针刺联合坦索罗辛治疗Ⅲ型前列腺炎的疗效及其对炎症反应和血液流变学的影响
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中国中医科学院科技创新工程(CI2021A02208); 国家自然科学基金青年项目(82104880);


Efficacy of acupuncture combined with tamsulosin in the treatment of typeⅢ prostatitis and its effect on inflammatory response and hemorheology
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    摘要:

    目的:探讨针刺联合坦索罗辛治疗Ⅲ型前列腺炎的疗效及其对炎症反应和血液流变学的影响。方法:选取92例Ⅲ型前列腺炎患者为研究对象,按治疗方法不同分为对照组和观察组,每组各46例。对照组患者予以坦索罗辛治疗;观察组患者予以针刺联合坦索罗辛治疗,疗程均为8周。比较两组患者临床疗效;前列腺炎症症状[美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)评分]、炎症因子水平[白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)]、血流流变学指标[全血高切粘度(HBV)、全血低切粘度(LBV)及全血还原黏度(RV)]。结果:观察组患者临床总有效率高于对照组(86.96%vs.65.22%,P<0.05)。治疗8周后,两组患者NIH-CPSI评分、IL-6及TNF-α水平、HBV、LBV、RV均降低(P<0.05),且观察组低于对照组(P<0.05)。结论:在坦索罗辛治疗Ⅲ型前列腺炎的基础上增加针刺治疗可提高临床疗效,缓解相关症状,减轻炎症反应,改善血液流变学。

    Abstract:

    Objective:To explore the efficacy of acupuncture combined with tamsulosin in the treatment of type Ⅲ prostatitis and its effect on inflammatory response and hemorheology.Methods:92 patients with type Ⅲ prostatitis were divided into control group(n=46)and observation group(n=46)according to different treatment methods.The control group was given tamsulosin,the observa-tion group was given acupuncture combined with tamsulosin,they were both treated continuously for 8 weeks.The clinical efficacy,symptoms of prostatitis[National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI)score],levels of inflammatory factors[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)],and hemorheological indicators[whole blood high shear viscosity(HBV),whole blood low shear viscosity(LBV),whole blood reduced viscosity(RV)]before and after treatment were compared be-tween the two groups.Results:The total effective rate of observation group was higher than that of control group(86.96%vs.65.22%,P<0.05).After 8 weeks of treatment,the NIH-CPS score and the levels of IL-6,TNF-α,HBV,LBV and RV in both groups showed a decrease,and the observation group was lower than the control group(P<0.05).Conclusion:Acupuncture on the basis of tamsulosin in the treatment of type Ⅲ prostatitis can improve the clinical efficacy,relieve related symptoms,inhibit inflammatory response and im-prove hemorheology.

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张岳阳;何赐求;赵明;郭军;高庆和;庄扬名;.针刺联合坦索罗辛治疗Ⅲ型前列腺炎的疗效及其对炎症反应和血液流变学的影响[J].川北医学院学报,2025,40(2):160-163.

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  • 在线发布日期: 2025-07-24
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