雷火灸联合常规疗法治疗良性前列腺增生临床研究  

Clinical Study on Thunder-Fire Moxibustion Combined with Routine Therapy for Benign Prostatic Hyperplasia

作　　者：吴少霞 于文琦 林俏丽 刘真真 刘娟 WU Shaoxia;YU Wenqi;LIN Qiaoli;LIU Zhenzhen;LIU Juan

机构地区：[1]广州中医药大学第二附属医院综合一科,广东广州510006

出　　处：《新中医》2022年第14期184-188,共5页New Chinese Medicine

基　　金：广东省中医药局面上科研项目(20192041)。

摘　　要：目的:观察雷火灸联合常规疗法治疗良性前列腺增生的效果。方法:将76例肾气亏虚型良性前列腺增生患者随机分为对照组39例、观察组37例,2组均予常规治疗及护理疗法,观察组加用雷火灸治疗,2组均治疗30 d。比较治疗前后2组患者的血清复合前列腺特异抗原(cPSA)、国际前列腺症状评分(IPSS)、每晚夜尿次数及生活质量评分。结果:治疗30 d后,观察组cPSA值较治疗前降低,差异有统计学意义(P<0.05);观察组cPSA值低于对照组,差异有统计学意义(P<0.05)。治疗10 d、20 d、30 d后,观察组IPSS均较治疗前降低,每晚夜尿次数均较治疗前减少,差异均有统计学意义(P<0.01);观察组3个时间点的IPSS均低于对照组,每晚夜尿次数均少于对照组,差异均有统计学意义(P<0.01)。随着治疗天数增加,2组患者每晚的夜尿次数逐渐减少,从治疗4 d开始,观察组每晚的夜尿次数均少于对照组;治疗16 d后,对照组每晚的夜尿次数趋于平稳,但均在3次及以上;治疗29 d后,观察组每晚的夜尿次数趋于平稳,在2次以下。治疗20 d、30 d,观察组的生活质量评分均较治疗前下降,同时也低于同期对照组,差异均有统计学意义(P<0.01)。结论:在常规干预措施基础上加用雷火灸可有效减轻良性前列腺增生的临床症状,改善患者的前列腺功能,减少夜尿次数,提高生活质量,安全性高。Objective:To observe the effect of thunder-fire moxibustion combined with routine therapy on benign prostatic hyperplasia.Methods:A total of 76 cases of patients with benign prostatic hyperplasia of kidney qi deficiency type were randomly divided into the control group and the observation group,with39 and 37 cases in each group respectively.Both groups were given routine treatment and nursing therapy,and the observation group was additionally treated with thunder-fire moxibustion.Both groups were treated for 30 days.Before and after treatment,complexed prostate-specific antigen(cPSA)in serum,International Prostatic Symptom Score(IPSS),daily nocturia frequency and quality of life scores in the two groups were compared.Results:After 30 days of treatment,c PSA values in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05);cPSA value in the observation group was lower than that in the control group,the difference being significant(P<0.05).After 10,20 and 30 days of treatment,IPSS and daily nocturia frequency in the observation group were decreased when compared with those before treatment,differences being significant(P<0.01);IPSS at three time points in the observation group were lower than those in the control group,and daily nocturia frequency was less,differences being significant(P<0.01).With the increase of treatment days,the daily nocturia frequency in the two groups was gradually decreased;from the fourth day of treatment,the daily nocturia frequency in the observation group was less than that in the control group.After 16 days of treatment,the daily nocturia frequency in the control group stabilized to more than three times per day.After 29 days of treatment,the daily nocturia frequency in the observation group stabilized to less than two times per day.After 20 and 30 days of treatment,quality of life scores in the observation group were lower than those before treatment,and lower than those in the control group at the same time,differences being signi

关 键 词：良性前列腺增生 雷火灸 复合血清前列腺特异抗原 生活质量 

分 类 号：R246.9[医药卫生—针灸推拿学]