| Prostatitis is the most common disease in men's outpatient department.It has the characteristics of slow onset,repeated attack,multiple symptoms,lingering and hard to heal.It is a disease that causes great trouble to doctors and patients.Epidemiological survey shows that the incidence rate of prostatitis is about 25%,but about half(35%-50%)of men will be affected by prostatitis related symptoms at some point in their lifetime.Although prostatitis is the same as pharyngitis,rhinitis and other chronic diseases,it will not directly threaten the life safety of patients,but the related symptoms caused by prostatitis have a very serious impact on the quality of life of patients,cross-sectional studies show that the quality of life of patients suffering from prostatitis pain is the same or more than that of patients suffering from concentric colic,diabetes and other diseases Serious.On the other hand,some studies show that prostatitis is also related to the abnormal quality of professional dedication and male infertility.According to NIH-CPSI classification,type ? prostatitis(chronic non bacterial prostatitis,CPPS)accounts for 90%-95%of prostatitis.Chronic bacterial prostatitis and chronic pelvic pain are related to semen abnormality and infertility.At the same time,its huge population of patients and high medical costs have caused a huge economic burden to public health.Prostatitis is a global recognized serious public health problem.Type ? prostatitis accounts for the vast majority of prostatitis,the mechanism is complex,the etiology has not been fully elucidated at present,many problems are still widely debated,at present,it tends to be the result of multiple factors acting together through different mechanisms,most scholars think that the main etiology may be the joint action of pathogen infection,inflammation and abnormal pelvic floor neuromuscular activity.The clinical features of CPPs are pain and discomfort in perineum,pelvis and ilium,accompanied by lower urinary tract stimulation or obstruction,sexual dysfunction,and psychological tension,anxiety and depression,of which perineum,lower abdomen,testis,penis pain and ejaculation pain are the most typical characteristics.Severe cases may affect erectile function and ejaculatory function.Although CPPs is often intermittent,its symptoms usually exist for a long time(at least 3 months).Although these symptoms will not threaten the life of patients,they seriously affect the quality of life of patients,and greatly affect the physical and mental health of patients.At present,although there are many methods to treat CPPs,there is a lack of specific treatment methods,conventional antibiotic treatment,low clinical remission rate,and unsatisfactory treatment results.At present,oral treatment of chronic prostatitis is the most important treatment method,and the effect is significant.However,there are some problems that are difficult to overcome in oral drug treatment,such as the high cost of treatment,long course of treatment,long-term gastrointestinal stimulation and so on.As a result,many patients can not adhere to the treatment,and ultimately affect the clinical efficacy,and even lead to the abandonment of previous achievements.Therefore,it is very important to explore a new treatment plan from the perspective of external treatment and appropriate technology of traditional Chinese medicine.Traditional Chinese medicine meridians and acupoints have great advantages in the treatment of type ? prostatitis.Professor Li Haisong,male Department of Dongzhimen Hospital,found in the clinical symptoms that the treatment of specific ear points by pressing beans has a specific role in the treatment of CP,which can improve the treatment effect of the disease.This paper summarizes the experience of external treatment and clinical report of auricular point pressing bean in the treatment of type III prostatitis in the form of systematic review,and designs a randomized controlled trial to prove whether the auxiliary treatment of auricular point pressing bean has a statistically significant improvement in the clinical efficacy of type III prostatitis.Objective:To observe the effect of auricular pressing beans combined with Qianlie an suppository on the improvement of symptoms and related scores of patients with typen ? prostatitis,and to evaluate whether the auxiliary treatment of auricular pressing beans can improve the clinical efficacy of type ? prostatitis.Methods:From March 2019 to September 2019,the patients with type ?prostatitis who were diagnosed in the outpatient department of men's Department of Dongzhimen Hospital of Beijing University of traditional Chinese medicine were randomly selected into the treatment group and the observation group.According to the formula of statistical sample,the number of cases needed is 80.Both groups were treated with Qianlie anshuan,and the treatment group was treated with Wang buliuhang's auricular point sticking therapy for 4 weeks(1 course).Smoking,alcohol and spicy food were forbidden in the two groups.Before and after the treatment,the scores of related symptoms were recorded.During the study,at the end of the course of treatment and follow-up,the number of adverse reactions and cases reported spontaneously and found by inquiry or observation were recorded.SPSS 23.0 software was used for data statistics.Results:There were 4 cases in the treatment group and observation group,respectively.The total number of cases effectively included was 72.The cases were controlled within the expected range,which had no effect on the statistical results.In the treatment group,2 cases were cured,3 cases were effective,28 cases were effective,5 cases were ineffective,the total effective rate was 86.8%;in the observation group,0 cases were cured,2 cases were effective,33 cases were effective,3 cases were ineffective,the total effective rate was 92.1%.Both groups can improve the clinical symptoms of patients with type ? prostatitis.The changes of NIH-CPSI score,PHQ-9 score,GAD-7 score and TCM syndrome score before and after treatment were statistically significant(P<0.05).In NIH-CPSI score,PHQ-9 score,GAD-7 score and TCM syndrome score,the improvement of the treatment group was better than that of the observation group,with statistical difference(P<0.05).There were no adverse reactions in the treatment group and the observation group.Conclusion:The two groups have obvious curative effect on the treatment of type ? prostatitis-After treatment,there are significant differences in NIH-CPSI score,TCM syndrome score,PHQ-9 score and GAD-7 score between the two groups.The study shows that the clinical effect of auricular point pressing bean combined with Qianlie Anshan in the treatment of type ? prostatitis is better than that of Qianlie Anshan alone;when auricular point pressing bean is used as an assistant treatment,the improvement effect of depression and anxiety state and general symptoms of patients is better than that of Qianlie Anshan alone,which can be further promoted in clinical treatment. |
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