针刺配合隔姜灸治疗Ⅲ型前列腺炎:随机对照研究

Clinical observation of type Ⅲ prostatitis treated with acupuncture and isolated-ginger moxibustion

目的:比较针刺配合隔姜灸与西药坦洛新治疗Ⅲ型前列腺炎的临床疗效差异。方法:选取110例Ⅲ型前列腺炎患者随机分为针灸组和坦洛新组,每组55例。针灸组采用针刺配合隔姜灸治疗,针刺穴取1关元、曲骨、三阴交,2腰阳关、膀胱俞、秩边,每日取一组穴,交替使用;并于关元、秩边穴行隔姜灸,每天1次,10次为一疗程,治疗3个疗程。坦洛新组口服坦洛新0.2mg,每日2次,治疗1个月。观察两组患者慢性前列腺炎症状指数(NIH-CPSI)评分和前列腺液(EPS)常规评分改善情况。结果:两组治疗后NIH-CPSI评分、EPS常规评分较治疗前均明显降低(均P<0.05),且针灸组均较坦洛新组改善明显(均P<0.05)。治疗后3个月随访,针灸组NIHCPSI评分较坦洛新组降低明显(P<0.05);针灸组痊愈率、总有效率分别为20.0%(11/55)、85.5%(47/55),优于坦洛新组的3.6%(2/55)、61.8%(34/55,P<0.05)。结论:针刺配合隔姜灸对Ⅲ型前列腺炎症状改善及EPS常规恢复有良好的效果,优于西药坦洛新,且远期疗效佳。

Objective To compare the difference in the clinical efficacy on type Ⅲ prostatitis between the combined therapy of acupuncture and isolated-ginger moxibustion and tamsulosin. Methods One hundred and ten patients of type m prostatitis were randomized into an acupuncture and moxibustion group and a tamsulosin group, 55 eases in each one. In the acupuncture and moxibustion group, acupuncture and isolated-ginger moxibustion were adopted. Two groups of aeupoints were selected, named （I） Guanyuan （CV 4）, Qugu （CV 2） and Sanyinjiao （SP 6） ; （2） Yaoyangguan （GV 3）, Pangguangshu （BL 28） and Zhibian （BL 54）. The two groups of points were used by acupuncture alternatively and only one group was selected a day. Isolated-ginger moxibustion was applied to Guanyuan （CV 4） and Zhibian （BL 54）, once a day, 10 treatments made one session, and totally 3 sessions were required. In the tamsulosin group, tamsulosin was prescribed for oral administration, 0.2 mg, twice a day for 1 month. The National Institutes of Health Chronic Prostatitis Symptom Index （NIH-CPSI） score and expressed prostatic secretion （EPS） score were observed in the patients of the two groups. Results NIH-CPSI and EPS scores after treatment were all reduced apparently as compared with those before treatment in the two groups （all P〈0, 05）. The improvements in the acupuncture and moxihustion group were more obvious than those in the tam- sulosin group （all P〈0.05）. In 3 months follow-up, NIH-CPSI score in the acupuncture and moxibustion group was reduced apparently as compared with the tamsulosm group （P〈0.05）. The curative rate and total effective rate were 20.0% （11/55） and 85.5% （47/55） in the acupuncture and moxibustion group, and were 3.6% （2/55） and 61.8% （34/55） in the tamsulosin group respectively （both P〈0.05）. Conclusion The combined therapy of acupuncture and isolated-ginger moxibustion achieves the good effect of relieving the symptoms of type Ⅲ prostatitis and recovery of EPS, better than those treated with tamsulosin. This combined therapy presents the better long-term efficacy.