耳穴埋籽在良性前列腺增生临床治疗中的干预作用  

Interventional effect of ear acupoint seed implantation in the clinical treatment of benign prostatic hyperplasia

作　　者：朱勇[1] 葛晓东 施勇[1] 马亮亮 郭军华[1] ZHU Yong;GE Xiaodong;SHI Yong;MA Liangliang;GUO Junhua(Department of Andrology,Yancheng Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine(Yancheng TCM Hospital),Yancheng 224000,Jiangsu,China)

机构地区：[1]南京中医药大学附属盐城中医院(盐城市中医院)男科,江苏盐城224000

出　　处：《中国性科学》2024年第8期115-118,共4页Chinese Journal of Human Sexuality

基　　金：江苏省科技厅科研项目(BRA2019214);江苏省老年健康科研项目(LR2021051);盐城市基础研究计划项目(YCBK2023047)。

摘　　要：目的评价分析耳穴埋籽在良性前列腺增生(BPH)患者临床治疗中的干预作用。方法选取2021年1月至2022年10月南京中医药大学附属盐城中医院(盐城市中医院)收治的105例BPH患者作为研究对象,采用随机数字表法分为治疗组(n=55)和对照组(n=50)。对照组采用盐酸坦索罗辛缓释胶囊和非那雄胺片治疗,治疗组在对照组治疗基础上联合王不留行籽耳穴(尿道、膀胱、肾、缘中、皮质下)贴压。比较两组治疗前后前列腺体积(PV)、排尿后膀胱残余尿量(PVR)、最大尿流率(Qmax),比较两组治疗前后国际前列腺症状评分(IPSS)和生活质量(QOL)评分。结果治疗后,两组IPSS、QOL评分、Qmax均优于治疗前,且治疗组优于对照组,差异具有统计学意义(P<0.05);治疗后,治疗组PVR小于治疗前(P<0.05),且小于对照组,但差异无统计学意义(P>0.05);治疗后,两组PV与治疗前比较,差异无统计学意义(P>0.05)。结论耳穴埋籽治疗BPH的疗效确切,可有效改善尿动力学指标,缓解前列腺症状,提升生活质量。Objective To evaluate the intervention effect of ear point seed implantation in the clinical treatment of benign prostatic hyperplasia(BPH).Methods A total of 105 BPH patients admitted to Yancheng Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine(Yancheng TCM Hospital)from January 2021 to October 2022 were selected as the research subjects.They were randomly divided into a treatment group(n=55)and a control group(n=50)using a random number table method.The control group was treated with sustained-release capsules of tamsulosin hydrochloride and finasteride tablets,while the treatment group was treated with a combination of Wangbuliuxing ear acupoint seed(urethra,bladder,kidney,middle border,subcortical)compression on the basis of the control group′s treatment.The prostate volume(PV),postvoid residual(PVR),and maximum urine flow rate(Qmax)between two groups before and after treatment,and the international prostate symptom score(IPSS)and quality of life(QOL)score between the two groups before and after treatment were compared.Results After treatment,the IPSS,QOL score and Qmax of both groups were better than before treatment,and the treatment group was better than the control group,with statistical significant differences(P<0.05);after treatment,the PVR of the treatment group was lower than before treatment(P<0.05),and also lower than the control group,but with no statistical significant differences(P>0.05);after treatment,there was no statistically significant difference in PV between the two groups compared to before treatment(P>0.05).Conclusions The efficacy of ear acupoint seed implantation in treating BPH is definite,which can effectively improve urodynamic indicators,alleviate prostate symptoms,and improve quality of life.

关 键 词：良性前列腺增生 耳穴埋籽 干预作用 

分 类 号：R275[医药卫生—中医皮科]