火针联合隔姜灸改善前列腺增生症症状的临床疗效分析  

Effect of Fire-needle Combined with Ginger Moxibustion in the Treatment of Benign Prostatic Hyperplasia

作　　者：张雷 李晓泉 ZHANG Lei;LI Xiao-quan(Department of Urology,Section Two,Shenyang Red Cross Hospital,Shenyang,Liaoning Province,110013 China;Department of Rehabilitation,Funhe New City Hospital of Integrated Traditional Chinese and Western Medicine,Shenyang,Liaoning Province,110010 China)

机构地区：[1]沈阳市红十字会医院泌尿外二科,辽宁沈阳110013 [2]沈阳浑河新城中西医结合医院康复科,辽宁沈阳110010

出　　处：《中外医疗》2018年第20期157-159,162,共4页China & Foreign Medical Treatment

摘　　要：目的比较火针联合隔姜灸与药物可多华(甲磺酸多沙唑嗪缓释片,辉瑞制药有限公司进口分包装4 mg/片)改善前列腺增生症症状的疗效差异。方法方便选取2016年9月—2017年5月期间于沈阳市红十字会医院就诊的前列腺增生症患者60例随机分为治疗组和对照组。治疗组火针针刺中极、关元、气海、次髎等主穴;隔姜灸神阙穴,根据症候加减配穴,1次/d,6次/周,20~30 min/次,共2周。对照组予可多华4 mg/次,每日晨起1次,共6周。分别于治疗后2周、6周观察患者国际前列腺症状评分(I-PSS)、最大尿流率(Qmax)。结果两组患者治疗后I-PSS评分均有明显降低(P<0.05),最大尿流率均有增高(P<0.05)。治疗组第2周I-PSS评分及Qmax[(15.5±3.4),(10.5±1.9)mL/s]与对照组[(14.7±4.1),(11.3±1.2)mL/s)]比较差异无统计学意义(P>0.05),第6周I-PSS评分及Qmax[(6.7±2.8),(15.5±1.4)ml/s]改善优于对照组[(10.5±3.6),(12.6±0.6)mL/s)](P<0.05)。结论火针联合隔姜灸疗法能显著改善前列腺增生症患者症状,远期疗效优于口服可多华,且治疗时间及不良反应方面优于口服可多华。Objective This paper tries to compare the efficacy of fire acupuncture combined with Ginger moxibustion and drug candovacin（doxazosin mesylate sustained-release tablets, Pfizer Pharmaceutical Co., Ltd. imported sub-packs 4 mg/tablet） to improve the symptoms of benign prostatic hyperplasia. Methods 60 patients with benign prostatic hyperplasia who were treated at the Shenyang Red Cross Hospital between September 2016 to May 2017 were convenient randomly divided into treatment and control groups. The treatment group had acupuncture at the main points of the central pole, Guanyuan,Qihai, and second iliac; the ginger-separated and moxibustion Shenque points were added and subtracted according to symptoms, once a day, 6 times per week, 20 to 30 minutes each time, with a total of 2 weeks. The control group received more than 4 mg of cisplatin each morning from the morning, for a total of 6 weeks. The patient＇s International Prostate Symptom Score（I-PSS） and maximum urinary flow rate（Qmax） were observed at 2 and 6 weeks after treatment. Results The I-PSS scores of both groups were significantly lower after treatment（P〈0.05）, and the maximum urinary flow rate was increased（P〈0.05）. There was no significant difference in I-PSS scores and Qmax[（15.5±3.4）,（10.5±1.9）mL/s）] between the treatment group and the control group [（14.7±4.1）,（11.3±1.2）mL/s] at the second week（P〉0.05）. The weekly I-PSS score and Qmax[（6.7±2.8）,（15.5±1.4）mL/s] improved better than the control group[（10.5±3.6）,（12.6±0.6）mL/s]（P〈0.05）. Conclusion Fire needle combined with Ginger moxibustion moxibustion therapy can significantly improve the symptoms of patients with benign prostatic hyperplasia. The long-term curative effect is better than that of oral administration of polydopamine,and the treatment time and side effects are superior to oral administration.

关 键 词：火针 隔姜灸 前列腺增生症 可多华 

分 类 号：R4[医药卫生—临床医学]