| ObjectiveObserve the clinical efficacy of the traditional meridian acupoint diagnosis method and t he bone degree division method to select acupoints at the distal end of the liver and spleen me ridian for the treatment of type Ⅲ prostatitis,and explore the importance of traditional meridia n acupoint diagnosis in clinical acupuncture and moxibustion.MethodsIn this study,64 patients with type Ⅲ prostatitis who met the research criteria were rando mly divided into a positive reaction point group(observation group)and a point standard posit ioning point group(control group),with 32 cases in each group.Observation group used traditi onal meridian acupoint diagnosis and acupuncture with the most sensitive points of tenderness around the acupoints of the liver meridian,Zhongdu,Ligou,Taichong and spleen meridian Yin lingquan,Diji,and Sanyinjiao as positive reaction points.The international standard positioning points of six points are used as acupuncture points.Both groups acupuncture points in abdom en,Qihai,Shuidao and Zhongji.Both groups were treated 3 times a week for 12 consecutive tre atments.The study period is 6 weeks,the treatment period is 4 weeks and the follow-up period is 2 weeks.The clinical observation indicators are the chronic prostatitis symptom score and t he international prostate symptom score.The observation time points are the baseline period,af ter 3 treatments,after 6 treatments,after 9 treatments,after 12 treatments,and two weeks after the end of treatment,6 times totally.ResultsA total of 64 patients were included.In the study,2 cases were dropped in the observation group,5 cases were dropped in the control group,and 57 cases were effective.The dropping rat e of the two groups was less than 20%.The difference in the number of dropped cases betwee n the two groups was not statistically significant.This clinical study is meaningful.1.General information:Through statistical analysis of general data such as age,BMI,smok ing and drinking of the two groups of patients,the differences were not statistically significant,and the two groups of patients were comparable.2.Baseline analysis:The two groups of patients had no statistically significant differences in time of illness,TCM syndrome distribution,NIH-CPSI degree grading,three-dimensional sc ores,and total scores.They were comparable.There was no statistically significant difference in IPSS score between the two groups.The two groups were comparable.3.Efficacy analysis:(1)Comparison of patient effectiveness:The observation group completed 30 cases,2 case s were cured(6.67%),l case was markedly effective(3.33%),23 cases were effective(76.67%),4 cases were ineffective(13.33%),the number of cases 26 cases were moderately effective(86.67%).In the control group,27 cases were completed,2 cases were cured(7.41%),1 case was ma rkedly effective(3.70%),19 cases were effective(70.37%),5 cases were ineffective(18.52%),a nd 22 cases were effective(81.48%).The effective rate of the two groups has no significant dif ference after statistical analysis.(2)Comparison of the main efficacy indicators NIH-CPSI scores:Comparing the NIH-CPSI scores before and after treatment between the two groups of patients,P<0.001.It can be considered tha t the overall prostate symptoms of the two groups of patients have been significantly improved.The co mparison of the three dimensions of NIH-CPSI scores between the two groups of patients before and a fter treatment,P<0.001.The difference was statistically significant.lt can be considered that the treatm ent of this study can significantly improve the pain symptoms,urination symptoms and quality of life o f the two groups.Comparing the NIH-CPSI scores of the two groups of patients after treatment,P=0.520(P>0.05),the difference was not statistically significant.It can be considered that the difference betw een the two groups of acupuncture treatment in improving the overall symptoms of prostatitis is not si gnificant.Comparison of pain dimension scores between the two groups of patients after treatment,P=0.614(P>0.05).Comparison of quality of life dimension scores,P=0.416(P>0.05),the difference was no t statistically significant.It can be considered that the two treatments are improving prostatitis.The resu lting pelvic pain and quality of life have no significant differences in efficacy.Comparison of urinary d imensionality scores between the two groups of patients after treatment,P=0.021(P<0.05),the differen ce was statistically significant,indicating that the observation group has a more significant effect in im proving the symptoms of incomplete urination and frequent urination.In the study,the NIH-CPSI scores of both groups continued to decline.After six treatmen ts,with the control group as the reference category,P<0.001,indicating that the NIH-CPSI sco re of the observation group after six treatments is statistically different from that of the control group.Indicate that the superiority of the observation group in reducing the NIH-CPSI score i s in Appears as six treatments.(3)Comparison of secondary efficacy indicators IPSS scores:Comparison of IPSS scores between the two groups of patients before and after treatment,P<0.001.indicating that the tre atment in this study can significantly improve the patients’ lower urinary tract symptoms.Com parison of IPSS scores between the two groups of patients after treatment,P>0.05.The differe nce was not statistically significant.It can be considered that the two groups have no differenc e in efficacy in improving patients’ lower urinary tract symptoms.The IPSS scores of the two groups of patients continued to decline during the study.After six treatments,with the control group as the reference category,P=0.006(P<0.05),indicatin g that the IPSS score of the observation group after six treatments is statistically different fro m that of the control group.Indicate the superior effect of the observation group in reducing th e IPSS score Sex appeared as six treatments.3.Analysis of follow-up period:Two weeks after the treatment,the NIH-CPSI score and t he three-dimensional scores of pain,urination and quality of life of the two groups of patients were compared with those before the treatment,P<0.001.The difference was statistically sign ificant,indicating that the two groups of treatment have a certain long-term The curative effect includes improvement in the three dimensions of pain,urination,and quality of life.Two wee ks after the treatment,the two groups of patients compared NIH-CPSI score.IPSS score and th e three-dimensional scores of pain,urination and quality of life,P>0.05,indicating that the tw o groups of treatments can improve the long-term effects of prostatitis-related symptoms in pa tients including three dimensions of pain,urination and quality of life.There were no significan t differences.4.Security analysis:In this study,there were no serious adverse events such as fainting ne edles,stuck needles,or broken needles.The treatment plan was safe and had no side effects.Conclusion1.Acupuncture at the distal points of the liver and spleen meridian combined with acupo ints on the lower abdomen to treat type Ⅲ prostatitis can alleviate the patient’s pelvic pain,rel ieve lower urinary tract symptoms,and improve the quality of life in three aspects.2.Acupuncture at the positive reaction points at the distal end of the liver and spleen mer idian for the treatment of type Ⅲ prostatitis,which is more effective than acupuncture at the s tandard positioning point group in improving the symptoms of frequent urination and incompl ete urination. |
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