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目的:研究针刺曲骨穴辅助治疗Ⅲ型前列腺炎(CP/CPPS)的近远期疗效。方法:将90例CP/CPPS患者按数字表法随机分为两组,对照组45例用甲磺酸左氧氟沙星片0.5 g口服,1次/d+盐酸特拉唑嗪片2 mg睡前服,治疗组45例在对照组治疗基础上加针刺曲骨穴进行治疗,疗程均为4周。疗程结束后,所有病例4周后均随访,记录复发人数及复发时间,计算并比较治疗后两组间NIH慢性前列腺炎症状评分表(CPSI)、生活质量(QoL)评分、Zung抑郁量表评分以及复发率和复发时间。结果:治疗后,治疗组尿频、尿急、尿不尽、小腹会阴疼痛不适、抑郁情绪等症状明显缓解;与对照组比较,治疗组CPSI(8.6±2.12 vs 6.2±2.25,P<0.05)、QoL评分(6.0±1.33 vs 3.4±1.71,P<0.01)、Zung评分(43.9±4.53 vs 33.6±3.20,P<0.01)显著下降,差异明显。结论:针刺曲骨穴辅助治疗CP/CPPS,可明显改善患者的临床症状、提高抗菌药物的治疗效果,并有助于减少CP/CPPS的复发率、延长复发时间。
Objective: To study the short-term and long-term effects of acupuncture at Qu Guliu adjuvant treatment of type Ⅲ prostatitis (CP / CPPS). Methods: Ninety patients with CP / CPPS were randomly divided into two groups according to the digital table method. In the control group, 45 patients were treated with levofloxacin mesylate 0.5 g orally once daily and terazosin hydrochloride tablets 2 mg before bedtime In the control group, 45 cases were treated with acupuncture at the acupoints of the acupoints for treatment for 4 weeks. After treatment, all cases were followed up for 4 weeks. The number of recurrence and recurrence time were recorded. CPSI, quality of life (QoL) score, Zung depression scale and recurrence were calculated and compared between the two groups Rate and recurrence time. Results: Compared with the control group, the CPSI (8.6 ± 2.12 vs 6.2 ± 2.25, P <0.05) in the treatment group was significantly lower than that in the control group The QoL score (6.0 ± 1.33 vs 3.4 ± 1.71, P <0.01), Zung score (43.9 ± 4.53 vs 33.6 ± 3.20, P <0.01) decreased significantly with significant difference. CONCLUSION: Acupuncture at QuJiao acupoint adjuvant treatment of CP / CPPS can significantly improve the clinical symptoms of patients and improve the therapeutic effect of antibacterial drugs, and help to reduce the CP / CPPS recurrence rate and prolong the recurrence time.