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| 發表人 | 討論主題 | 發表時間 | 討論數 |
| 張尚仁 | 使用針灸來治療慢性攝護腺炎有效嗎? | 2015/8/31 下午 02:15:44 | 0 |
| 原 文 | 題 目 | Acupuncture relieves symptoms in chronic prostatitis/chronic pelvic pain syndrome: a randomized, sham-controlled trial. |
| 作 者 | Sahin S, Bicer M, Eren GA, Tas S, Tugcu V, Tasci AI, Cek M4. | |
| 出 處 | Prostate Cancer Prostatic Dis. | |
| 出版日期 | 2015 Sep | |
| 評 論 | 慢性攝護腺炎對於泌尿科醫師來說是一個相當棘手的疾病。其於成年男性的盛行率大約為2-10%，症狀包行了下腹部及生殖器及睪丸與會陰部疼痛，另外合併有排尿疼痛與下尿路症狀。傳統藥物治療包含了NSAID (非類固醇抗發炎藥物)，alpha-blocker(甲型交感神經抑制劑)與antibiotics(抗生素)。另外還有一些非藥物的治療。針灸廣泛的應用於慢性疼痛的治療也受到西方醫學的重視，本前瞻性隨機研究便收集了患有慢性非細菌性攝護腺炎的病人來研究針灸的功效。結果發現接受正確穴位針灸和對照組的病人相比，得到較好的治療效果與症狀緩解。其結果和過去三篇研究一樣得到正面的結果。不過，針灸要列為正式的慢性非細菌性攝護腺炎的治療選項之一，我想還有一條很長的道路要走。 | |
| abstract |
There are multiple approaches to the management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS); and lately the data suggesting the ability of acupuncture treatment to decrease pain, positively impact quality of life and potentially modulate inflammation has suggested it as a potential therapeutic option for men with CP/CPPS. We conducted this study to determine whether acupuncture is really an effective therapeutic modality for CP/CPPS in terms of >50% decrease in total National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) score from baseline compared with sham. METHODS: One hundred patients with CP/CPPS (category III B) in an outpatient urology clinic were randomized to receive acupuncture at either seven acupoints bilaterally or sham points adjacent to these points. NIH-CPSI was completed by each patient before and 6, 8, 16, 24 weeks after the treatment. Mean values of total CPSI score and subscores after the treatment and on follow-up following the treatment were compared. RESULTS: Of the acupuncture participants, 92% were NIH-CPSI responders (>50% decrease in total NIH-CPSI score from baseline) compared with 48% of sham participants, 8 weeks after the end of the therapy. Both groups experienced significant decrease in CPSI subscores throughout the whole follow-up period; however, the decline remained significantly greater in the active acupuncture group as compared with the sham group. CONCLUSIONS: Our results show that the use of acupuncture in treatment of men with CP/CPPS symptoms resulted in a significant decrease in total NIH-CPSI scores. |
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