电针中髎治疗良性前列腺增生症穴位特异性研究

Electroacupuncture at Zhongliao Point in the Treatment of Benign Prostatic Hyperplasia and Its Specificities of Acupoint

目的:初步评价电针中髎穴治疗良性前列腺增生症的穴位特异性,观察研究方案的可行性。方法:将40例符合诊断纳入标准的患者随机分为试验组(穴位组)和对照组(非穴组),穴位组电针双侧中髎穴,非穴组电针双侧中髎穴向外侧平开2寸处。观察疗后4周国际前列腺症状评分(I-PSS)及生存质量评分(QOL)的变化情况及患者针刺过程中的耐受性、安全性、依从性。结果:疗前及治疗后,穴位组I-PSS及QOL评分差异显著(P<0.01),非穴组I-PSS评分差异无显著性(P>0.05),QOL评分差异显著(P<0.01);治疗4周后穴位组与非穴组I-PSS及QOL评分差异显著(P<0.01);穴位组电针痛度评分VAS均值:2.523 8±1.013 96,非穴组VAS均值:2.114 7±1.425 73,表明患者电针疼痛耐受性良好;除两例患者发生皮下血肿,2～3天后血肿消失,其他无不良反应;治疗期间40例患者按照疗程计划针刺,依从性良好,无脱落。结论:电针中髎穴可显著改善良性前列腺增生症患者的症状和生存质量,初步研究表明中髎穴对前列腺增生症有特异治疗效应,电针方案具有可行性。

Objective：To discuss the specificities of acupoint at Zhongliao points for benign prostatic hyperplasia and observe the feasibility of the research approach. Methods：40 patients of BPH were randomly divided into two groups,experimental group（acupuncture group）had 20 patients in electronic acupuncture at Zhongliao（BL33）,and control group（non-acupoints group）had 20 patients in electronic acupuncture at 2 inches side opening.Observe the change of International Prostatic Symptom Score（I-PSS） and QOL after 4 weeks therapy.We also observe the tolerance,security and compliance during the needling process. Results：Compared with the changes before and after treatments,I-PSS and QOL of acupuncture group had a statistically significant difference（P0.01）,and non-acupoints group＇s I-PSS had a statistically no significant difference（P0.05）while not changed remarkably（P0.01） about QOL.After 4 weeks therapy,there was a statistically significant difference compard with the acupuncture group（P0.01）.The VAS average score of experimental group was 2.523 8±1.013 96 compared with the control group of 2.114 7±1.425 73,so the treatment was well accepted by patients.No complications occurred except subcutaneous hematoma in 2 patients and both of their hematomas disappeared after 2-3 days.According to the course of treatment,40 patients who applied the acupuncture were involved in the result analysis without any drop,and the compliance was good. Conclusion：Electronicacupuncture at Zhongliao（BL33） can improve the patients＇ symptom and the life quality of the patients significantly,and the trial demonstrated the acupuncture at Zhongliao point has a specific effect on benign prostatic hyperplasia,so electroacupuncture approach is feasible.