火针治疗肾虚型轻中度良性前列腺增生症的临床疗效观察
[Observation on clinical effect of fire needling for mild to moderate benign prostatic hyperplasia with kidney deficiency].
作者信息
Zhang Tao, Xun Yun-Qing, Liu Hui-Lin, Ji Xu, Du Xin, Zhang Fan, You Wei, Fu Yuan-Bo, Sun Jing-Qing
机构信息
Department of Acupuncture and Moxibustion, Beijing Hospital of TCM Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China.
Department of Acupuncture and Moxibustion, Beijing Hospital of TCM Affiliated to Capital Medical University, Beijing Key Laboratory of Acupuncture Neuromodulation, Beijing 100010, China; Graduate School of Beijing University of CM.
出版信息
Zhongguo Zhen Jiu. 2023 Jan 1;43(1):45-50. doi: 10.13703/j.0255-2930.20220330-k0001.
OBJECTIVE
To observe the effect of fire needling on prostate symptoms, quality of life, average daily number of nightly urination, urine flow rate and prostat volume in patients with mild to moderate benign prostatic hyperplasia (BPH) of kidney deficiency.
METHODS
A total of 60 patients with mild to moderate BPH of kidney deficiency were randomly divided into an observation group (30 cases, 3 cases dropped off) and a control group (30 cases, 4 cases dropped off). The observation group was treated with fire needling at Guanyuan (CV 4), Shuidao (ST 28) and Qugu (CV 2) twice a week (2-3 d interval between each treatment), continuous treatment for 4 weeks. The control group received lifestyle advice and education, once a week for 4 weeks. In the two groups, the international prostate symptom score (IPSS), the quality of life (QoL) score and the average daily number of nightly urination were observed before treatment, after treatment and during the follow-up of the 4th week; the urinary maximum flow rate (Qmax), the average flow rate (Qave), and the prostate volume were assessed before and after treatment in the two groups. The safety was observed in the observation group.
RESULTS
After treatment and during follow-up, the IPSS scores, QoL scores, and the average daily number of nightly urination in the observation group were decreased compared with those before treatment (<0.05), and those in the observation group were lower than the control group (<0.05). After treatment, there was no significant difference in Qmax, Qave and prostate volume between the two groups and within the each group (>0.05). There were no fire needling-related adverse reactions, and no obvious abnormality was found in urine routine and coagulation function tests before and after treatment in the observation group.
CONCLUSION
Fire needling can improve lower urinary tract symptoms and quality of life, reduce frequency of nightly urination in patients with mild to moderate BPH of kidney deficiency, and has good safety.
目的
观察火针治疗肾虚型轻中度良性前列腺增生（BPH）患者前列腺症状、生活质量、夜间平均夜尿次数、尿流率及前列腺体积的影响。
方法
将60例肾虚型轻中度BPH患者随机分为观察组（30例，脱落3例）和对照组（30例，脱落4例）。观察组采用火针针刺关元（CV 4）、水道（ST 28）、曲骨（CV 2），每周2次（每次治疗间隔2 - 3天），连续治疗4周。对照组接受生活方式建议和教育，每周1次，共4周。两组分别于治疗前、治疗后及第4周随访时观察国际前列腺症状评分（IPSS）、生活质量（QoL）评分及夜间平均夜尿次数；两组治疗前后评估最大尿流率（Qmax）、平均尿流率（Qave）及前列腺体积。观察观察组安全性。
结果
治疗后及随访期间，观察组IPSS评分、QoL评分及夜间平均夜尿次数较治疗前降低（<0.05），且低于对照组（<0.05）。治疗后，两组间及组内Qmax、Qave及前列腺体积比较差异无统计学意义（>0.05）。观察组未出现与火针相关的不良反应，治疗前后尿常规及凝血功能检查未见明显异常。
结论
火针可改善肾虚型轻中度BPH患者下尿路症状及生活质量，减少夜尿次数，且安全性良好。
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