针灸治疗良性前列腺增生疗效观察

Efficacy observation on benign prostatic hyperplasia treated with acupuncture and moxibustion

目的:比较针灸与口服前列康片治疗良性前列腺增生的临床疗效差异。方法:将128例患者随机分为针灸组和前列康组,各64例。针灸组针刺肾俞、膀胱俞、中极、关元、水道,并于肾俞、关元、神阙采用艾条温和灸法,每天1次;前列康组口服前列康片,每次4片,一天3次,均治疗3个月。比较两组治疗前后国际前列腺症状评分(I-PSS)、B超检查膀胱残留尿量(Ru)、最大尿流率(Qmax)变化情况。结果:两组治疗后I-PSS评分、Qmax、Ru均较治疗前明显改善(均P<0.05),针灸组较前列康组改善更明显[8.62±2.18vs 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,均P<0.01]。针灸组总有效率为89.1%(57/64),优于前列康组的68.7%(44/64)。结论:针灸治疗良性前列腺增生症效果显著,优于口服前列康片。

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）, Pang- guangshu （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 com- pared with those before treatment in the two groups （all P〈0.05）. The improvements in the acupuncture-moxi- bustion 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 effec- tive rate was 89.1 % （57/64） in the acupuncture-moxibustion group, which was better than 68.70%（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.