电针针刺八髎穴结合百笑灸灸命门治疗肾阳虚衰证良性前列腺增生的临床研究

Clinical Trial of Electric Acupuncture on Baliao Points Combined with Laughing Moxibustion on Mingmen Point on Kidney Yang Deficiency and Failure Syndrome Benign Prostatic Hyperplasia

摘要: 目的：观察电针针刺八髎穴结合百笑灸灸命门治疗肾阳虚衰证良性前列腺增生的临床疗效，证实其可行性和有效性。方法：将72例肾阳虚衰证BPH的患者随机分为2组，其中治疗组36例，对照组36例。对照组采用单纯口服非那雄胺片治疗，治疗组采用针灸结合口服非那雄胺片治疗。比较两组治疗4周后，前列腺症状评分(IPSS)、最大尿流率(Qmax)、残余尿量(PRV)的变化。结果：两组在治疗前，一般资料、前列腺症状及最大尿流率、残余尿量的差异无统计学意义(P > 0.05)。治疗4周后，两组治疗前后均有统计学差异，治疗组的前列腺症状及最大尿流率、残余尿量明显低于对照组，两组间差异有统计学意义(P < 0.05)。治疗4周后，治疗组的总有效率为91.67%，对照组为77.78%。结论：观察电针针刺八髎穴结合百笑灸灸命门治疗肾阳虚衰证良性前列腺增生的疗效肯定，对于改善患者尿频、尿急、排尿不尽等症状上优于单纯西药治疗，且无副作用，值得临床上推广。

Abstract: Objective: To observe the feasibility and effectiveness of electric acupuncture on Baliao points combined with laughing moxibustion on Mingmen point on kidney Yang deficiency and failure syndrome benign prostatic hyperplasia. Methods: All 72 kidney Yang deficiency BPH patients were randomly hidden and divided into treatment group and control group, 36 patients in each group. The control group was treated with oral finasteride tablets alone. The treatment group was treated by acupuncture combined with oral finasteride tablets. After 4 weeks of treatment, the changes in prostate symptom score (IPSS), maximum urine flow rate (Qmax) and residual urine volume (PRV) were compared between the two groups. Results: Before the treatment, there were no significant differences in general information, prostate symptom score, maximum urine flow rate and residual urine volume between the two groups (P > 0.05). After 4 weeks of treatment, there were statistically significant differences between the two groups before and after treatment. Prostate symptom score, maximum urine flow rate and residual urine volume in the treatment group were significantly lower than those in the control group. The difference between the two groups was statistically significant (P < 0.05). After 4 weeks of treatment, the total effective rate was 91.67% in the treatment group and 77.78% in the control group. Conclusion: This study shows that electric acupuncture on Baliao points combined with laughing moxibustion on Mingmen point can treat kidney Yang deficiency and failure syndrome benign prostatic hyperplasia effectively. It is better than pure western medicine treatment to improve patients’ symptoms of frequent urination, urgency and incontinence. The treatment without side effects is worthy of clinical promotion.