热敏灸治疗良性前列腺增生不同灸量的随机对照研究  

Randomized Controlled Trial of Heat-Sensitive Moxibustion Treatment of Benign Prostatic Hyperplasia with Different Dosages of Moxibustion

作　　者：周梅 黄仙保 陈日新[2] ZHOU Mei;HUANG Xianbao;CHEN Rixin(Jiangxi University of TCM, Nanchang 330006, Jiangxi, China;Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, Jiangxi, China)

机构地区：[1]江西中医药大学,江西南昌330006 [2]江西中医药大学附属医院,江西南昌330006

出　　处：《中华中医药学刊》2018年第4期872-875,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)项目(2015CB554503)

摘　　要：目的：比较热敏灸治疗良性前列腺增生不同灸量之间的疗效差异。方法：将64例良性前列腺增生患者随机分为个体化的消敏饱和灸量组和传统灸量组,每组32例。两组均采用热敏灸治疗,选择热敏化强度最强的2个穴位实施艾条温和悬灸,消敏饱和灸量组以热敏灸感消失为度,传统灸量组每次15 min,每日2次,共治疗5 d,第6天开始每日1次,连续治疗25次,共治疗35次（共30 d）,比较两组治疗前后及治疗后6个月随访治疗疗效、前列腺症状评分（I-PSS）、膀胱残留尿量（Ru）及最大尿流率（Qmax）。结果：消敏饱和灸量组治疗后总有效率为89.5%（29/32）,6个月后随访时总有效率为90.1%（30/32）,均优于传统灸量组的69%（22/32）与69.3%（23/32）（P〈0.01）;两组患者治疗后及6个月后随访时前列腺症状评分（I-PSS）、膀胱残留尿量（Ru）均较治疗前明显降低（均P〈0.05）,最大尿流率（Qmax）均较治疗前明显升高（均P〈0.05）;消敏饱和灸量组治疗后及6个月后随访时前列腺症状评分（I-PSS）、膀胱残留尿量（Ru）均较传统灸量组明显降低（均P〈0.01）,最大尿流率（Qmax）均较传统灸量组明显升高（均P〈0.01）。结论：个体化的消敏饱和灸量艾灸治疗良性前列腺增生近期及远期疗效明显优于传统灸量艾灸治疗。可见消敏定量是热敏施灸取得最佳疗效的关键因素之一。Objective： To compare the effects of different moxibustion quantities of heat-sensitive moxibustion treatment of benign prostatic hyperplasia. Methods： Sixty-four patients with benign prostatic hyperplasia were randomly divided into individualized desensitisation saturated amount of moxibustion and traditional moxibustion groups,32 cases in each group. Heat-sensitive moxihnstion was applied in both groups. We chose two points with the strongest heat-sensitive felling to do the moxa roll suspended moxibustion. The desensitisation saturated moxibustion quantity group took the heat-sensitive moxibustion feeling disappearance as the standard. The traditional moxibustion group moxibustion lasted for15 min at a time,twice a day,totally for five days. On the sixth day,we began to do the moxibustion once a day,continously for 25 times. There was a total of 35 times treatment（ a total of 30 days）. We compared two groups＇ curative effect,I-PSS,Ru and Qmax before and after treatment and after 6 months follow-up. Results： Desensitisation saturated amount of moxibustion group＇s total effective rate after treatment was 89. 5%（ 29/32）. The total effective rate of follow-up after 6 months was 90. 1%（ 30/32）,which were superior to the traditional moxibustion group＇s 69%（ 22/32） and69. 3%（ 23/32）（ P 〈0. 01）. The I-PSS and Ru of two groups after treatment and 6 months follow-up were significantly decreased（ all P 〈0. 05）. The Qmax was significantly increased（ all P 〈0. 05）. The I-PSS and Ru of desensitisation saturated amount of moxibustion group after treatment and 6 months follow-up were significantly decreased（ all P 〈0. 01）. The Qmax was significantly increased than that of the traditional moxibustion group（ P 〈0. 01）. Conclusion： The individualized desensitisation saturated amount of moxibustion of benign prostatic hyperplasia is superior to traditional moxibustion therapy in the near and long-term effect. The desensitisation quantitative moxibustion is the key to

关 键 词：热敏灸 良性前列腺增生 灸量 

分 类 号：R697.32[医药卫生—泌尿科学]