曲骨穴齐刺联合电针治疗良性前列腺增生的疗效观察  

Observation on the efficacy of triple needling at Qugu(CV2)plus electroacupuncture for benign prostatic

作　　者：李成 刘世敏[2] 沈建良 杨其良 林卫 陈聪 李婷 LI Cheng;LIU Shimin;SHEN Jianliang;YANG Qiliang;LIN Wei;CHEN Cong;LI Ting(Shanghai Tinglin Hospital,Shanghai 201505,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海亭林医院,上海201505 [2]上海中医药大学,上海201203

出　　处：《上海针灸杂志》2025年第2期148-152,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市金山区卫生健康委员会科研课题计划(JSKJ-KTZY-2021-02)。

摘　　要：目的观察曲骨穴齐刺联合电针治疗良性前列腺增生的临床疗效。方法将符合纳入标准的60例良性前列腺增生患者随机分为电针组(30例)和药物组(30例)。电针组采用曲骨穴齐刺联合电针治疗,药物组采用口服盐酸坦索罗辛缓释胶囊和非那雄胺片治疗。观察两组治疗前后国际前列腺症状评分(International prostate symptom score,I-PSS)、前列腺主要症状(夜尿次数、排尿乏力和憋尿困难)评分、生活质量(quality of life,QOL)评分和最大尿流率的变化,比较两组临床疗效。结果治疗后,两组患者I-PSS、前列腺主要症状评分、QOL评分和最大尿流率均较同组治疗前改善(P<0.05),且电针组上述观察指标均优于药物组(P<0.05)。电针组总有效率为93.3%,明显高于药物组的70.0%(P<0.05)。结论曲骨穴齐刺联合电针治疗良性前列腺增生可明显改善临床症状,提高尿流量和生活质量,疗效优于药物治疗。Objective To observe the clinical efficacy of triple needling at Qugu(CV2)plus electroacupuncture for benign prostatic hyperplasia.Method Sixty patients with benign prostatic hyperplasia meeting the inclusion criteria were randomized to an electroacupuncture group(30 cases)and a medication group(30 cases).The electroacupuncture group received triple needling at Qugu plus electroacupuncture and the medication group received oral administration of Tamsulosin hydrochloride sustained-release capsules and Finasteride tablets.The International prostate symptom score(I-PSS)score,main prostate symptom(nocturia frequency,voiding weakness and voiding difficulty)scores,the quality of life scale(QOL)score and the maximum urinary flow rate were observed in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result After treatment,the I-PSS,score,main prostate symptom scores,the QOLS score and the maximum urinary flow rate the maximum urinary flow rate improved in the two groups compared with before(P<0.05)and were better in the electroacupuncture group than in the medication group(P<0.05).The total efficacy rate was 93.3%in the electroacupuncture group,which was significantly higher than 70.0%in the medication group(P<0.05).Conclusion Triple needling at Qugu plus electroacupuncture for benign prostatic hyperplasia can markedly relieve the clinical symptoms,increase the urinary flow rate and improve the quality of life.It is more effective than medication.

关 键 词：针刺疗法 电针 穴 曲骨 前列腺增生 尿流量 生活质量 

分 类 号：R246.2[医药卫生—针灸推拿学]