摘要
目的研究盆底磁刺激联合筋膜手法治疗慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)的临床效果。方法选取2020年7月至2022年7月东南大学附属中大医院CP/CPPS患者98例作为研究对象,按照随机数字表法分为常规组、试验组,各49例。常规组采用筋膜手法治疗,试验组采用盆底磁刺激联合筋膜手法治疗。治疗4周后评估两组临床疗效,比较两组治疗前、治疗4周后美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)评分及尿动力学[最大尿流率(Qmax)、平均尿流率(Qavg)],并分析治疗期间安全性。结果试验组临床疗效优于常规组(P<0.05)。治疗4周后,两组疼痛和不适症状、排尿症状、症状对生活质量的影响及NIH-CPSI总分低于治疗前,且试验组低于常规组(P<0.05)。治疗4周后,两组Qmax、Qavg高于治疗前,且试验组高于常规组(P<0.05)。两组安全性比较,差异无统计学意义(P>0.05)。结论盆底磁刺激联合筋膜手法治疗CP/CPPS效果显著,能缓解临床症状,改善尿动力学,且安全性高。
Objective To study the clinical effect of pelvic floor magnetic stimulation combined with fascia manipulation in the treatment of chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS).Methods Ninety-eight patients with CP/CPPS in Zhongda Hospital Affiliated to Southeast University from July 2020 to July 2022 were selected as the research objects,and they were divided into conventional group and experimental group according to random number table method,with 49 cases in each group.The conventional group was treated with fascia manipulation,while the experimental group was treated with pelvic floor magnetic stimulation combined with fascia manipulation.After four weeks of treatment,the efficacy of two groups was evaluated,and the(National Institutes of Health chronic prostatitis symptom index,[NIH-CPSI]),urodynamics(maximum urinary flow rate[Qmax]and average urinary flow rate[Qavg])before treatment and after four weeks of treatment were compared,and the safety during treatment was analyzed.Results The clinical effect of experimental group was better than that of conventional group(P<0.05).After four weeks of treatment,the scores of pain and discomfort symptoms,urination symptoms,impact of symptoms on quality of life,and NIH-CPSI total score in two groups were lower than those before treatment;and those in experimental group were lower than those in conventional group(P<0.05).After four weeks of treatment,Qmax and Qavg in two groups were higher than those before treatment,and those in experimental group were higher than those in conventional group(P<0.05).There was no significant difference in safety between two groups(P>0.05).Conclusion Pelvic floor magnetic stimulation combined with fascia manipulation has a significant effect on CP/CPPS,which can relieve clinical symptoms,improve urodynamics,and is safe.
作者
黄宁青
孙武东
查静娴
晋华超
方蕾雯
沈功达
HUANG Ningqing;SUN Wudong;ZHA Jingxian;JIN Huachao;FANG Leiwen;SHEN Gongda(School of Medicine,Southeast University,Jiangsu Province,Nanjing 210006,China;Department of Rehabilitation,Zhongda Hospital Affiliated to Southeast University,Jiangsu Province,Nanjing 210009,China;Department of Orthopedics,Tongxiang Traditional Chinese Medicine Hospital,Zhejiang Province,Tongxiang 314500,China)
出处
《中国医药导报》
CAS
2023年第24期81-84,共4页
China Medical Herald
基金
江苏省南京市医学科技发展项目(YKK19163)。
关键词
慢性前列腺炎/慢性盆腔疼痛综合征
盆底磁刺激
筋膜手法
临床效果
Chronic prostatitis/chronic pelvic pain syndrome
Pelvic floor magnetic stimulation
Fascia manipulation
Clinical effect
