Complete response to acupuncture therapy in female patients with refractory interstitial cystitis/bladder pain syndrome.
Complete response to acupuncture therapy in female patients with refractory interstitial cystitis/bladder pain syndrome.
复制标题
难治性间质性膀胱炎/膀胱疼痛综合征女性患者对针灸治疗的完全缓解。
DOI：
10.5603/gp.a2017.0013
复制
发表时间：
2017
影响因子：
1.3
通讯作者：
B. Kozanhan
中科院分区：
文献类型：
--
作者：
M. G. Sönmez;B. Kozanhan
目标
间质性膀胱炎/膀胱疼痛综合征（IC/BPS）是泌尿科和妇科的一个重要问题，不幸的是，推荐的治疗方案并不完全有效。因此，在这项研究中，我们的目的是确定针灸治疗难治性IC/BPS患者的有效性。
材料和方法
12例难治性IC/BPS女性患者接受10次针灸治疗，每周2次。分别于治疗后1、3、6、12个月进行视觉模拟评分（VAS）、间质性膀胱炎症状指数（ICSI）、间质性膀胱炎问题指数（ICPI）、O 'Leary-Saint症状评分（OSS）、患者健康问卷（PHQ 9）、盆腔疼痛和尿急尿频患者症状量表（PUF）和最大排尿量（MVV）检查。
结果
与基线相比，第一个月评价的所有评分均出现统计学显著性降低。虽然发现第1、3、6和12个月的VAS评分变化具有统计学显著性，但与治疗前相比，第6和12个月的ICSI、OSS和PUF评分和MVV值以及第12个月的ICPI和PHQ评分测量值无统计学显著性。治疗后3个月的有效率为100%，6个月为33.3%（4/12），12个月为16.6%（2/12）。
结论
本研究的结果表明，针灸似乎是一种有效的，有用的，非侵入性的方法在IC/BPS患者。它可以作为一个适当的治疗方法，不仅在难治性，而且在IC患者，因为它是相当有利的相比，其他治疗药物。
OBJECTIVES
Interstitial Cystitis/Bladder Pain syndrome (IC/BPS) is a considerable issue in urology and gynecology and unfortunately, the treatment options recommended are not fully efficient. Therefore, in this study we aimed to determine the effectiveness of acupuncture treatment in patients with refractory IC/BPS.
MATERIAL AND METHODS
12 refractory IC/BPS female patients received ten sessions of acupuncture twice a week. The visual analog score (VAS), interstitial cystitis symptom index (ICSI), interstitial cystitis problem index (ICPI), O'Leary-Saint symptom score (OSS), Patient Health Questionnaire (PHQ9), Pelvic pain and urgency & frequency patient symptom scale tests (PUF) and maximum voided volume (MVV) was completed in 1st, 3rd, 6th and 12th months following the treatment.
RESULTS
There was a statistically significant decrease in all of the scores evaluated at first month compared with the baseline. While the change in VAS score in 1, 3, 6 and 12th months were found statistically significant, measurements of ICSI, OSS and PUF scores and MVV values in the 6th and 12th months and ICPI and PHQ scores in the 12th month were not found statistically significant compared to the pre-treatment period. Response to treatment for the first three months after acupuncture application was (100%), but this ratio was measured as 33.3% (4/12) in the sixth month and 16.6% in the 12th month (2/12).
CONCLUSIONS
The results of this study suggest that acupuncture appears to be an effective, useful, non-invasive method in IC/BPS patients. It can be used as an appropriate treatment method not only in refractory but also in IC patients since it is rather advantageous compared to other treating agents.