生物反馈电刺激联合前列倍喜胶囊治疗前列腺炎/慢性骨盆痛综合征的临床分析
王云琳
(河南科技大学第一附属医院泌尿外科疼痛科,河南 洛阳 471000)
摘要 目的:探究生物反馈电刺激联合前列倍喜胶囊治疗前列腺炎/ 慢性骨盆痛综合征的临床效果。方法:将 98 例前列腺炎/ 慢性骨盆痛综合征患者,随机分为观察组(n=49)和对照组(n=49)。 对照组口服前列倍喜胶囊,观察组在对照组基础上接受生物反馈电刺激治疗。 治疗后,比较两组治疗总有效率、慢性前列腺炎症状积分指数(NIH-CPSI)、简化 McGill 疼痛问卷(SF-MPQ)得分、平均尿流率、血清干扰素-γ(IFN-γ)、白介素-8(IL-8)水平变化。 结果:观察组治疗总有效率 73.47%高于对照组的 51.02%(P<0.05);治疗后,两组 SF-MPQ、NIH-CPSI 评分、IFN-γ、IL-8 水平均下降,平均尿流率升高,差异均有统计学意义(P<0.05),且观察组上述指标变化更明显(P<0.05)。 结论:生物反馈电刺激联合前列倍喜胶囊能够有效提升治疗有效率,缓解疼痛感及前列腺炎症状,具有较高的临床应用价值。
关键词: 前列腺炎;慢性骨盆痛综合征;生物电反馈刺激;前列倍喜胶囊
中图分类号:R697.3 文献标志码:A 文章编号:1008-2409(2022)03-0061-04
Clinical effect of biofeedback electrical stimulation combined with Qianlie Beixi capsule on patients with prostatitis or chronic pelvic pain syndrome
Wang Yunlin.(Urology pain department, the 1 st Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, China)
Abstract Objective: To explore the clinical effect of biofeedback electrical stimulation combined with Qianlie Beixi capsule on patients with prostatitis or chronic pelvic pain syndrome(CPPS). Methods: A total of 98 patients with prostatitis or CPPS were randomized into the control group and observation group,each with 49 cases. The control group were administered with oral Qianlie Beixi capsule, while the observation group were given biofeedback electrical stimulation on basis of control group. After treatment, the total response rate of treatment, changes in National Institutes of Health chronic prostatitis symptom index(NIH-CPSI), scores of short form-McGill pain questionaire(SF-MPQ), average flow rate, serum interferon-γ(IFN-γ)and interleukin-8(IL-8)levels were compared between the two groups. Results: The total response rate of treatment in observation group was significantly higher than that in control group (73.47% vs 51.02%)(P<0.05); after treatment, SF-MPQ and NIH-CPSI scores, IFN-γ and IL-8 levels were significantly decreased(P<0.05), while average flow rate was significantly increased in both groups, which were of statistical differences(P<0.05); and changes of the above indexes were more significant in observation group than those of the control group(P<0.05). Conclusion:Biofeedback electrical stimulation combined with Qianlie Beixi capsule can effectively improve the response rate of treatment, relieve pain and prostatitis symptoms, which is of high clinical application value.
Keywords: prostatitis; chronic pelvic pain syndrome(CPPS); biofeedback electrical stimulation; Qianlie Beixi capsule
参考文献:
[1] 夏舜尧,王仕林,方思瞳,等.调神法针刺治疗慢性前列腺炎/ 慢性骨盆疼痛综合症临床研究[J].针灸临床杂志,2020,36(3):11-15.
[2] 王友炼,何超拔,袁少英.基于中医传承辅助系统探析袁少英教授治疗慢性前列腺炎的用药规律[J].中国性科学,2020,29(2):107-110.
[3] 张银,车晓艳,吴靓,等.慢性前列腺炎患者临床表现与心理状况的研究分析[J].中国性科学,2021,30(7):24-27.
[4] 章祖招,金辉萍,张茂华,等.通前络汤与前列倍喜胶囊治疗慢性前列腺炎的比较分析[J]. 中国性科学,2017,26(5):106-108.
[5] 杜宏宏,刘凯.生物电刺激联合前列安栓治疗对慢性前列腺炎患者 IL-1β,IL-6 及 TNF-α 水平的影响[J].检验医学与临床,2021,18(14):2034-2037.
[6] 刘敏,李东.慢性前列腺炎/ 慢性骨盆疼痛综合征的治疗进展[J].临床外科杂志,2019,27(2):105-107.
[7] 顾艳,汤锦丽,杨伟伟,等.中文版简版 McGill 疼痛问卷-2用于评估神经病理性疼痛的信效度研究[J].中国卫生统计,2020,37(5):718-720.
[8] 刘步平,梁启放,张善禹,等.中国式森田疗法联合前列安栓治疗ⅢA 型前列腺炎临床疗效观察[J].天津中医药,2019,36(4):360-362.
[9] 陈劲频,胡景,张涛,等.基于 SCL-90 心理量表对北京市城市社区居民有消化道症状人群的心理健康状况调查研究[J].胃肠病学,2019,24(8):489-492.
[10] 陈波,虞计华,汤艳,等.不同刺激部位和运动方向的肌电生物反馈电刺激疗法治疗脑卒中患者肩关节半脱位的差异性分析[J].中国全科医学,2020,23(5):540-546.
[11]吴隽,胡向农,杨建军.生物反馈电刺激疗法联合前列腺按摩治疗慢性前列腺炎/ 慢性骨盆疼痛综合征的临床疗效观察[J].中华男科学杂志,2020, 26(11): 996-999.
[12] ZHONG F,MIAO W,YU Z,et al.Clinical effect of electrical stimulation biofeedback therapy combined with pelvic floor functional exercise on postpartum pelvic organ prolapse[J].Am J Transl Res,2021,13(6):6629-6637.
[13] 何伟,孙自学,王光策.磁振磁电治疗仪联合前列倍喜胶囊治疗慢性前列腺炎/ 慢性骨盆疼痛综合征的临床疗效观察[J].中华男科学杂志,2020,26(5):452-456.
[14] 何君伟,翁湘涛,曹家栋,等.前列倍喜胶囊联合用药对慢性前列腺炎的临床疗效和 NIH-CPSI 影响的 Meta 分析[J].世界中西医结合杂志,2018,13(6):770-775,878.
[15] 张涛静,谢培凤.前列倍喜胶囊联合非那雄胺治疗糖尿病合并良性前列腺增生症疗效观察[J].中国医师杂志,2015,17(3):431-433.
PDF下载：点击下载
版权所有：华夏医学(Acta Medicinae Sinica) 联系电话：0773-2805467 电子邮箱：huaxia@glmc.edu.cn 地址：广西桂林市临桂区致远路1号桂林医学院明德楼316 (541199)