加味缩泉督灸粉铺灸治疗老年男性夜尿症临床研究

Clinical Study on Long Snake Moxibustion with Modified Suoquan Dujiu Powder for Senile Men with Nocturia

目的:观察加味缩泉督灸粉铺灸治疗老年男性夜尿症的临床疗效。方法:选择符合老年性夜尿症诊断标准的老年男性患者60例,采用随机数字表法分为试验组和对照组各30例。试验组采用加味缩泉督灸粉铺灸,每周1次;对照组取神阙穴、关元、气海、次髎,放置加味缩泉药饼,置艾炷连续施灸3壮,每周5次。比较2组治疗前后夜间尿量、夜间排尿次数、夜间多尿指数、第1次觉醒时间。结果:治疗前,2组夜间尿量、夜间排尿次数、夜间多尿指数和第1次觉醒时间比较,差异均无统计学意义(P> 0.05)。治疗后,2组夜间尿量、夜间排尿次数、夜间多尿指数均较治疗前降低(P <0.05),第1次觉醒时间较治疗前升高(P <0.05);且试验组夜间尿量低于对照组(P <0.05)。结论:运用加味缩泉督灸粉改良督脉铺灸,治疗老年男性夜尿症具有与传统艾柱穴位灸法相似的效果。

Objective:To observe the clinical effect of long snake moxibustion with modified Suoquan Dujiu powder for senile men with nocturia.Methods:Divided 60 cases of elderly male patients who met the diagnostic criteria for senile nocturia randomly into the experiment group and the control group,30 cases in each group.The experiment group was given the long snake moxibustion with modified Suoquan Dujiu powder for treatment,once a week,and the control group selected acupoints of Shenque,Guanyuan,Qihai,and Ciliao,and then placed the modified Suoquan herbal cake and continuously set3 moxa cones,5 times each week.Compared the nighttime urine volume,nighttime urination frequency,nighttime polyuria indexes,and first awakening time in the two groups.Results:Before treatment,there were no significant differences being found in the comparisons of nocturnal urine volume,nighttime urination frequency,nocturnal polyuria indexes and the first awakening time between the two groups(P>0.05).After treatment,the nighttime urine volume,nighttime urination frequency,and nighttime polyuria indexes in the two groups were lower than those before treatment(P<0.05),and the first awakening time was higher than that before treatment(P<0.05);the nighttime urine volume in the experiment group was lower than that in the control group(P<0.05).Conclusion:The use of long snake moxibustion with modified Suoquan Dujiu powder at Du-meridian for senile men with nocturia has similar effects to the traditional acupoint moxibustion of moxa cones in treating senile nocturia.