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[针灸治疗良性前列腺增生症的疗效观察]

[Efficacy observation on benign prostatic hyperplasia treated with acupuncture and moxibustion].

作者信息

Xu Ze-Jie

出版信息

Zhongguo Zhen Jiu. 2014 Mar;34(3):241-4.

Abstract

OBJECTIVE

To compare the difference in the clinical efficacy on benign prostatic hyperplasia (BPH) between the acupuncture-moxibustion therapy and the medication of Qianliekang tablets.

METHODS

One hundred and twenty-eight patients were randomized into an acupuncture-moxibustion group and a Qianliekang group, 64 cases in each one. In the acupuncture-moxibustion group, acupuncture was applied to Shenshu (BL 23), Pangguangshu (BL 28), Zhongji (CV 3), Guanyuan (CV 4) and Shuidao (ST 28), and the warm moxibustion therapy with moxa stick was used at Shenshu (BL 23), Guanyuan (CV 4) and Shenque (CV 8), once every day. In the Qianliekang group, Qianliekang tablets were prescribed for oral administration, 4 tablets each time, three times a day, for 3 months. The International Prostate Symptom Score (I-PSS) and the changes in residual urine (Ru) and maximal urine flow rate (Qmax) determined with the ultrasonic B test were compared before and after treatment in the two groups.

RESULTS

The results of I-PSS, Qmax and Ru were improved obviously after treatment as compared with those before treatment in the two groups (all P < 0.05). The improvements in the acupuncture-moxibustion group were much more obvious than those in the Qianliekang group [8.62 +/- 2.18 vs 15.26 +/- 2.81, (16.04 +/- 4.33) mL/s vs (12.47 +/- 2.13) mL/s, (10.43 +/- 2.14) mL vs (32.13 +/- 3.24) mL, all P < 0.01]. The total effective rate was 89.1% (57/64) in the acupuncture-moxibustion group, which was better than 68.7% (44/64) in the Qianliekang group.

CONCLUSION

Acupuncture-moxibustion therapy achieves the significant efficacy on BPH, which is better than the oral administration of Qianliekang tablets.

摘要

目的

比较艾灸疗法与前列康片药物治疗良性前列腺增生症(BPH)的临床疗效差异。

方法

将128例患者随机分为艾灸组和前列康组,每组64例。艾灸组针刺肾俞(BL 23)、膀胱俞(BL 28)、中极(CV 3)、关元(CV 4)和水道(ST 28),并在肾俞(BL 23)、关元(CV 4)和神阙(CV 8)采用艾条温灸疗法,每日1次。前列康组口服前列康片,每次4片,每日3次,共治疗3个月。比较两组治疗前后的国际前列腺症状评分(I-PSS)以及超声B超测定的残余尿量(Ru)和最大尿流率(Qmax)的变化。

结果

两组治疗后I-PSS、Qmax和Ru结果均较治疗前明显改善(均P < 0.05)。艾灸组的改善明显优于前列康组[8.62±2.18对15.26±2.81,(16.04±4.33)mL/s对(12.47±2.13)mL/s,(10.43±2.14)mL对(32.13±3.24)mL,均P < 0.01]。艾灸组总有效率为89.1%(57/64),优于前列康组的68.7%(44/64)。

结论

艾灸疗法对BPH有显著疗效,优于口服前列康片。

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