Therapeutic effect of acupuncture combined with medication on chronic prostatitis of damp and heat stasis / 中国针灸

OBJECTIVE@#To observe the clinical therapeutic effect of electroacupuncture (EA) combined with tamsulosin hydrochloride sustained release capsule on chronic prostatitis (CP) of damp and heat stasis.@*METHODS@#A total of 70 patients with CP of damp and heat stasis were randomized into an acupuncture plus medication group (35 cases, 4 cases dropped off) and a medication group (35 cases, 5 cases dropped off). In the medication group, tamsulosin hydrochloride sustained release capsule was given orally, 0.2 mg a time, once each night. On the basis of treatment in the medication group, EA was applied at Guanyuan (CV 4), Sanyinjiao (SP 6) and Yinglingquan (SP 9), with disperse-dense wave, 5 mA in intensity for 30 min. Treatment for 30 days was as one course, and totally 3 courses were required in both groups. Before treatment, 1, 2, 3 months into treatment and at the follow-up of 2 months after treatment, the TCM syndrome score and National Institutes of Health chronic prostatitis symptom index (NIH-CPSI) score were observed, and the clinical efficacy was evaluated in both groups.@*RESULTS@#Compared before treatment, the TCM syndrome scores of 3 months into treatment and follow-up were decreased in the acupuncture plus medication group (@*CONCLUSION@#Acupuncture combined with medication can improve the clinical symptoms in patients with CP of damp and heat stasis, and its therapeutic effect is superior to simple western medication.

Biofeedback therapy for chronic prostatitis: Application and consideration / 中华男科学杂志

Studies of biological feedback (BF) for the treatment of chronic prostatitis (CP) are occasionally reported have exhibited some related problems. This article presents an evaluation of the published literature on the BF treatment of CP at home and abroad in the aspects of instrument, method, application, effect, function, and mechanism. UROSTYMTM and MyoTrac are often employed and their operating paths are basically the same. NIH prostate symptom scores, urinary function, pain, sexual function, immune function, prostate fluid, and other indicators are generally used for the analysis of the effects of BF alone or in combination with other therapies on CP and its related symptoms. Either BF alone or BF combined with other therapies can promote urination, reduce pain, improve the quality of life, attenuate inflammation, improve sexual function, adjust immunity, and lessen physical and chemical stimulation. However, the relevant literature is of low quantity and quality, the reported studies are not standardized, and exploration of the action mechanisms is neglected.

Acupuncture treatment of male infertility: a systematic review / 中华男科学杂志

<p><b>OBJECTIVE</b>To systematically evaluate acupuncture as a treatment for male infertility.</p><p><b>METHODS</b>We searched Chi na Biology Medical Database (CBM), Wan Fang Medical Information System, China National Knowledge Infrastructure (CNKI), VIP Information Resource System (VIP), and PubMed for published literature on acupuncture as a treatment for male infertility on May 1 2014. Based on the Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA), we evaluated the quality of the reports, conducted meta-analysis on the identified studies via RevMan5.2, and assessed the quality of the evidence in the literature by Grading of Recommendations Assessment, Development, and Evaluation (GRADE).</p><p><b>RESULTS</b>A total of 12 studies involving 2,177 patients were included, the quality of which was evaluated as mediocre. With regard to the cure rate, acupuncture was comparable to traditional Chinese medicine (TCM) (P > 0.05) but better than Western medicine (RR = 4.00, 95% CI 1.63 to 9.82, P < 0.01) while acupuncture + TCM was better than either TCM (RR = 1.77, 95% CI 1.20 to 2.60, P < 0.01) or Western medicine used alone (RR = 2.73, 95% CI 1.51 to 4.93, P < 0.01), and acupuncture + Western medicine was better than Western medicine alone (RR = 1.88, 95% CI 1.17 to 3.02, P = 0.01). The combined use of acupuncture, ear pressure, TCM, and Western medicine showed a higher cure rate than the combination of TCM and Western medicine (RR = 3.45, 95% CI 2.90 to 4.11, P < 0.01). In therapeutic effectiveness, acupuncture was comparable to TCM (P > 0.05) but superior to Western medicine (RR = 1.41, 95% CI 1.12 to 1.71, P < 0.01), acupuncture + TCM was superior to either TCM (RR = 1.14, 95% CI 1.05 to 1.23, P < 0.01) or Western medicine alone (RR = 1.43, 95% CI 1.22 to 1.67, P < 0.01), and acupuncture + Western medicine was superior to Western medicine alone (RR = 1.25, 95% CI 1.05 to 1.49, P = 0.01). In improving sperm concentration, acupuncture was as effective as TCM (P > 0.05) and sham acupuncture (P > 0.05) but outdid Western medicine (RR = 27.00, 95% CI 24.27 to 29.73, P < 0.01) and acupuncture + TCM outdid either TCM (RR = 14.65, 95% CI 7.58 to 21.72, P < 0.01) or Western medicine alone (RR = 1.04, 95% CI--1.43 to 3.51, P > 0.05). In improving grade a sperm, acupuncture exhibited a similar effect to TCM (P > 0.05) and sham acupuncture (P > 0.05), and acupuncture + TCM was more effective than TCM alone (RR = 7.78, 95% CI 3.51 to 12.23, P < 0.01) but equally effective as Western medicine (P > 0.05). In elevating the level of grade a + b sperm, acupuncture + TCM excelled either TCM (RR = 11.00, 95%, CI 3.17 to 18.82, P < 0.01) or Western medicine alone (RR = 12.22, 95% CI 6.87 to 17.57, P < 0. 01), while acupuncture produced a comparable effect with sham acupuncture (P > 0.05). As for the quality of the included studies, only 3 conclusions of the 23 meta-analyses were assessed to be of average quality, while the others of poor or extremely poor quality. Therefore, the recommendation grade of the conclusions was low.</p><p><b>CONCLUSION</b>For the treatment of male infertility, acupuncture is reported to be equally effective as TMC and more effective than Western medicine, and its effectiveness is enhanced when applied in combination with either TCM or Western medicine. Acupuncture is distinctively efficacious in improving sperm quality. Nevertheless, the overall quality of the included studies is low.</p>

An analysis of the countermeasures against chronic prostatitis among college students in Guangzhou City / 中华男科学杂志

<p><b>OBJECTIVE</b>To analyze the countermeasures against chronic prostatitis (CP) among the male college students in Guangzhou City.</p><p><b>METHODS</b>A self-designed questionnaire was used for an investigation among 1 431 male college students randomly chosen from four colleges in Guangzhou City. The countermeasures against CP were compared between the students with CP and those without.</p><p><b>RESULTS</b>Compared with the non-CP students, the CP patients are more reluctant to attend related health education lectures (P < 0.05 or P < 0.01). When suspicious of having CP, 59.33%, 43.82% and 29.63% of the students chose to be diagnosed by anonymous consultation, themselves and strange doctors, respectively, with no significant difference among the three groups (P < 0.05). After diagnosis, 62.78%, 40.88% and 29.98% of them sought strange doctors, self-management and anonymous treatment, respectively. When a friend got CP, only 59.61% of them chose to keep his secret.</p><p><b>CONCLUSION</b>The male college students in Guangzhou City tend to conceal the truth when suffering from CP. Their attendance at related health education lectures largely depends on the topic and the scholarship of the lecturer.</p>

An epidemiological study on TCM syndromes of chronic prostatitis among male college students in Guangzhou City / 中华男科学杂志

<p><b>OBJECTIVE</b>To study the epidemiological characteristics of the TCM syndromes of chronic prostatitis (CP) among the male college students in the city of Guangzhou.</p><p><b>METHODS</b>A total of 1 682 male college students were recruited from four colleges in Guangzhou City. The TCM syndromes of the CP patients (n = 561) were grouped according to age, major, residence area, native place, economic condition, interpersonal relation and academic record of the students. And the distribution and incidence rates of the syndromes were statistically analyzed.</p><p><b>RESULTS</b>Among all the identified syndrome types, the single syndrome accounted for 32.98%; the damp-heat, the blood stasis, the liver- and kidney-yin deficiency and the kidney-yang deficiency syndrome constituted 63.28%, 47.59%, 39.39% and 33.69%, respectively. The incidence rates of blood stasis and liver- and kidney-yin deficiency were significantly different in different age groups (P < 0.01). The medical major group had a higher rate of blood stasis than the non-medical groups (P < 0.01). The rates of damp-heat syndrome and liver- and kidney-yin deficiency syndrome were obviously higher in the northern group than in the southerners (P <0.01 & P < 0.05), and were significantly different between the groups from different native places (P < 0.01) as well as between those of different economic conditions (P < 0.01). Among the groups of different interpersonal relations, significant difference was observed in the rate of liver- and kidney-yin deficiency syndrome (P < 0.01) but not in the rates of other syndromes.</p><p><b>CONCLUSION</b>The college students with CP in Guangzhou City mostly have compound TCM syndromes consisting of simple radical ones. The incidence rates of the four main syndrome types, damp-heat, blood stasis, liver- and kidney-yin deficiency and kidney-yang deficiency, are related with the age, major, residence area, native place, economic condition and interpersonal relation of the students.</p>

Key Problems on Promoting University Students' Online Ideological and Political Work / 中华医学教育探索杂志

From the development situation of chinese intemet and the need of college students' growth,this paper advanced six key problems on promoting university students' online ideological and political work.