Objectives: To observe the clinical efficacy in patients with ⅢB prostatitis of stagnant dampness-heat syndrome treated with elongated needle therapy.
Methods: A total of 90 patients with ⅢB prostatitis of stagnant dampness-heat syndrome were selected and randomly divided into a treatment group(45 cases, 2 dropped out) and a control group(45 cases, 1 dropped out) using a random number table method. The control group was treated with oral administration of Qianlie Shutong Capsule, 3 capsules per dose, 3 times a day for a total of 4 weeks. The treatment group received elongated needle therapy at Qihai(CV6), Zhongji(CV3), bilateral Zhibian(BL54) and Shuidao(ST28), with one treatment per day for 4 weeks. Before and after treatment, the traditional Chinese medicine syndrome score, National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI) score were compared between the two groups, and the clinical efficacy was compared after treatment.
Results: Compared with that before treatment, the control group showed significant decrease in traditional Chinese medicine syndrome score, testicular pain, urinary frequency, unending remnants of urine, scrotal wetness, yellowish urine, urinary symptoms, and quality of life scores after treatment(P<0.05)；the treatment group showed significant decrease in traditional Chinese medicine syndrome score, and perineal pain, groin pain, pelvic pain, testicular pain, scrotal wetness, yellowish urine scores, NIH-CPSI total score, pain symptoms, urinary symptoms, and quality of life scores after treatment(P<0.05). After treatment, the treatment group showed significantly lower traditional Chinese medicine syndrome score, and perineal pain, groin pain, pelvic pain, testicular pain scores, NIH-CPSI total score, pain symptoms, and quality of life scores than those of the control group(P<0.05). The effective rate in the treatment group (63.64%, 28/43) was significantly higher than that in the control group (88.37%, 38/44, P<0.05).
Conclusions: Elongated needle therapy can significantly improve the traditional Chinese medicine syndrome score, NIH-CPSI total score, and pain symptom scores in patients with ⅢB prostatitis of stagnant dampness-heat syndrome. It can significantly improve the cure rate in these patients and is particularly effective in relieving pain.
目的: 观察芒针治疗湿热瘀阻证ⅢB型前列腺炎患者的临床疗效。方法: 选取湿热瘀阻证ⅢB型前列腺炎患者90例，按照随机数字表法分为试验组（45例，脱落2例）和对照组（45例，脱落1例）。对照组口服前列舒通胶囊治疗，每次3粒，每天3次，共4周；试验组采用芒针针刺双侧秩边及气海、中极、双侧水道，每天治疗1次，持续治疗4周。观察治疗前后两组患者的中医证候评分、慢性前列腺炎症状指数（NIH-CPSI）评分，比较两组患者治疗后的临床有效率。结果: 与治疗前比较，对照组治疗后睾丸疼痛、小便频急、余沥不尽、阴囊潮湿、小便黄赤、排尿症状和生活质量评分显著降低（P<0.05）；试验组治疗后中医证候、会阴部疼痛、腹股沟疼痛、盆腔区疼痛、睾丸疼痛、中医证侯、阴囊潮湿、小便黄赤评分，NIH-CPSI总分，疼痛症状、排尿症状和生活质量评分显著降低（P<0.05）。两组组间比较，治疗后试验组中医证候、会阴部疼痛、腹股沟疼痛、盆腔区疼痛、睾丸疼痛评分，NIH-CPSI总分，疼痛症状和生活质量评分显著低于对照组（P<0.05）。试验组有效率（88.37%，38/43）显著高于对照组（63.64%，28/44，P<0.05）。结论: 芒针治疗湿热瘀阻证ⅢB型前列腺炎能明显改善患者中医证候评分、NIH-CPSI总评分与疼痛症状评分，能显著提高湿热瘀阻证ⅢB型前列腺炎患者的痊愈率，在缓解疼痛方面效果尤为显著。.
Keywords: Chronic prostatitis; Elongated needle; Qianlie Shutong Capsule; Stagnant dampness-heat syndrome.