苍龟探穴针法治疗良性前列腺增生症的临床效果观察

Clinical effect observation of turtle probing needling in the treatment of benign prostatic hyperplasia

目的探讨苍龟探穴针法治疗良性前列腺增生症的临床效果。方法选取2013年1月～2015年12月在本院针灸门诊和泌尿外科住院的94例前列腺增生症患者作为研究对象,随机分为苍龟探穴组（48例）与常规针刺组（46例）。两组均选取中极、关元、三阴交穴位,分别给予苍龟探穴法与常规针刺治疗。比较两组治疗前后的尿残余量、最大尿流率、起效时间和临床疗效。结果苍龟探穴组的总有效率为79.17%,显著高于常规针刺组的56.52%,差异有统计学意义（P〈0.05）。两组治疗后的最大尿流率显著大于治疗前,尿残余量少于治疗前,差异有统计学意义（P〈0.05）。苍龟探穴组治疗后的最大尿流率显著大于常规针刺组,尿残余量少于常规针刺组,差异有统计学意义（P〈0.05）。苍龟探穴组治疗后的起效时间为（6.46±2.03）h,显著短于常规针刺组的（7.30±1.85）h,差异有统计学意义（P〈0.05）。结论苍龟探穴针法治疗良性前列腺增生症方法简单,操作方便,能够减轻患者的痛苦及医疗费用,疗效显著。

Objective To explore the clinical effect of turtle probing needling in the treatment of benign prostatic hyperplasia.Methods 94 cases of benign prostatic hyperplasia from January 2013 to December 2015 in the acupuncture clinic and urology surgery department in our hospital were selected and randomly divided into the turtle probing needling group（48 cases） and the conventional acupuncture group（46 cases）.The acupoint of Zhongji,Sanyinjiao,Guanyuan was selected,the turtle probing needling and conventional acupuncture was given respectively.Residual urine volume,maximum urine flow rate,onset time and clinical efficacy before and after treatment in the two groups was compared.Results The total effective rate in the turtle probing needling group was 79.17%,which was higher than 56.52%in the conventional acupuncture group,with significant difference（P〈0.05）.The maximum urine flow rate after treatment in the two groups was larger than that before treatment,the residual urine volume after treatment in the two groups was less than that before treatment,with significant difference（P〈0.05）.The maximum urine flow rate after treatment in the turtle probing needling group was larger than that in the conventional acupuncture group,the residual urine volume after treatment in the turtle probing needling group was less than that in the conventional acupuncture group,with significant difference（P〈0.05）.The onset time after treatment in the turtle probing needling group was（6.46±2.03） hours,which was shorter than（7.30±1.85） hours in the conventional acupuncture group,with significant difference（P〈0.05）.Conclusion The method of turtle probing needling in the treatment of benign prostatic hyperplasia is simple,easy to operate,reduce the pain of patients and medical expenses,the curative effect is remarkable.