808nm激光穴位照射联合保列治治疗良性前列腺增生症临床观察

目的:观察808nm激光穴位照射联合保列治治疗良性前列腺增生症的临床疗效。方法:将60例肾阳虚型患者随机分为治疗组和对照组各30例,治疗组在808nm激光治疗仪照射会阴、关元、肾俞等穴位基础上加服西药保列治治疗,对照组单纯给予保列治治疗。2组均治疗3月。观察临床疗效及治疗前后国际前列腺症状评分(I-PSS)、生活质量指数(L指数)和前列腺体积的变化。结果:临床疗效总有效率治疗组为100%,对照组为66.67%,2组比较,差异有非常显著性意义(P<0.01);治疗后2组I-PSS、L指数和前列腺体积均有改善,与治疗前比较,差异均有显著性意义(P<0.05);治疗后2组I-PSS、L指数和前列腺体积比较,差异均有显著性意义(P<0.05);2组治疗前后肝功能、肾功能、心电图均未见异常。结论:808nm激光穴位照射联合保列治是临床治疗良性前列腺增生症的有效方法之一。     

激光穴位照射治疗前列腺增生症疗效观察(英文)

目的:观察激光照射穴位治疗前列腺增生症的临床疗效。方法:将60例患者随机分为两组,每组30例。治疗组采用808nm激光穴位照射,对照组口服西药非那雄胺片。治疗3个疗程后观察临床疗效及国际前列腺症状评分(International Prostate Symptom Score,I-PSS)、生活质量指数(Quality of Life Index,QLI)和前列腺体积的变化。结果:治疗组总有效率为93.3%,对照组为66.7%。两组比较,差异显著(P<0.05)。治疗后两组I-PSS症状评分、QLI和前列腺体积均有改善(P<0.05);两组I-PSS评分、QLI治疗后比较,差异显著(P<0.05)。结论:激光穴位照射治疗良性前列腺增生症疗效确切。     

650nm激光穴位照射治疗良性前列腺增生症30例临床观察

目的:观察650nm激光穴位照射治疗良性前列腺增生症的临床疗效.方法:将60例患者随机分为2组各30例.治疗组采用650nm激光穴位照射会阴、关元、肾俞等穴;对照组口服西药保列治.观察2组临床疗效及治疗前后国际前列腺症状评分(I-PSS症状评分)、生活质量指数(L)和前列腺体积的变化.结果:总有效率治疗组90.00%,对照组为66.67%,2组比较,差异有显著性意义(P＜0.05).2组治疗后I-PSS症状评分、L指数、前列腺体积均有改善,与治疗前比较,差异均有显著性意义(P＜0.05);治疗后I-PSS症状评分、L指数2组比较,差异均有显著性意义(P＜0.05).结论:650nm激光穴位照射是治疗良性前列腺增生症有效方法之一.     

水蛭斑蝥汤治疗良性前列腺增生症30例临床观察

目的:观察水蛭斑蝥汤治疗良性前列腺增生症的临床疗效。方法:将60例患者随机分为两组,每组各30例。治疗组以水蛭斑蝥汤加减治疗;对照组以保列治治疗。观察临床疗效及治疗前后国际前列腺症状评分(Ⅰ-PSS症状评分)、生活质量指数(L)、前列腺体积的变化。疗程结束半年后对显效患者随访。结果:治疗组总有效率为93.33%,对照组为66.67%,两组比较差异有显著性意义(P<0.05)。治疗后两组Ⅰ-PSS评分、L、前列腺体积变化等均有改善,与治疗前比较,差异有显著性或非常显著性意义(P<0.05或P<0.01);两组Ⅰ-PSS评分、L治疗后比较,差异有显著性意义(P<0.05)。对显效的患者随访,治疗组未见复发,对照组有4例复发,治疗组优于对照组(P<0.05)。两组治疗前后肝功能、肾功能、心电图均未见异常。治疗组不良反应率低于对照组(P<0.05)。结论:水蛭斑蝥汤治疗前列腺增生症临床疗效好,能显著改善临床症状,提高生活质量,而且不良反应率低。     

前列汤治疗良性前列腺增生的临床研究

目的：观察前列汤治疗良性前列腺增生（BPH）的临床疗效。方法：90例BPH患者随机分为治疗组和对照组,治疗组50例服以前列汤为基本方的中药,对照组40例服坦索罗辛。观察治疗前后患者的国际前列腺症状评分（Ⅰ-PSS）、生活质量指数（QOL）、前列腺体积（PV）、最大尿流率（Qmax）和膀胱残余尿量（PVR）的变化。结果：治疗组总有效率为90.0%,对照组为75.0%,两者比较,差异有显著性（P〈0.01）,且治疗组在改善排尿症状和生活质量、提高最大尿流率和减少膀胱残余尿量等方面,疗效优于对照组（P〈0.05）,而两者在缩小前列腺体积方面作用不明显（P〉0.05）。结论：前列汤为治疗BPH的有效药品,值得进一步研究。     

中药穴位敷贴治疗良性前列腺增生症疗效观察与护理

目的观察穴位贴敷治疗良性前列腺增生症的临床疗效。方法将确诊为良性前列腺增生症患者78例随机分为对照组和治疗组,对照组38例,治疗组40例。对照组给予常规的护理及基础用药干预,治疗组在执行常规护理、药物干预基础上配合穴位帖敷。两组均以7天为1个疗程,共观察、治疗3个疗程。以前列腺症状评分（I-PSs）、生活质量指数（QoL）,治疗前后变化作为临床疗效判定指标。并对疗效进行评价。结果3个疗程治疗后,两组I-PSs评分、QoL指数均较治疗前有显著改善（Pl〈0．01）,两组治疗后I-PSS及QoL评分比较,差异有统计学意义（P〈O．05）。结论穴位贴敷治疗良性前列腺增生症是一种有效的治疗方法。     

补肾化瘀汤治疗良性前列腺增生症40例临床观察

目的：观察补肾化瘀汤治疗前列腺增生症（BPH）的临床疗效。方法：将80例本病患者随机分为治疗组和对照组各40例。治疗组予补肾化瘀汤治疗,对照组予舍尼通片治疗。两组均以1个月为一个疗程,治疗3个疗程。观察两组患者国际前列腺症状评分（IPSS）、最大尿流率、前列腺体积、血清胰岛素样生长因子-1（IGF-1）的变化。结果：总显效率治疗组为86.5%,对照组为55.1%,治疗组优于对照组,差异有统计学意义（P〈0.05）。两组的IPSS、最大尿流率、前列腺体积、IGF-1均较治疗前改善,差异有统计学意义（P〈0.05）,而治疗组的IPSS、最大尿流率、前列腺体积、IGF-1改善情况优于对照组,差异有统计学意义（P〈0.05）。结论：补肾化瘀汤治疗良性前列腺增生症有较好疗效,可有效地改善前列腺增生症临床症状。     

前列腺增生贴穴位外敷治疗良性前列腺增生症80例

目的观察前列腺增生贴治疗良性前列腺增生症的临床疗效。方法将160例良性前列腺增生症患者随机分为治疗组和对照组各80例,治疗组用前列腺增生贴治疗,对照组组予前列通片;两组均连续治疗1个月,观察临床疗效及治疗后国际前列腺症状评分（I-PSS）变化情况。结果治疗组、对照组总有效率分别为88.75%、76.25%;组间疗效比较,差异有统计学意义（P〈0.01）。两组治疗后I-PSS评分均显著降低（P〈0.01）;组间治疗后及两组治疗前后差值比较,差异有统计学意义（P〈0.01）。结论前列腺增生贴治疗良性前列腺增生症具有较好的临床疗效,且具有较高的安全性。     

不同手术方式治疗老年前列腺增生症临床对比分析

目的：比较经尿道前列腺等离子双极汽化电切术（PKRP）与前列腺电汽化术治疗老年前列腺增生症（BPH）的临床疗效。方法：选取138例老年良性前列腺增生症患者为研究对象,按照入院顺序随机均分为两组,观察组69例患者行经尿道前列腺等离子双极汽化电切术,对照组69例患者行前列腺电汽化术,比较分析两组患者手术时间、术中出血量、术后膀胱冲洗时间、住院时间、手术前后前列腺症状评分（I-PSS）、最大尿流率（Qmax）、手术并发症等。结果：观察组患者手术时间、术中出血量、术后膀胱冲洗时间、住院时间等指标均明显优于对照组（P〈0.05）。治疗前观察组患者前列腺症状评分和最大尿流率与对照组比较差异无统计学意义（P〉0.05）;治疗后两组患者前列腺症状评分、最大尿流率均明显优于治疗前（P〈0.05）;治疗后对照组患者前列腺症状评分、最大尿流率优于治疗前,比较差异有统计学意义（P〈0.05）;治疗后观察组前列腺症状评分和最大尿流率改善情况优于对照组,但比较差异无统计学意义（P〉0.05）。观察组患者术后性功能障碍发生率为4.35%,水中毒发生率为1.45%,前列腺包膜穿孔发生率为5.80%,均低于对照组（P〈0.05）。结论：经尿道前列腺等离子双极汽化电切术可以达到与前列腺电汽化术治疗BPH相近的疗效,但其出血量少、手术时间短、术后恢复快、手术并发症少,是老年良性前列腺增生症症患者理想的治疗手段。     

水蛭斑蝥汤治疗良性前列腺增生症30例疗效观察

目的：观察水蛭斑蝥汤治疗良性前列腺增生症的临床疗效。方法：将60例患者随机分为2组各30俐。治疗组以水蛭斑蝥汤（处方：水蛭、冬虫夏草、斑蝥、制大黄、炮穿山甲、川悚子、黄芪、淫羊藿）治疗；对照组以保列治治疗,观察临床疗效及治疗前后国际前列腺症状评分（I-PSS症状评分）、生活质量指数（L）、前列腺体积的变化。结果：总有效率治疗组为93．33％，对照组为66．67％，2组比较，差异有显著性意义（P〈0．05）。治疗后2组I-PSS评分、L、前列腺体积均有改善，与治疗前比较，差异有显著性或非常显著性意义（P〈0．05，P〈0．01）；2组I-PSS评分、L治疗后比较，差异有显著陛意义（P〈0．05），治疗组优于对照组。2组治疗前后肝功能、肾功能、心电图均未见异常。结论：采用水蛭斑蝥汤治疗前列腺增生症，不仅能显著改善临床症状、提高生活质量，而且不良反应率低，对降低前列腺癌变的潜在危险性有积极的临床意义。     

芎柏前列散穴位贴敷治疗Ⅲ型前列腺炎综合征临床观察

目的:比较穴位贴敷与保留灌肠配合毫米波照射治疗Ⅲ型前列腺炎综合征的疗效差异。方法:将72例患者随机分为穴位贴敷组(36例)和灌肠组(36例),分别采用芎柏前列散贴敷指定穴位(次髎、中极、关元、会阴、长强)和用如意金黄散保留灌肠加毫米波照射前列腺区域,8次为一疗程,共治疗2个疗程,观察慢性前列腺症状指数(NIH-CPSI)评分和疗效。结果:穴位贴敷组36例,脱落5例,显效13例,有效17例,无效1例,总有效率为96.8%(30/31);灌肠组36例,脱落7例,显效7例,有效17例,无效5例,总有效率为82.7%(24/29),穴位贴敷组疗效更佳(P<0.05)。两组治疗后NIH-CPSI评分均明显降低(均P<0.01),穴位贴敷组下降更明显(P<0.05)。结论:芎柏前列散穴位贴敷治疗Ⅲ型前列腺炎综合征具有较好疗效,优于保留灌肠配合毫米波照射治疗。     

腧穴放置小极板治疗前列腺增生症临床观察

目的：对比观察腧穴放置小极板与口服药物保列治的临床疗效。方法：将75例前列腺增生症患者随机分为治疗组和对照组，治疗组50例以会阴、中极穴置小极板，对照组25例口服保列治。结果：治疗组总有效率为92．0％，对照组总有效率为60．0％，治疗组临床疗效明显优于对照组(P＜0．01)。结论：腧穴放置小极板疗法具有较高疗效，为有效治疗方法之一。     

低能量氦氖激光穴位照射治疗婴幼儿感冒疗效观察

目的:探寻治疗婴幼儿感冒的有效疗法。方法:将255例感冒患儿随机分为激光组(130例)和药物组(125例)。激光组给予低能量氦氖激光穴位外照治疗,穴取天突、人迎、大椎、风门等;药物组口服西药金刚烷乙胺片为主治疗。治疗5天后评定疗效。结果:激光组在缓解咳嗽、鼻塞、流涕、痰鸣音方面均显著优于药物组(P<0.001,P<0.01);激光组治愈率为68.5%,药物组为42.4%,激光组疗效显著优于药物组(P<0.001)。结论:低能量氦氖激光穴位照射治疗婴幼儿感冒疗效显著。     

Observation on therapeutic effect in treatment of prostate hyperplasia by needle-warming moxibustion

以肾俞、次髎、膀胱俞、会阴和秩边为主穴,三阴交、中极和关元为配穴,针刺治疗51例前列腺增生患者,并口服高特灵治疗47例为对照.两组总有效率分别为88.2%和70.2%,前者好于后者(P＜0.05).     

光电治疗仪配合针刺治疗单纯性肥胖临床观察

目的观察光电治疗仪治疗单纯性肥胖的疗效。方法将60例单纯性肥胖病患者随机分为2组,治疗组30例采用针刺配合光电治疗仪方法,针刺后将XS-998A(C)型光电治疗仪电极置于腹部穴位,激光输出头置于神阙、水分等穴或局部脂肪较多部位,有脂肪肝者激光头置于肝区附近。对照组常规针刺,不用光电治疗仪。分别观察两组治疗前后主要症状、体征改善情况和治疗前后体质指数(BMI)变化。结果治疗组较对照组可明显改善肥胖患者症状、体征和BMI,两组比较差异有显著性意义(P<0.05)。结论针刺配合激光照射腹部相关区域可以提高对肥胖病的疗效。     

针刺结合微波穴位照射治疗良性前列腺增生的疗效观察

目的:对比针刺结合微波穴位照射与西药舍尼通治疗良性前列腺增生(BPH)的结果,评价其疗效.方法:将82例良性前列腺增生(BPH)患者随机分为治疗组42例(针刺结合微波穴位照射)和对照组40例(西药舍尼通治疗),以治疗前后国际前列腺症状评分(I-PSS)、受困评分(BS)、最大尿流率、前列腺容积和膀胱残余尿量为量化指标进行对比观察.结果:治疗组治愈率和总有效率分别为59.5%和100.0%,膀胱出口梗阻症状得到显著改善,I-PSS、BS评分,最大尿流率、前列腺容积和膀胱残余尿量均有明显改善,疗效优于对照组(P＜0.05).结论:针刺结合微波穴位照射治疗良性前列腺增生疗效优于西药舍尼通.     

Curative effect of electro-acupuncture and Tuina on prostatic hypertrophy

Objective To observe the curative effect of electro-acupuncture plus Tuina on prostatic hypertrophy.Method Fifty-six cases of prostatic hypertrophy were treated according to the principle of taking the kidney as the main aspect. Points Guanyuan (CV 4), Qugu (CV 2), Shenshu (BL 23), Ciliao (BL32) and Sanyinjiao (SP 6) were selected and electro-acupuncture were used together with Tuina. Those who took the tablet Finasteride orally were treated as the control group.Result The total effective rate was 94.6% in treating group, while that was 86.7% in the control group,P>0.05.Conclusion It is suggested that electro-acupuncture plus Tuina has a certain effect on prostatic hypertrophy. Compared with western medicine, it is lower in price and has no side effect. Translator: SHEN Wei-na     

Pathologic analysis on hyperplasia of mammary gland with different syndromes based on infrared radiation temperature of acupoints

Objective

To explore the pathologic characteristics of hyperplasia of the mammary gland (HMG) by observing differences in infrared radiation temperature of points of HMG in patients with different syndromes compared with healthy controls.

Methods

A FLIR Systems Therma CAM™ P30 infrared thermal camera was used to detect the infrared temperature of Shanzhong (CV 17), Qimen (LR 14), Zhongwan (CV 12), Qihai (CV 6), Guanyuan (CV 4), Taixi (KI 3), and Taichong (LR 3) in 113 patients with HMG. Of these patients, 71 were placed in the Liver Qi stagnation group, 34 were placed in the Dysfunction of conception and thoroughfare vessels group, and 8 were placed in the Phlegm and blood stasis in combination group. The infrared radiation temperature of each point in the patients was compared with that of healthy controls, and the differences in the infrared radiation temperatures of the points in the patients were analyzed.

Results

Overall, the bilateral corresponding point in both the controls and patients exhibited no significant difference in infrared radiation temperature. In all cases, the infrared radiation temperature of the points from proximal to distal tended to decrease. In a comparison of the patients and controls, the infrared radiation temperature of the trunk points Shanzhong (CV 17), Qimen (LR 14), Zhongwan (CV 12), Qihai (CV 6), and Guanyuan (CV 4) of the patients was higher than that of the controls, while the infrared radiation temperature of the lower extremity points Taixi (KI 3) and Taichong (LR 3) was lower than that of the controls. Of these points, Shanzhong (CV 17) (P=0.0368), Zhongwan (CV 12) (P=0.0028), Qihai (CV 6) (P=0.0085), and Guanyuan (CV 4) (P=0.0018) showed significant differences. In a comparison of the corresponding point on the same side in the Liver Qi stagnation group and controls, the infrared radiation temperature of Shanzhong (CV 17) (P=0.0089), right-side Qimen (LR 14) (P=0.0382), Zhongwan (CV 12) (P= 0.0000), Qihai (CV 6) (P=0.0011), and Guanyuan (CV 4) (P=0.0000) of the patients was significantly higher than that of the controls, while the differences in the infrared radiation temperature of the other points were not statistically significant (P= 0.0833–0.8397). In a comparison of the corresponding point on the same side in the Dysfunction of conception and thoroughfare vessels group and controls, the infrared radiation temperature of left-side Taichong (LR 3) (P=0.0048), right-side Taichong (LR 3) (P=0.0329), left-side Taixi (KI 3) (P= 0.0171), and right-side Taixi (KI 3) (t=0.544, P= 0.0165) of the patients was significantly lower than that of the controls, while the differences in the infrared radiation temperature of the other points were not statistically significant (P=0.3793–0.9197). In a comparison of the corresponding point on the same side in the Phlegm and blood stasis in combination group and controls, the infrared radiation temperature of Shanzhong (CV 17), Qimen (LR 14), Qihai (CV 6), Guanyuan (CV 4), Taixi (KI 3), Taichong (LR 3), and Zhongwan (CV 12) tended to increase, but without statistical significance (P=0.175-.759).

Conclusion

The corresponding points of HMG patients with different syndromes are in different deficiency/excess states. Changes in the infrared radiation temperature of the trunk points Shanzhong (CV 17), Qimen (LR 14), Zhongwan (CV 12), Qihai (CV 6), and Guanyuan (CV 4) are closely related to the pathological characteristics of the Liver Qi stagnation syndrome of HMG patients, while changes in the infrared radiation temperature of the lower extremity points Taixi (KI 3) and Taichong (LR 3) are closely related to the pathological characteristics of the Dysfunction of conception and thoroughfare vessels syndrome of HMG patients. On the whole, HMG patients with Liver Qi stagnation syndrome are characterized by “upper excess,” and those with Dysfunction of conception and thoroughfare vessels syndrome are characterized by “lower deficiency.”