| Objective1.Determine the effectiveness of acupuncture treatment by evaluating the NIH-CPSI,IPSS,and HADS scores before and after acupuncture in CP/CPPS patients.2.To evaluate the effective treatment course of acupuncture treatment of CP/CPPS by evaluating the changes of integral scores of related time nodes in acupuncture treatment of CP/CPPS patients.3.Through the follow-up of acupuncture treatment of CP/CPPS,the mid-and long-term effects of acupuncture on CP/CPPS were discussed.4.Through the comparison with the non-acupoint therapeutic effect of the control group,the scientific nature of the experimental group meridian acupoint theory was discussed.5.To evaluate the safety of acupuncture treatment of CP/CPPS by recording the adverse events during treatment.MethodsTwenty-four patients who met the criteria were randomly divided into the experimental group and the control group,with 12 in each group.Acupuncture group acupoints: Shen shu,Zhong liao,Hui yang,San yin jiao;control group(non-acupoints shallow thorns)acupoints: Shen shu,Zhong liao,Hui yang,San yin jiao non-acupoints.The next day,the first four weeks,three times a week;the next four weeks,two times a week,a total of 20 times.Patients were enrolled in the NIH-CPSI scale at baseline(2 weeks),after 4,8,20,and 32 weeks of treatment;the International Prostate Symptom Score(IPSS)was completed at baseline,after 4,8,20,and 32 weeks of treatment.The Hospital Anxiety and Depression Scale(HADS)was completed after the scale and baseline,and after 8,20,and 32 weeks of treatment.Safety evaluation was performed after each treatment,and statistical analysis was performed.Results1.After 8 weeks of treatment,11 patients were effectively relieved in the experimental group,the effective rate was 91.67%,and 3 patients in the control group were effective.The effective rate was 25.00%.There was significant difference between the two groups(P<0.01).2.Chronic prostatitis symptoms index(CPSI)score: intra-group comparison:experimental group: compared with the baseline period,the CPSI score decreased at the 4th,8th,20 th,and 32 th week of the treatment period,the difference was statistically significant(P<0.01);In the control group,compared with the baseline period,the CPSI score decreased at the 4th week of the treatment period,which was not statistically significant(P>0.05).The CPSI score decreased in the 8th week,the difference was statistically significant(P<0.01);the CPSI score decreased in the 20 th week of the follow-up period,the difference was statistically significant(P<0.05),and the CPSI score decreased in the 32 nd week,no statistical significance.(P>0.05).Comparison between groups: CPSI scores of the experimental group,compared with the control group,no difference at the 4th week(P>0.05);significant difference at the8 th week(P<0.01);when the treatment was stopped,when entering the follow-up,20,32 There was also a significant difference in weeks(P<0.01).3.International Prostate Symptoms(IPSS)score: intra-group comparison:experimental group: Compared with the baseline period,the IPSS scores decreased at4,8,20,and 32 weeks of treatment,and the difference was statistically significant(P<0.01);Group: Compared with the baseline period,the IPSS scores decreased at the4 th and 8th week of the treatment period,and the difference was not statistically significant(P>0.05).The IPSS scores decreased at the 20 th and 32 nd week of the follow-up period,and the difference was not statistically significant(P>0.05).).Comparison between groups: IPSS scores in the experimental group,compared with the control group,there was a difference at the 4th week(P<0.05);the difference was significant at the 8th week(P≤0.01);when the treatment was stopped,when the follow-up was followed,the 20 th and 32 nd weeks also Significant difference(P<0.01).4.Hospital anxiety and depression(HADS)score: intra-group comparison:experimental group: Compared with the baseline period,the HADS score decreased at the 8th week of the treatment period and the 20 th and 32 nd week of the follow-up period,the difference was not statistically significant(P>0.05).In the control group,compared with the baseline period,the HADS scores decreased at the 8th week of the treatment period and at the 20 th and 32 nd week of the follow-up period,and the difference was not statistically significant(P>0.05).Comparison between groups: At 8 weeks,20 weeks,and 32 weeks,there was no significant difference in HADS scores between the experimental groups and the control group(P>0.05).5.Acupuncture safety evaluation: 24 patients had no adverse reactions during the acupuncture process.6.Blind evaluation: 75.0% of the patients in the control group could not tell whether the acupuncture method was routine treatment.66.6% of the patients in the experimental group could not confirm whether they had received conventional acupuncture treatment,that the blind method was basically successful.Conclusion1.Acupuncture can significantly alleviate the symptoms associated with chronic prostatitis and improve the quality of life of patients;2.Acupuncture relieves the symptoms associated with chronic prostatitis,the best effect at the 8th week of treatment,and good intermediate and long-term effects at follow-up;3.Acupuncture relieves the symptoms associated with chronic prostatitis and is safe and can be used as a routine clinical treatment. |
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