秩边穴齐刺加灸治疗良性前列腺增生临床研究

目的:观察运用秩边穴齐刺加灸法治疗良性前列腺增生的临床疗效。方法:选符合纳入标准的良性前列腺增生患者200例,随机分成治疗组和对照组各100例。治疗组采用秩边穴区灸法敏感点齐刺,并取旁水道、旁归来、肾俞、三阴交等穴同施温针灸,每日1次,10次为一疗程,共治疗2个疗程;对照组采用相同穴位和针刺操作,不予艾灸治疗。分别观察两组患者治疗前后的国际前列腺症状评分(I-PSS)以及生活质量评分(QOL),并评定疗效。结果:治疗后两组I-PSS评分及QOL评分均较治疗前明显改善,治疗组较对照组改善更明显(均P0.01)。两组总有效率比较,治疗组为89.0%(89/100),对照组为74.0%(74/100),治疗组明显优于对照组(P0.01)。结论:针灸同施治疗良性前列腺增生疗效优于单纯针刺。

Clinical Trials of Triple-puncture Stimulation of Zhibian(BL 54),ctc.plus Moxibustion for Benign Prostatic Hyperplasia

Objective To observe the clinical efficacy of triple-puncture stimulation of Zhibian(BL 54),etc.combined with moxibustion therapy for patients with benign prostatic hyperplasia(BPH).Methods Two hundred patients with BPH who met the inclusive criteria were randomized into control(acupuncture)and treatment(acupuncture plus moxibustion)groups(n=100cases in each one).Patients of both the control and treatment groups were treated by puncturing the sensitive spot of bilateral Zhibian(BL 54,with triple filiform needles),and other main acupoints as Pang-Shuidao(ST 28,one cun beside ST 28),Pang-Guilai(ST 29,one cun beside ST 29),Shenshu(BL 23),Sanyinjiao(SP 6),Guanyuan(CV 4),Zhongji(GV 7),and some supplemented acupoints selected according to the syndrome identification.In addition,for patients of the treatment group,bird-pecking moxibustion was applied to bilateral Zhibian(BL 54),and the rest acupoints were punctured with filiform needles which were attached with ignited moxa stick-segments.The treatment was conducted for 30 min every time,once every day for 20 times,with 2days' rest between the two 10days' treatments.The state of the patients' prostate(micturation state)was evaluated according to the"International prostate symptom score"(I-PSS,0-35 poins,7symptom questions)and quality of life(QOL,0-6points)score before and after the treatment.Results After the treatment,both I-PSS score and QOL score of the two groups were significantly decreased compared with pre-treatment in the same one group(P<0.01),and the effect of the treatment group was evidently superior to that of the control group in lowering I-PSS score and QOL score(P<0.01).Of the two 100 cases in the control and treatment groups,23(23.0%)and 42(42.0%)experienced a marked improvement,51(51.0%)and 47(47.0%)were effective,and 26(26.0%)and 11(11.0%)invalid,with the effective rates being 74.0% and 89.0%,respectively.The therapeutic effect of the treatment group was obviously superior to that of the control group(P<0.01).Conclusion Acupuncture plus moxibustion treatment is effective in improving BPH patients' micturation symptoms,which is superior to the simple acupuncture intervention.