芒针治疗前列腺增生排尿困难：随机对照研究  

Observation on therapeutic effects of elongated needle therapy on dysuria induced by benign prostatic hyperplasia

作　　者：李璟[1] 韩崇华[2] 程晓晖[3] 朱国祥[2] 龚秀杭[4] 侯文光[1] 包烨华[2] 徐永刚[4] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院针灸科,上海200437 [2]浙江中医药大学附属广兴医院 [3]浙江大学医学院附属第一医院针灸科 [4]浙江省中医院针灸科

出　　处：《中国针灸》2008年第10期707-709,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察芒针疗法与常规针法对良性前列腺增生(benign prostatic hyperplasia,BPH)引起的排尿困难症的临床效应的差异。方法:采用多中心协作随机对照的方法,150例患者随机分为芒针组(72例)和常规针刺组(78例),均取秩边、中极,每天治疗1次,5次为一疗程,疗程间间隔2天,共治疗2个疗程。分别观察治疗前后国际前列腺症状评分(I-PSS)积分、尿流率、残余尿的变化。结果:芒针组有效率为83.3%,常规针刺组有效率为44.9%,芒针组能有效改善I-PSS症状积分、增加尿流率、减少残余尿量,与常规针刺组比较有统计学意义(均P<0.05)。结论:芒针疗法对BPH引起的排尿困难症疗效优于常规针刺,具有较好的可重复性。Objective To compare therapeutic effects of elongated needle therapy and routine acupuncture therapy on dysuria induced by benign prostatic hyperplasia （BPH）. Methods Randomized, controlled, multi-central met-hod was adopted and 150 cases confirmed to the enrolled criteria were divided into two groups by odd or even number, an elongated needle group （n=72） and a routine acupuncture group （n=78）. Acupuncture was given at bilateral Zhibian （BL 54） and Zhongji （CV 3） in the two groups, once daily, 5 sessions constituting one course, with a 2-day interval between two courses. The treatment was given for 2 courses. Changes of I-PSS symptom cumulative score, urine flowing rate, residual urine in bladder before and after the treatment were observed. Results The effective rate was 83.3% in the elongated needle group and 44.9% in the routine acupuncture group. There were significant differences between the two groups in improvemet of I-PSS score, increase of urine flowing rate and reduction of residual urine in bladder （all P〈0.05）. Conclusion The elongated needle therapy has a definite therapeutic effect on dysuria induced by benign prostatic hyperplasia.

关 键 词：前列腺增生 芒针 排尿困难 穴 中极 

分 类 号：R246.2[医药卫生—针灸推拿学]