针灸联合体外低能量冲击波治疗慢性前列腺炎/慢性盆腔疼痛综合征的临床研究OA

Objective To observe the clinical efficacy of acupuncture-moxibustion combined with low-intensity extracorporeal shockwave therapy(Li-ESWT)in treating patients with chronic prostatitis/chronic pelvic pain syndromes(CP/CPPS).Method Eighty participants with CP/CPPS were divided into a control group and an observation group using the random number table method,each consisting of 40 cases.The control group only received Li-ESWT,and the observation group was treated with Li-ESWT plus acupuncture-moxibustion.Before and after the treatment,the two groups were compared in terms of the National Institutes of Health chronic prostatitis symptom index(NIH-CPSI),urodynamic parameters[average flow rate(Qave)and maximum flow rate(Qmax)],and visual analog scale(VAS)score.The clinical efficacy and adverse reactions were also compared between the two groups.Result After the treatment,the NIH-CPSI and VAS scores dropped in both groups(P＜0.05)and were lower in the observation group than in the control group(P＜0.05).After the intervention,the Qave and Qmax increased in the two groups(P＜0.05)and were higher in the observation group than in the control group(P＜0.05).The total effective rate was 97.5%in the observation group,significantly higher than 80.0%in the control group(P＜0.05).There was no significant difference in the adverse reaction rate between the two groups(P＞0.05).Conclusion Compared to using Li-ESWT alone,acupuncture-moxibustion plus Li-ESWT can more effectively improve clinical symptoms and urodynamic parameters in treating CP/CPPS patients,producing more significant efficacy with a satisfactory safety rating.