【摘要】 目的:观察透灸治疗良性前列腺增生症(benign prostatic hyperplasia,BPH)的临床疗效及其对夜尿次数的影响。方法:68例BPH患者随机分为试验组和对照组，每组34例。试验组给予透灸治疗，对照组给予温针灸治疗，两组给予相同的穴位和手法刺激，均连续治疗4周。比较两组患者治疗前后国际前列腺症状评分(international prostate symptom score,IPSS)、平均每日夜尿次数、生活质量(quality of life,QoL)评分、膀胱残余尿量(post void residual,PVR)、前列腺体积(prostate volume,PV)及临床疗效。结果:试验组有效率为93.75%，高于对照组的78.13%(P<0.05)。治疗4周后，试验组IPSS为4.50(3.00,8.00)分，对照组为10.00(9.00,12.00)分，试验组IPSS评分显著低于同期对照组(P<0.05)。治疗4周后，试验组每日夜尿次数为0.43(0.42,0.79)次，对照组为1.12(0.89,1.84)次，试验组显著少于同期对照组(P<0.05)。试验组QoL评分在治疗1周后即降至6.00(5.00,6.00)分，起效时间早于对照组;治疗4周后试验组降至0.00(0.00,1.00)分，显著低于同期对照组的2.00(2.00,3.00)分(P<0.05)。治疗4周后，试验组PVR为13.00(10.25,15.00) mL，对照组为17.00(16.00,19.00) mL，试验组PVR少于同期对照组(P<0.05)。结论:透灸治疗BPH疗效确切，可显著改善下尿路症状、减少夜尿及残余尿量，且起效更快。更多还原

【Abstract】 Objective: To observe the clinical efficacy of Toujiu(moxibustion of deep heat penetration) in treatment of Benign Prostatic Hyperplasia and its effect on the frequency of nocturia. Methods: A total of 68 patients with BPH were randomized into a trial group and a control group,with 34 cases in each group. The trial group was treated with Toujiu(Moxibustion of deep heat penetration),while the control group was treated with warm needle moxibustion. Both groups received stimulation at the same acupoints with identical manual techniques. The treatment was administered continuously for 4 weeks. The international prostate symptom score(IPSS),average daily frequency of nocturia,Quality of Life(QoL) score,Post-Void Residual urine volume(PVR),and Prostate Volume(PV) were observed before and after treatment,and the clinical efficacy was evaluated. Compare the International Prostate Symptom Score(IPSS),average number of nocturia episodes per day,quality of life(QoL) score,post-void residual urine(PVR),prostate volume(PV),and clinical efficacy before and after treatment in two groups of patients. Results: The effective rate of the experimental group was 93. 75%,higher than the control group’s 78. 13%(P < 0. 05). Four weeks after treatment,the experimental group’s IPSS score was 4. 50(3. 00,8. 00),while the control group’s was 10. 00(9. 00,12. 00); the experimental group’s IPSS score was significantly lower than that of the control group at the same period(P < 0. 05). Four weeks after treatment,the experimental group’ s average nocturia episodes per day were 0. 43(0. 42,0. 79),while the control group’s were 1. 12(0. 89,1. 84); the experimental group had significantly fewer episodes than the control group at the same period(P < 0. 05). The experimental group’s QoL score dropped to 6. 00(5. 00,6. 00) one week after treatment,with an earlier onset of effect than the control group; four weeks after treatment,it decreased to 0. 00(0. 00,1. 00),significantly lower than the control group’s 2. 00(2. 00,3. 00)(P < 0. 05). Four weeks after treatment,the experimental group’s PVR was13. 00(10. 25,15. 00) mL,while the control group’s was 17. 00(16. 00,19. 00) mL; the experimental group’s PVR was lower than that of the control group at the same period(P < 0. 05). Conclusion: Toujiu(Moxibustion of deep heat penetration) treatment for BPH is effective,can significantly improve lower urinary tract symptoms,reduce nocturia and residual urine volume,and has a faster onset of effect.更多还原