国际医药卫生导报2023，Vol.29Issue(23)：3350-3355,6.DOI:10.3760/cma.j.issn.1007-1245.2023.23.007
低能量冲击波与低频TENS治疗顽固性ⅢB型前列腺炎的临床对照研究
Comparison of outcomes between low-intensity extracorporeal shock wave and low-frequency transcutaneous electrical nerve stimulation in refractory type Ⅲ B prostatitis
摘要
Abstract
Objective To investigate the therapeutic effects of low-intensity extracorporeal shock wave and low-frequency transcutaneous electrical nerve stimulation(TENS)on refractory type Ⅲ B prostatitis,and analyze their complications and safety.Methods This was a randomized controlled trial.From June 2021 to October 2022,104 patients with refractory type ⅢB prostatitis in the Fifth Affiliated Hospital of Guangzhou Medical University were prospectively selected as the research objects.They were divided into two groups by the random number table method,with 52 patients in each group.The study group was 24-42(33.1±7.3)years old,with symptoms lasting for 3-23(17.1±2.2)months,and low-intensity extracorporeal shock wave was used.The control group was 26-40(32.0±8.5)years old,with symptoms lasting for 3-22(17.5± 2.8)months,and low-frequency TENS was used.After 4 weeks of treatment,the clinical symptoms of the two groups were scored by the National Institutes of Health Chronic Prostatitis Symptoms Index(NIH-CPSI),and the complications and safety of the two groups were analyzed.Statistical methods used were t test and x2 test.Results Before treatment,there were no statistically significant differences in the scores of pain or discomfort,urination symptoms,and quality of life impact and NIH-CPSI total score between the two groups(all P＞0.05).After treatment,the scores of pain or discomfort,urination symptoms,and quality of life impact and NIH-CPSI total score of the study group were lower than those of the control group[(9.21±2.10)points vs.(11.30±2.90)points,(5.13±0.60)points vs.(6.52±0.56)points,(5.10±1.10)points vs.(7.10±1.40)points,(20.26± 1.05)points vs.(22.83±0.65)points],with statistically significant differences(t=4.209,12.213,8.100,and 15.007,all P＜0.05).The total effective rate of the study group[71.15％(37/52)]was higher than that of the control group[42.31％(22/52)],with a statistically significant difference(x2=8.814,P=0.003).No significant adverse reactions or complications were found during the treatment of both groups.Conclusion The effect of low-intensity extracorporeal shock wave therapy on refractory type Ⅲ B prostatitis is superior to traditional low-frequency TENS therapy,and low-intensity extracorporeal shock wave therapy is more convenient,easy to accept,safe,and reliable for patients,which is worth further promotion in clinical practice.关键词
低能量冲击波/经皮神经电刺激/慢性前列腺炎/ⅢB型前列腺炎/慢性前列腺炎症状指数/治疗Key words
Low-intensity extracorporeal shock wave/Transcutaneous electrical nerve stimulation/Chronic prostatitis/Type Ⅲ B prostatitis/NIH-CPSI/Treatment引用本文复制引用
李远超,蒙冬如,李文华,高展峰,卞军,赖德辉,欧海宁,黄涛,林家锡..低能量冲击波与低频TENS治疗顽固性ⅢB型前列腺炎的临床对照研究[J].国际医药卫生导报,2023,29(23):3350-3355,6.基金项目
广东省大学生科技创新培育专项资金资助项目(pdjh2022b0427) （pdjh2022b0427）
广东省研究生教育创新计划项目(2022XSLT038) （2022XSLT038）
广州市基础研究计划市校(院)联合资助基础与应用基础研究项目(202102010100)Guangdong Province University Student Science and Technology Innovation Cultivation Special Fund(pdjh2022b0427) （院）
Guangdong Province Graduate Education Innovation Program Project(2022XSLT038) （2022XSLT038）
Guangzhou Basic Research Program City School(Institute)Joint Funded Basic and Applied Basic Research Project(202102010100) （Institute）
