摘要
目的:探讨芳香精油疗法治疗Ⅲ型慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)的安全性和有效性。方法:采用随机抽样法,选取2018年1月—2019年12月在复旦大学附属上海市第五人民医院泌尿外科就诊的Ⅲ型CP/CPPS的患者70例为研究对象,采用随机数字表法将其分为试验组和对照组,两组各35例。对照组在常规治疗的基础上采用甘油按摩腹股沟淋巴结和八髎穴,试验组采用自主研发的前列腺炎专用芳香精油进行按摩,每日2次,持续4周。比较干预前后两组患者美国国立卫生研究院慢性前列腺炎症状评分(NIH-CPSI)、国际前列腺症状评分(IPSS)、焦虑自评量表(SAS)评分和国际勃起功能指数(IIEF-5)及前列腺液实验室检查指标的变化情况。结果:共67例患者完成了全部治疗,均未发生不良反应。治疗4周后,试验组与对照组在疼痛、排尿、生活质量、NIH-CPSI总分、IPSS、SAS、IIEF-5评分、临床实验室检查评分等方面比较差异均无统计学意义(P>0.05),但试验组疼痛和不适范围较对照组明显减少(P<0.01),焦虑程度也显著下降(P<0.01)。结论:芳香精油疗法治疗可减轻CP/CPPS患者的疼痛和不适,有效缓解焦虑。
Objective:To assess the safety and effectiveness of aromatic essential oil therapy for typeⅢCP/CPPS.Methods:In this study,70 patients with typeⅢCP/CPPS who visited the department of urology,Shanghai Fifth People’s Hospital,Fudan University were randomly allocated into the essential oil treatment group(n=35)and control group(n=35)from January 2018 to December 2019.The oil was smeared by self-massage on the inguinal lymph nodes and Ba Liao point twice a day and the total course of the treatment was 4 weeks.The National Institutes of Health Chronic Prostatitis Syndrome Index(NIH-CPSI),International Prostate Symptom Score(IPSS),Self-rating Anxiety Scale(SAS),International Index of Erectile Function Score(IIEF-5)and expressed prostatic secretions were measured before and after the intervention to evaluate the effects of essential oil.Results:Sixty-seven patients were completed the total treatment.There were no notably differences between the study group and control group in terms of the pain,urination,quality of life,total score of NIH-CPSI,the score of the IPSS,SAS,IIEF-5 or the clinical laboratory examination(P>0.05).In the treatment group,the domain of pain and discomfort was significantly reduced after 4 weeks of intervention in comparison with the control group(P<0.01).The degree of anxiety was also significantly released(P<0.01).No serious side effects occurred.Conclusion:The treatment of aromatic essential oil can reduce the pain and discomfort in patients with CP/CPPS and efficiently release the anxiety.
作者
王阳贇
焦伟
史朝亮
章俊
施国伟
WANG Yangyun;JIAO Wei;SHI Chaoliang;ZHANG Jun;SHI Guowei(Department of Urology,Shanghai Fifth People’s Hospital,Institute of Urology,Fudan University,Shanghai,200240,China)
出处
《临床泌尿外科杂志》
CAS
2022年第6期427-430,共4页
Journal of Clinical Urology
基金
上海市医学重点专科基金项目(No:ZK2019A03)
上海市卫生健康委员会卫生行业临床研究专项(No:201940006)。
关键词
慢性前列腺炎
慢性盆腔疼痛综合征
芳香精油疗法
疼痛
焦虑
chronic prostatitis
chronic pelvic pain syndrome
aromatic essential oil therapy
pain
anxiety
