Observation On The Clinical Efficacy Of Acupuncture In Treating Type Ⅲ Chronic Prostatiti

BackgrounldThe main clinical manifestations of type Ⅲ prostatitis are chronic and recurrent pelvic pain or discomfort,accompanied by varying degrees of urination symptoms and sexual dysfunction,lasting for more than 3 months.At present,few studies have explored the clinical efficacy of acupuncture with different acupoint selection schemes for the treatment of this disease.Exploring the efficacy of different acupoint selection schemes for the treatment of this disease is conducive to the optimization of acupoint selection schemes.This study selected the acupoints on the small abdomen of the Ren channel and the acupoints on the lumbosacral part of the bladder meridian to treat type Ⅲ prostatitis,to clarify its therapeutic effect on the treatment of the disease,to explore whether there is a difference in the therapeutic effect of acupuncture on the small abdomen of the Ren channel and the acupoints on the lumbosacral part of the bladder meridian in the treatment of type Ⅲ prostatitis,whether there is an equivalent amount of therapeutic effect on the symptoms of patients with pelvic pain and abnormal urination.PurposeThe effect of acupuncture on pelvic pain and abnormal urination in patients with type Ⅲchronic prostatitis was observed through acupuncture on the minor abdominal acupoints in the Ren channel and the acupoints on the bladder meridian through the lumbosacral acupoints.MethodsIn this study,60 patients with type Ⅲ prostatitis who met the research criteria were randomly divided into the small abdominal acupoint group of Ren channel(experimental group)and the bladder meridian acupoint group of the lumbosacral acupoint group(control group),with 30 cases in each group.The observation group needled the Guanyuan and the Zhongji of the acupoints on the small abdomen of the Ren channel,and needled the Guanyuan and the Zhongji diagonally downward towards the perineum at 30° for 50-60 mm;In the control group,acupuncture of the bladder meridian through the lumbosacral acupoints in Zhongliao and Huiyang was 50-60 mm tilted inward and downward for 45°,and Huiyang slightly tilted outward and upward for 50-60 mm.Both groups were treated 3 times a week for 12 consecutive times.The study period was 8 weeks,the treatment period was 4 weeks and the follow-up period was 4 weeks.The main outcome measures were chronic prostatic inflammation score,while the secondary outcome measures were international prostatic symptom score,patient satisfaction and acceptance.The observation points were baseline period,the first week,the second week,the third week,the fourth week and the fourth week after treatment,for a total of 6 times.ResultsA total of 60 patients were included in the study.During the study,there were 5 cases of shedding in the experimental group and 5 cases in the control group,and a total of 50 effective cases.The shedding rate of patients in both groups was less than 20%,which did not affect the test results.1 Main observation indicatorsComparison of NIH-CPSI scores.The NIH—CPSI scores of the two groups were compared before and after treatment(P<0.001),indicating that the overall symptoms of the two groups were significantly improved.The comparison of NIH—CPSI scores before and after treatment(P<0.001)suggested that the treatment in this study could significantly reduce pelvic pain and abnormal urination symptoms and improve quality of life in the two groups.The NIH—CPSI score after treatment was compared between the two groups(P=0.321),and the difference was not statistically significant,suggesting that there was no significant difference between the two groups in improving the overall symptoms of prostatitis.The score of pain dimension after treatment was compared between the two groups,P=0.390(P>0.05),and the difference was not statistically significant,which suggested that there was no significant difference between the two groups in improving pelvic pain caused by prostatitis.After treatment,the urinary dimension score of the two groups was compared,P=0.049(P<0.05),and the quality of life dimension score was compared,P=0.008(P<0.05),indicating that the experimental group was more effective in improving the symptoms of incontinence,frequency of urination and quality of life of patients.During the study,the NIH—CPSI scores in both groups continued to decline.A total of 25 patients in the experimental group were cured in 4 cases(16%),effective in 7 cases(28%),effective in 8 cases(32%),ineffective in 6 cases(24%),and effective in 19 cases(76%).A total of 25 patients in the control group were cured in 1 case(4%),effective in 1 case(4%),effective in 15 cases(60%),ineffective in 8 cases(32%),and total effective in 17 cases(68%),P=0.042(P<0.05),indicating that the effective rate of the experimental group was significantly higher than that of the control group.The total score of NIH—CPSI in 19 of the 25 patients decreased by more than 6 points,and the response rate was 76%.The total score of NIH—CPSI in 18 of 25 patients in the control group was decreased by more than 6 points,and the response rate was 72%,P=0.747(P>0.05).There was no significant difference in response rate between the two groups by statistical analysis.2 Secondary observation indicatorsIPSS score comparison.The IPSS scores of the two groups were compared before and after treatment,P<0.001,indicating that both groups could significantly improve the symptoms of lower urinary tract obstruction.The IPSS score of the two groups after treatment was compared(P>0.05),and the difference was not statistically significant,which suggested that the two groups had no significant difference in the improvement of patients’lower urinary tract symptoms.IPSS scores in both groups continued to decline during the study.Patient satisfaction and acceptance.Both groups of patients showed good satisfaction and acceptance of the intervention method,and there was no statistically significant difference between the two groups.Most patients were satisfied with and accepted the two groups of acupuncture treatment plans.3 Follow-up data analysisFour weeks after treatment,the NIH—CPSI scores and the scores of pain,urination and quality of life in the two groups were compared with those before treatment,P<0.001,indicating that the two groups had certain long-term efficacy in the improvement of pain,urination and quality of life.4 Security analysisThe main adverse reactions of acupuncture were subcutaneous bruising at the acupuncture site.In this study,there were no serious adverse events such as needle fainting,needle stagnation or needle breaking.The treatment plan was safe and had no side effects.Conclusion1 Acupuncture of Guanyuan,Zhongji,Zhongliao,and Huiyang can alleviate pelvic pain and abnormal urination symptoms in patients with type Ⅲ prostatitis,and improve their quality of life2 Acupuncture at Guanyuan and Zhongji is superior to acupuncture at Zhongliao and Huiyang in improving urinary frequency and symptoms of incomplete urination in patients with moderate type Ⅲ prostatitis.