关键词: Boswellia serrata Chronic pelvic pain syndrome Chronic prostatitis Propolis Treatment

来  源:   DOI:10.1016/j.ajur.2021.09.002   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
UNASSIGNED: To assess the efficacy and safety of a treatment regimen based on rectal administration of Boswellia resin extract and propolis derived polyphenols in patients with type IIIa and type IIIb chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS).
UNASSIGNED: Patients with type IIIa and type IIIb CP/CPPS received one rectal suppository a day for 15 days per month for 3 consecutive months. Participants were evaluated with National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI), the International Prostate Symptom Scores (IPSS), International Index of Erectile Function (IIEF), four-glass test, uroflowmetry, and prostate-specific antigen assessments at baseline and at Week 4, and Week 12. Primary endpoints were improvement in pain domain of NIH-CPSI and improvement of NIH-CPSI total score. Secondary outcomes included improvement of micturition and quality of life (QoL) domains of NIH-CPSI questionnaire.
UNASSIGNED: A total of 61 males were enrolled. No adverse events were reported. Significant improvements from baseline to Day 30 were reported for NIH-CPSI total score (mean difference: -9.2; p<0.01), NIH-CPSI pain domain (mean difference: -5.5; p<0.01), NIH-CPSI micturition domain, NIH-CPSI QoL domain, and IPSS total score (mean difference: -5.6; p<0.01). No significant changes from baseline in terms of IIEF score or maximum flow rate were observed. At final follow-up (Day 90), further significant improvements in terms of NIH-CPSI total score (mean difference: -12.2; p<0.01), NIH-CPSI pain domain (mean difference: -6.6; p<0.01), NIH-CPSI micturition domain, NIH-CPSI QoL domain, and IPSS total score were reported.
UNASSIGNED: Rectal administration of Boswellia resin extract and propolis derived polyphenols is well tolerated and delivers a significant symptomatic improvement in most patients with type IIIa and type IIIb CP/CPPS.
摘要:
UNASSIGNED:评估基于直肠给药Boswellia树脂提取物和蜂胶衍生多酚的治疗方案在IIIa型和IIIb型慢性前列腺炎和慢性盆腔疼痛综合征(CP/CPPS)患者中的疗效和安全性。
UNASSIGNED:IIIa型和IIIb型CP/CPPS患者每天接受一次直肠栓剂,每月15天,连续3个月。参与者采用美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)进行评估,国际前列腺症状评分(IPSS),国际勃起功能指数(IIEF),四玻璃测试,尿流仪,和在基线和第4周和第12周的前列腺特异性抗原评估。主要终点是NIH-CPSI疼痛领域的改善和NIH-CPSI总分的改善。次要结果包括NIH-CPSI问卷的排尿和生活质量(QoL)领域的改善。
未经评估:共招募了61名男性。未报告不良事件。据报道,NIH-CPSI总分从基线到第30天的显着改善(平均差:-9.2;p<0.01),NIH-CPSI疼痛域(平均差:-5.5;p<0.01),NIH-CPSI排尿域,NIH-CPSIQoL域,和IPSS总分(平均差:-5.6;p<0.01)。在IIEF评分或最大流速方面没有观察到相对于基线的显著变化。在最后的随访(第90天),在NIH-CPSI总分方面进一步显着改善(平均差:-12.2;p<0.01),NIH-CPSI疼痛域(平均差:-6.6;p<0.01),NIH-CPSI排尿域,NIH-CPSIQoL域,报告IPSS总分。
UNASSIGNED:在大多数IIIa型和IIIb型CP/CPPS患者中,Boswellia树脂提取物和蜂胶衍生的多酚的直肠给药耐受性良好,症状明显改善。
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