摘要
目的:观察电生理技术治疗慢性前列腺炎的临床效果。方法:选取2022年1月至2023年4月就诊于我院和贵州省人民医院(合作治疗组)符合纳入标准的40例慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)患者,随机分为对照组(n=20)和治疗组(n=20),治疗组采用低频神经肌肉电刺激联合药物治疗,对照组采取单纯药物治疗,对比分析治疗前后患者前列腺炎症症状评分(NIH-CPSI)、国际前列腺症状评分(IPSS)改善情况。结果:共完成并随访37例患者(治疗组退出1例,因对电极片过敏;对照组有2例丢失随访),两组患者基线资料比较,无显著差异(P>0.05);两组患者治疗前后NIH-CPSI评分和IPSS评分比较,差异具有统计学意义(P<0.05);比较两组患者治疗后IPSS评分,治疗组降低(15.84±0.92)分,对照组(7.17±0.40)分,两组比较,差异具有统计学意义(t=4.792,P<0.05);比较两组患者治疗后NIH-CPSI评分,治疗组平均降低(17.47±0.92)分,对照组(10.56±0.49)分,两组比较,差异具有统计学意义(t=6.654,P<0.05)。结论:电生理联合药物治疗效果明显优于单纯药物治疗,电生理治疗慢性前列腺炎临床疗效确切,值得推广应用。
Objective:To observe the clinical effect of electrophysiological technique in treating chronic prostatitis.Methods:Choose 40 patients of chronic prostatitis/chronic pelvic pain syndrome(chronicprostatis/chronicpelvicpainsyndrome,CP/CPPS)in People's Hospital in Zhijin and People's hospital in Guizhou Province from January 2022 to April 2023,The patients were randomly divided into control group(n=20)and treatment group(n=20).The treatment group received low-frequency neuromuscular electrical stimulation combined with drug therapy,while the control group received drug therapy alone.The improvement of prostatitis symptom score(NIH-CPSI)and International Prostatitis Symptom score(IPSS)before and after treatment was compared and analyzed.Results:A total of 37 patients were followed up(1 patient in the treatment group withdrew due to hypersensitivity to the electrode;2 patients in the control group were lost to follow-up.)There was no significant difference in baseline data between the two groups(P>0.05).The NIH-CPSI score and IPSS score before and after treatment were compared between the two groups,and the difference was statistically significant(P<0.05).The IPSS score of the two groups after treatment was compared,the average reduction of the treatment group was 15.84±0.92 points,and that of the control group was 7.17±0.40 points,and the difference was statistically significant(t=4.792,P<0.05).The NIH-CPSI score of the two groups after treatment was compared,and the average reduction was 17.47±0.92 points in the treatment group and 10.56±0.49 points in the control group.The difference between the two groups was statistically significant(t=6.654,P<0.05).Conclusion:The effect of electrophysiological combined drug therapy is obviously better than that of simple drug therapy.Electrophysiological therapy for chronic prostatitis has definite clinical effect and is worth promoting and applying.
作者
王松
胡建新
汪珊
彭超
蔡季
丁敏
WANG Song;HU Jian-xin;WANG Shan;PENG Chao;CAI Ji;DING Min(Department of Urology and Andrology,Guizhou Medical University Affiliated Hospital Zhijin Hospital,Zhijin,Guizhou 552100,China;Department of Urology,Guizhou Provincial People's Hospital,Guiyang,Guizhou 550000,China)
出处
《中华男科学杂志》
CAS
CSCD
2024年第7期611-615,共5页
National Journal of Andrology
基金
国家卫生健康委员会医药卫生科技发展研究中心项目(HDSL202001028)。
