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In vitro short-wave hyperthermia combined with moxibustion and Harold prostate treatment of non-bacterial prostatitis and prostate pain efficacy

Key words in vitro short-wave hyperthermia α1A  adrenergic receptor blocker prostate chronic non-bacterial prostatitis moxibustion prostate Pain our department since March 2003 -2005 application in November Chengdu Wearnes Company TSQZ  2000-type short-wave therapy unit in vitro multi-acupoint application of the United States of Wuhan Science and Technology Development Co moxibustion moxibustion in China (prostate moxibustion) and oral α1A  adrenergic blockers Harold Treatment of Chronic nonbacterial prostatitis (chronic nonbacterial prostatitis, CNP) and prostate pain (prostatodynia, PD) 26 patients achieved satisfactory results. Are as follows. Chinese papers League finishing. 1 Materials and Methods 1.1 Clinical data of this group, 26 patients aged 23-47 years, mean 32 years old. -2 Years 3 months duration, with an average of 14 months. There was no history of urinary tract infections, with the perineum, testicles, penis and suprapubic area or urethral pain, some patients accompanied by frequent urination, voiding difficulty, insomnia, anxiety and sexual dysfunction. Long-term use of western medicine are invalid. According to the U.S. National Institutes of Health (NIH) to develop standards for international prostatitis symptom score (chronic prostatitis symptom index, CPSI) were> 8 points. Squeeze all patients prostate secretions (EPS) normal routine examination, bacterial culture negative, consistent with CNP and PD diagnostic criteria. Review in the weekly regimen EPS, such as white blood cells than 10/HP is to be removed by treatment of chronic bacterial prostatitis. 1.2 External RF hyperthermia treatment: removal of metal objects carried by the body, lying in bed, and exposure therapy in the treatment area to the pubic symphysis (equivalent to the prostate area) as the center,[link widoczny dla zalogowanych], away from the hips and lower abdomen Skin 5-7cm of the circular electrode plate 1 is set to air for the media. Treatment of the whole process is controlled by computer, adjust the RF output power, surface temperature of the patient 42.5-43.5 ℃. Each treatment 90min, 2 times per week. Prostate moxibustion a day, each affixed with 8-12h, alternately sticking Shenque and Vital points. Short duration of treatment does not affect the prostate while using moxibustion. Simultaneously α1A  adrenergic blockers Harold capsules, 0.2mg / night. Treatment for 8 weeks. 1.3 evaluation standard prostatitis symptom score according to international standards (CPSI) score results in order to reduce the symptom score of 15 is divided into 5-15 points markedly for the better, symptom score decreased <5 as invalid. Significantly improved rate and efficiency and is efficient. 1.4 Statistical analysis using t test. 2 results 2.1 end of treatment efficacy, 26 patients, 15 cases markedly improved and 6 cases, 5 cases ineffective. Effective rate was 80.8%. CPSI score before treatment was 8-43 with an average of 31.7 points, 7-35 hours after treatment, with an average of 20.5 points. There were significant differences before and after treatment (P <0.05). Before treatment, maximum urinary flow rate (MFR) for the 11.6-21.4mL / s, an average of 15.1mL / s, after treatment, MRF is 12.5-23.3mL / s, an average of 17.9mL / s. There were significant differences before and after treatment (P <0.05). 2.2 sacrococcygeal skin adverse reaction induced by short-wave 1 case of grade Ⅰ burn. External prostate moxibustion no skin allergies. Harold taking mild dizziness in 2 cases and no gastrointestinal reactions, skin rash. There were no dropouts due to adverse events. 3 Discussion modern medicine for chronic prostatitis and chronic congestive mainly by the prostate decrease in immune function [1]. Short-wave hyperthermia in vitro coverage, penetration, to evenly penetrate the human body directly in the center of the prostate and pelvic radio organizations [2]. Hyperthermia is considered 42-60 ℃, is a physical therapy areas, in the heat generated within the thermal effect and its biological effects can increase blood circulation, strengthen metabolism, reduce tissue tension and strengthening the immune system, it is pain, inflammation and elimination of edema and other effects, but can also ease the pelvic floor muscle spasm. Therefore, non-bacterial prostatitis and chronic pain in patients with localized prostate tissue under the action of the high-frequency hyperthermia, blood vessels expand, blood flow to accelerate, metabolic waste, exudate, causing pain and inflammation induced by chemicals and toxins from the acceleration, speed up the metabolism , leukocyte phagocytosis enhancement, the reduction of local irritation, inflammation dissipated in favor, promote prostate tissue healing.