不同灸频隔附子饼灸治疗肾阳虚型前列腺增生症临床观察  

Clinical Observation of Aconite-cake-partitioned Moxibustion at Different Frequencies for Benign Prostatic Hyperplasia Due to Kidney-yang Deficiency

作　　者：周亚锋[1] 严伟[1] 殷建权[1] 

机构地区：[1]浙江省人民医院,杭州310024

出　　处：《上海针灸杂志》2014年第12期1105-1107,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药管理局课题(2009SA003)

摘　　要：目的比较不同灸频的隔发酵附子饼灸治疗肾阳虚型良性前列腺增生症的临床疗效差异。方法将80例患者随机分为对照组、治疗1组(每日1次)、治疗2组(每日2次)、治疗3组(隔日1次),于治疗前及治疗后分别观察国际前列腺症状积分(I-PSS)、中医症状积分、最大尿流率(Qmax)、膀胱残余尿量(PVR)的变化。结果各治疗组均能不同程度地改善I-PSS和中医症状积分,提高Qmax及减少PVR,其中治疗1组疗效明显优于其余3组。对照组及各治疗组总有效率分别为70.0%、85.0%、80.0%、65.0%。结论不同灸频的隔发酵附子饼灸对肾阳虚型前列腺增生症均有不同的临床疗效,综合分析表明每日1次为最佳灸频。Objective To compare the therapeutic efficacies of aconite-cake-partitioned moxibustion at different frequencies in treating benign prostatic hyperplasia due to kidney-yang deficiency. Method Eighty patients were randomized into four groups control group, treatment group 1 （moxibustion once per day）, treatment group 2 （moxibustion twice per day）, and treatment group 3 （moxibustion once every other day ）. The International prostate symptom score （I-PSS）, TCM syndrome score, maximum flow rate of urine （Qmax） and bladder residual urine volume （PVR） were observed before and after intervention. Result After treatment, the improvement of the International prostate symptom score and TCM syndrome score, increase of Qmax and decrease of PVR were found in the three treatment groups, while the therapeutic efficacy in treatment group 1 was more significant than that in the rest groups. The total effective rate was 70.0% in the control group, 85.0% in treatment group 1, 80.0% in treatment group 2, and 65.0% in treatment group 3. Conclusion Aconite-cake-partitioned moxibustion at different frequencies can produce therapeutic efficacies to different extent in treating benign prostatic hyperplasia due to kidney-yang deficiency, and the comprehensive analysis shows that the optimal frequency is once per day.

关 键 词：前列腺肥大 肾阳虚 隔附子饼灸 灸频 

分 类 号：R246.2[医药卫生—针灸推拿学]