影响慢性前列腺炎电针治疗效应的情志因素分析

目的:分析影响慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)电针治疗效应的情志因素，为采取针对性的干预治疗提供科学依据。方法：收集的电针组77例CP/CPPS患者及对照组35例健康男性的临床资料，比较2组焦虑、抑郁症状检出率；电针组CP/CPPS患者接受4周的电针治疗，以治疗是否有效为终结事件，以治疗见效时间为时间变量，采用单因素及多因素的Cox回归模型分析情志因素对电针治疗效应影响。结果：电针组CP/CPPS患者焦虑及抑郁的检出率分别为25.974%和27.273%，明显高于对照组健康男性(P<0.05)；电针治疗CP/CPPS有效率为87.012%，经Cox回归模型分析抑郁症状是影响CP/CPPS患者电针治疗效应的危险因素(P<0.05)，而焦虑对治疗转归无影响(P>0.05)。结论：抑郁症状是影响CP/CPPS患者电针治疗效应的危险因素，应重视患者情志因素，必要时以采取更有针对性干预治疗。

Influence of Psychological Factor on Clinical Therapeutic Effects of Electric Acupuncture for Chronic Prostatitis

To investigate the psychological factor influencing clinical therapeutic effects of Electric Acupuncture(EA) in treating Chronic Prostatitis/ pelvic Chronic pain syndromes, and provide a scientific basis for psychotherapy.Methods:Clinical data of 77 CP/CPPS patients and 35 healthy male subjects were collected. The anxiety rate and depression symptom of the two groups were analyzed. The CP/CPPS patients were treated with EA for 4 weeks. Based on the therapeutic results, the influence of psychological factors on the prognosis of CP/CPPS treated with EA was analyzed with univariate and multivariate Cox regression.Results:The rates of anxiety and depression of the CP/CPPS in EA group were 25.974% and 27.273%, higher than those of normal controls (P<0.05). The total effective rate of EA treating with CP/CPPS was 87.012%. The analysis revealed that depression were the definite factor that negatively affected the prognosis of CP /CPPS treated by EA (P<0.05),while anxiety had no significant influence (P>0.05).Conclusion:Depression is the definite factor that negatively affected the prognosis of CP /CPPS treated by EA. Importance should be attached to the psychological factors of CP/CPPS patients and proper psychological intervention is sometimes necessary.