CAJ | 학술논문

目的初步评价体外冲击波(ESW)治疗慢性前列腺炎的可行性及临床疗效.方法将46例ⅢB型慢性前列腺炎患者随机分为治疗组(34例)及对照组(12例).治疗组患者给予低能量级别ESW治疗,每次治疗时ESW冲击数量为2 000次,每周治疗5次,治疗2周为1个疗程(共治疗10次);对照组接受模拟ESW治疗,期间ESW治疗仪无能量输出.2组患者分别于治疗前、治疗1个疗程及治疗结束后4周时进行慢性前列腺炎症状评分(NIH-CPSI),并同时对2组患者临床疗效进行比较.结果经1个疗程治疗后,发现治疗组患者NIH-CPSI总分、疼痛评分及生活质量影响评分均明显低于治疗前水平(P＜0.01),排尿评分与治疗前相比无显著改善(P＞0.05);对照组患者此时NIH-CPSI总分及各亚类评分也呈现与治疗组类似的变化趋势.在治疗结束后4周时随访发现,治疗组NIH-CPSI总分及其疼痛评分仍维持在较低水平,而对照组NIH-CPSI总分及其各亚类评分均恢复至治疗前水平.治疗组在治疗1个疗程时及治疗结束后4周时的有效率和显效率均明显高于对照组水平(均P＜0.05).结论 ESW可明显缓解ⅢB型前列腺炎患者疼痛程度,对改善患者症状、提高生活质量具有显著促进作用.
목적 초보평개체외충격파(ESW)치료만성전렬선염적가행성급림상료효.방법 장46례ⅢB형만성전렬선염환자수궤분위치료조(34례)급대조조(12례).치료조환자급여저능량급별ESW치료,매차치료시ESW충격수량위2 000차,매주치료5차,치료2주위1개료정(공치료10차);대조조접수모의ESW치료,기간ESW치료의무능량수출.2조환자분별우치료전、치료1개료정급치료결속후4주시진행만성전렬선염증상평분(NIH-CPSI),병동시대2조환자림상료효진행비교.결과 경1개료정치료후,발현치료조환자NIH-CPSI총분、동통평분급생활질량영향평분균명현저우치료전수평(P＜0.01),배뇨평분여치료전상비무현저개선(P＞0.05);대조조환자차시NIH-CPSI총분급각아류평분야정현여치료조유사적변화추세.재치료결속후4주시수방발현,치료조NIH-CPSI총분급기동통평분잉유지재교저수평,이대조조NIH-CPSI총분급기각아류평분균회복지치료전수평.치료조재치료1개료정시급치료결속후4주시적유효솔화현효솔균명현고우대조조수평(균P＜0.05).결론 ESW가명현완해ⅢB형전렬선염환자동통정도,대개선환자증상、제고생활질량구유현저촉진작용.
Objective To assess the effect of extracorporeal shock waves(ESWs)as a treatment for ⅢB chronic prostatitis(CP).Methods Forty-six men with ⅢB CP were randomly divided into an experimental group (n=34)and a control group(n=12).The patients in experimental group received low energy ESW treatment,20000 impulses in 10 sessions over 2 weeks.The patients in control group received sham ESW treatment without shock waves energy under the same other conditions as in experimental group.Pain,urination and quality of life/impact were assessed with National Institutes of Health-chronic prostatitis symptom index(NIH-CPSI).Both groups were assessed at baseline,post-treatment and at a 4-week follow-up.Resuits The total NIH-CPSI scores,pain scores and quality of life/impact scores in experimental group decreased significantly post-treatment(P＜0.01),but urination scores did not(P＞0.05).Similar decreases of these scores were also found in control group post-treatment.The total NIH-CPSl scores and pain scores maintained at a lower level at the 4-week follow-up in experimental group,but the scores returned to the level as pre-treatment in control group.The effectiveness rates and prominent effectiveness rates in experimental group were significantly higher than those in control group post-treatment and at the 4-week follow-up(all P＜0.05). Conclusions ESWs was effective in the treatment for ⅢB CP.After ESWs treatment pain alleviated,symptoms reducea and quality of life improved.