等穴，观察组给予体外冲击波联合温通针法针刺治疗，选穴同对照组，均每次治疗30 min

每日1次，治疗5 d休息2 d

连续治疗1个月。治疗后评价两组临床疗效，检测前列腺液中肿瘤坏死因子(TNF)-α、白细胞介素(IL)-1β、IL-6含量的变化，评价治疗前后临床主要症状、慢性前列腺炎症状指数量表(NIH-CPSI)、国际勃起功能指数(IIEF)及视觉模拟量尺(VAS)评分变化，并于治疗前、治疗后及治疗后1、3个月评价两组患者的生活质量(KPS)。结果:治疗后观察组总有效率为89.6%(43/48)

对照组总有效率为70.8%(34/48)

观察组临床疗效优于对照组(P<0.05)。与治疗前比较，两组患者治疗后前列腺液中TNF-α、IL-1β含量降低(P<0.05)

IL-6含量升高(P<0.05)

NIH-CPSI、IIEF、VAS、临床主要症状评分均降低(P<0.05);观察组上述指标改善较对照组更明显(P<0.05)。两组治疗后及治疗后1、3个月，KPS评分升高(P<0.05)

观察组升高更明显(P<0.05)。结论:温通针法联合体外冲击波治疗Ⅲ型前列腺炎，能促进前列腺局部炎性因子的排除，缓解临床症状，提高生活质量，并且短中期疗效良好。

Abstract

Objective To observe the clinical curative effect of wentongzhenfa(warming and promoting technique of acupuncture) combined with extracorporeal shock wave in treatment of type Ⅲ prostatitis. Methods A total of 96 patients with type Ⅲ prostatitis were randomly divided into an observation group(48 cases) and a control group(48 cases). In the control group

the extracorporeal shock wave was combined with even-needling technique of acupuncture at Guanyuan(CV4)

Mingmen(GV4)

Zhongji(CV3)

Zusanli(ST36)

etc. In the observation group

the extracorporeal shock wave was combined with “warming and promoting technique” of acupuncture at the same acupoints as the control group. The treatment lasted 30 min each time

once daily in either group. There were 2 days of interval after consecutive treatment for 5 days. Totally

the duration of treatment was 1 month in two groups. The clinical curative effect was assessed after treatment. Before and after treatment

the changes in the concentrations of tumor nerosis factor-α(TNF-α)

interleukin-1β(IL-1β) and IL-6 in prostatic fluid were determined; and the symptoms were scored

i.e. frequent

urgent and burning painful urine

difficulty in urination

dribbling urine

distending pain in perineum

bitter taste and dry mouth

and scrotal dampness. The changes in the scores of National Institute of Health chronic prostatitis symptom index(NIH-CPSI)

international index of erectile function(IIEF)

visual analogue scale(VAS) were evaluated befroe and after treatment. Successively

before treatment

after treatment

as well as 1 and 3 months after treatment

the quality of life was evaluated by Karnofsky in the patients of two groups. Results After treatment

the total effective rate was 89.6%(43/48) in the observation group

higher than 70.8%(34/48) in the control group(P<0.05). Compared with those before treatment

the concentrations of TNF-α and IL-1β in the prostatic fluid were all decreased(P<0.05) and the concentration of IL-6 was increased(P<0.05)

the scores of symptoms

NIH-CPSI

IIEF and VAS were all reduced(P<0.05) in two groups. The changes of the above indexes were more obvious in the observation group than those in the control group(P<0.05). After treatment and 1 and 3 months after treatment

Karnofsky scores all increased(P<0.05) in two groups

and the increases were more significant in the observation group(P<0.05). Conclusion “Warming and promoting technique” of acupuncture combined with extracorporeal shock wave promotes the elimination of local inflammatory factors

relieves clinical symptoms

improves the quality of life

as well as has a satisfactory short-term and medium-term curative effect on type Ⅲ prostatitis.

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