Abstract
Objective To investigate the clinical efficacy of this combined treatment for chronic pelvic pain syndrome (CPPS) by meta-analysis. Methods Relevant articles were retrieved from PubMed, CNKI, Wanfang Data, Web of Science, and Embase, including randomized controlled trials on acupuncture combined with rehabilitation for CPPS in females. Results A total of 224 articles were retrieved in this study, and 14 studies were finally identified for inclusion. Among them, the treatment group was treated with acupuncture combined with pelvic floor rehabilitation therapy, while the control group was treated with acupuncture or pelvic floor rehabilitation therapy. Meta-analysis showed that the treatment effective rate in the treatment group was significantly higher than that in the control group (OR = 6.54; 95% CI: 4.20, 10.21; P < 0.05). After treatment, compared with the control group, the treatment group showed lower incidences of adverse reactions (OR = 0.16; 95% CI: 0.09, 0.27; P < 0.05), bladder prolapse (OR = 0.36; 95% CI: 0.18, 0.73; P < 0.05), cervical prolapse (OR = 0.22; 95% CI: 0.10, 0.49; P < 0.05), and pelvic peritoneal hernia (OR = 0.14; 95% CI: 0.05, 0.38; P < 0.05); in addition, the treatment group was also associated with lower pain score (SMD = −4.05; 95% CI: −6.75, −1.34; P < 0.05) and pelvic dysfunction score (SMD = -4.35; 95% CI: -5.37, -3.34; P < 0.05). Conclusion Acupuncture combined with rehabilitation is effective for CPPS in females, which can significantly reduce the pain intensity and improve pelvic dysfunction of patients.
Highlights
Chronic pelvic pain syndrome (CPPS), by definition, is a common chronic pain syndrome that persists in the pelvis for more than 6 months or periodically attacks for more than 3 months [1]. is is a challenging disease for specialist physicians, which directly and seriously affects the health and quality of life of women [2]
CPPS is mainly treated with drugs and surgery [5, 6], but because CPPS is characterized by slow clinical onset, complex etiology, long duration, and Journal of Healthcare Engineering recurrent attacks, the clinical efficacy of these two treatments is not satisfactory [7]
According to a randomized controlled trial (RCT) by Qin et al [9], the acupuncture group showed a higher efficacy than the sham acupuncture group in the treatment for chronic prostatitis/CPPS
Summary
Chronic pelvic pain syndrome (CPPS), by definition, is a common chronic pain syndrome that persists in the pelvis for more than 6 months or periodically attacks for more than 3 months [1]. is is a challenging disease for specialist physicians, which directly and seriously affects the health and quality of life of women [2]. CPPS is mainly treated with drugs and surgery [5, 6], but because CPPS is characterized by slow clinical onset, complex etiology, long duration, and Journal of Healthcare Engineering recurrent attacks, the clinical efficacy of these two treatments is not satisfactory [7]. According to a randomized controlled trial (RCT) by Qin et al [9], the acupuncture group showed a higher efficacy than the sham acupuncture group in the treatment for chronic prostatitis/CPPS. The sample size of these studies is too small to determine whether acupuncture alone can achieve satisfactory efficacy. A number of clinical studies in China have demonstrated that acupuncture combined with rehabilitation therapy will produce good clinical results in the treatment of CPPS in females [8, 12, 13]. The sample size of the individual studies on this combined treatment is small, and the results are not consistent across studies. erefore, this meta-analysis aims to systematically analyze existing RCTs, providing evidence-based medical evidence for the further clinical use of acupuncture combined with rehabilitation therapy for CPSS in females
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