首页|温针灸结合左氧氟沙星治疗慢性前列腺炎随机对照研究

温针灸结合左氧氟沙星治疗慢性前列腺炎随机对照研究

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目的 观察温针灸结合左氧氟沙星治疗慢性前列腺炎(CP)临床疗效.方法 将我院64例CP患者随机分为对照组与观察组各32例.对照组口服左氧氟沙星治疗,观察组采用温针灸结合左氧氟沙星治疗.比较两组临床疗效,美国国立卫生研究院慢性前列腺炎症状积分指数(NIH-CPSI)单项评分、国际勃起功能指数问卷-5(ⅡEF-5)、前列腺体积中医证候单项评分、前列腺液指标[白细胞计数(WBC),卵磷脂小体数量(SPL)、pH值]、最大、尿流率(MFR)和平均尿流率(AFR).结果 治疗后,观察组总有效率高于对照组(P<0.05);两组NIH-CPSI单项评分低于治疗前,观察组NIH-CPSI单项评分低于对照组(P<0.05);两组ⅡEF-5评分高于治疗前,前列腺体积低于治疗前,观察组ⅡEF-5评分高于对照组,前列腺体积低于对照组(P<0.05);两组中医证候单项评分低于治疗前,观察组中医证候单项评分低于对照组(P<0.05);两组WBC、pH低于治疗前,SPL高于治疗前;观察组WBC、pH低于对照组,SPL高于对照组(P<0.05);两组MFR、AFR高于治疗前,观察组MFR、AFR高于对照组(P<0.05).结论 温针灸结合左氧氟沙星治疗CP疗效良好,可缓解前列腺炎症状,提高前列腺功能,减少前列腺体积,抑制前列腺炎性反应,提高尿流动力学.
A randomized controlled study of warm acupuncture combined with levofloxacin in treatment of chronic prostatitis
Objective To observe the clinical efficacy of warm acupuncture combined with levofloxacin in treatment of chronic prostatitis(CP).Methods A total of 64 cases of CP patients were randomly divided into control group and observation group,with 32 cases in each group.Control group was treated with oral levofloxacin,while observation group was treated with warm acupuncture on the basis of control group.The clinical efficacy,the United States National Institutes of Health Chronic Prostatitis Symptom Integral Index(NIH-CPSI)single score,International Erectile Function Index Questionnaire-5(IIEF-5),prostate volume TCM syndrome single score,prostatic fluid index[white blood cell count(WBC),lecithin body count(SPL),pH value],maximum,urinary flow rate(MFR)and mean uroflow rate(AFR)of the two groups were compared.Results After treatment,the total effective rate of observation group was higher than that of control group(P<0.05);the NIH-CPSI score in both groups was lower than that before treatment,which was lower in observation group than control group(P<0.05);the IIEF-5 score and prostate volume in observation group were higher than those before treatment,which was higher in observation group than control group(P<0.05);the individual scores of TCM syndromes in both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05);the WBC and pH in both groups were lower than those before treatment,while the SPL was higher,and the above indicators were superior in observation group to those in control group(P<0.05);the MFR and AFR of both groups were higher than those before treatment,which were higher in observation group than control group(P<0.05).Conclusion Warm acupuncture combined with levofloxacin has good efficacy in treatment of CP,which can relieve the symptoms of prostatitis,improve prostate function,reduce prostate volume,inhibit prostate inflammation,and improve urodynamics.

Chronic prostatitisWarm acupunctureLevofloxacinRandomized controlled

史欣莹、包卿兵

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江苏省泰州市中医院,江苏泰州 225300

慢性前列腺炎 温针灸 左氧氟沙星 随机对照

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(6)