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[Acupuncture combined with western medicine for CP/CPPS:a randomized controlled trial].

Guo Chen¹, Juan Xiang¹, Lizhi Ouyang¹

¹College of Acupuncture-Moxibustion and Tuina, Hunan University of CM, Changsha 410208, Hunan Province, China.

Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion

|December 13, 2017

Summary

Acupuncture combined with western medicine significantly improves chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) symptoms and psychological distress compared to either treatment alone. This combined approach offers superior clinical efficacy for managing CP/CPPS.

Keywords:

acupuncture therapy chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)randomized controlled trial (RCT)western medicine

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Area of Science:

Integrative Medicine
Urology
Pain Management

Background:

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a prevalent condition with complex etiologies.
Current treatment options for CP/CPPS, including Western medicine, offer variable efficacy.
There is a need for effective therapeutic strategies to manage CP/CPPS symptoms and associated psychological comorbidities.

Purpose of the Study:

To compare the clinical efficacy of acupuncture combined with Western medicine versus acupuncture alone and Western medicine alone for CP/CPPS.
To evaluate the impact of these treatment modalities on symptom severity, pain, anxiety, and depression.

Main Methods:

A randomized controlled trial involving 90 patients with CP/CPPS.
Patients were assigned to three groups: acupuncture combined with Western medicine, acupuncture alone, or Western medicine alone.
Treatment involved 2 sessions of 12 days each, with outcome measures including the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS).

Main Results:

The combination group demonstrated superior overall efficacy compared to acupuncture alone or Western medicine alone (P<0.05).
All groups showed improvement in NIH-CPSI, SAS, and SDS scores (P<0.01).
The combination therapy resulted in significantly greater improvements in NIH-CPSI total scores, pain, anxiety, and depression scores compared to the other groups (P<0.05, P<0.01).

Conclusions:

Acupuncture combined with Western medicine is more effective than either monotherapy for treating CP/CPPS.
This integrated approach significantly alleviates prostatitis symptoms and improves psychological well-being, including anxiety and depression.