火针在肾虚湿热型下尿路症状中的应用

Application of Fire Needle in Lower Urinary Tract Symptoms of Kidney Deficiency and Damp Heat Type

目的:探讨火针对于各种疾病引起肾虚湿热型下尿路症状(LUTS)的治疗价值。方法:选取2016年5月-2017年9月就诊于沈阳红十字会医院的100例LUTS患者,按照随机数字表法将其分为治疗组和对照组,各50例。治疗组给予火针治疗,对照组给予甲磺酸多沙唑嗪缓释片(可多华)治疗。比较两组治疗前后患者的国际前列腺症状评分(I-PSS)、最大及平均尿流率(Qmax)。结果:治疗前、治疗第4周,两组I-PSS评分、Qmax比较,差异均无统计学意义(P>0.05),治疗第4周、治疗后4周,两组I-PSS评分、Qmax均较治疗前改善(P<0.05),且治疗组治疗后4周I-PSS评分、Qmax均优于对照组(P<0.05)。结论:火针对于各种疾病引起的肾虚湿热型LUTS有改善作用,远期疗效优于口服可多华,可以临床推广。

Objective:To explore the therapeutic value of fire needle in treating lower urinary tract symptoms(LUTS)of kidney deficiency and damp heat type caused by various diseases.Method:A total of 100 LUTS patients from May 2016 to September 2017 in Shenyang Red Cross Hospital were selected.According to the random number table method,they were divided into treatment group and control group,50 cases in each group.The treatment group was treated with fire needle,while the control group was treated with Doxazosin Mesylate Sustained-release Tablets(Cardura).The International Prostate Symptom Score(I-PSS),Maximum and Average Urinary Flow Rate(Qmax)were compared between two groups before and after treatment.Result:Before and 4th week of treatment,the I-PSS score and Qmax in two groups were compared,the differences were not statistically significant(P>0.05).The 4th weeks of treatment and after treatment 4 weeks,the I-PSS score and Qmax of two groups were improved compared with those of before treatment(P<0.05),the I-PSS score and Qmax of treatment group were better than those of control group after treatment 4 weeks(P<0.05).Conclusion:Fire needle can improve the LUTS of kidney deficiency and damp heat caused by various diseases,long-term efficacy is superior to oral Cardura,can be clinically promoted.