针刺三皇穴治疗肾阳虚型慢性非细菌性前列腺炎的临床观察
|
摘要
目的:探讨针刺三皇穴治疗肾阳虚型慢性非细菌性前列腺炎(CNP)的临床疗效。方法:将CNP患者随机分为治疗组和对照组,每组30例。对照组予坦索罗辛口服,0.2mg/次,1次/d,连续服用8周。治疗组在对照组基础上予针刺双侧三皇穴治疗,针刺得气即可,留针30min,1次/d,连续8周。治疗后观察两组NIH-CPSI评分、前列腺液白细胞计数以评估临床疗效。结果:治疗后两组NIH-CPSI评分、前列腺液白细胞计数均较治疗前降低(P<0.05);治疗组NIH-CPSI评分、前列腺液白细胞计数较对照组降低更显著(P<0.05)。治疗后治疗组总有效率为96.67%(29/30),明显高于对照组76.67%(23/30,P<0.05)。结论:针刺三皇穴治疗肾阳虚型CNP疗效显著。
Objective To observe the clinical effect of acupuncture stimulation of Sanhuang points in the treatment of chronic nonbacterial prostatitis(CNP)of kidney-yang deficiency type.Methods A total of 60 CNP outpatients were equally randomized into medication(control)group and acupuncture plus medication(acupuncture)group.Patients of the control group were ordered to take Tamsulosin(0.2 mg/d)for successive 8 weeks.On the basis of medication treatment,for patients of the acupuncture group,bilateral Sanhuang points including Tianhuang-fu Point(Shenguan),Dihuang Point and Renhuang Point(at the lower leg)were needled with filiform needles which were manipulated for a while till Deqi,followed by retaining the needles for 30 min.The treatment was conducted once daily for successive 8 weeks.The therapeutic effect was evaluated in reference to the"Criteria for Diagnosis and Therapeutic Effect Evaluation of Syndromes/Diseases of Traditional Chinese Medicine".The National Institutes of Health—Chronic Prostatitis Symptom Index(NIH-CPSI)scores were used to assess the severity of chronic prostatitis.Routine examination of the leukocyte count in the prostatic fluid was performed before and after the treatment.Results Of the two 30 cases of the control and acupuncture groups,9 and 19 were cured,14 and 10 experienced improvement,and 7 and 1 failed in the treatment,with the effective rates being 76.67%and 96.67%,respectively.The effective rate of the acupuncture plus medication was significantly higher than that of the medication(P<0.05).After the treatment,the scores of NIH-CPSI and white blood cell counts in the prostatic fluid in both groups were significantly decreased in comparison with their own pre-treatment(P<0.05).The therapeutic effect of acupuncture plus medication was significantly superior to that of the medication alone in reducing the NIH-CPSI symptom score and the number of leukocytes in the prostatic fluid(P<0.05).Conclusion Acupuncture at Sanhuang points is effective in improving symptoms of CNP patients of kidney-yang deficiency type,and the therapeutic effect of acupuncture plus medication is superior to that of medication alone.
Objective To observe the clinical effect of acupuncture stimulation of Sanhuang points in the treatment of chronic nonbacterial prostatitis(CNP)of kidney-yang deficiency type.Methods A total of 60 CNP outpatients were equally randomized into medication(control)group and acupuncture plus medication(acupuncture)group.Patients of the control group were ordered to take Tamsulosin(0.2 mg/d)for successive 8 weeks.On the basis of medication treatment,for patients of the acupuncture group,bilateral Sanhuang points including Tianhuang-fu Point(Shenguan),Dihuang Point and Renhuang Point(at the lower leg)were needled with filiform needles which were manipulated for a while till Deqi,followed by retaining the needles for 30 min.The treatment was conducted once daily for successive 8 weeks.The therapeutic effect was evaluated in reference to the"Criteria for Diagnosis and Therapeutic Effect Evaluation of Syndromes/Diseases of Traditional Chinese Medicine".The National Institutes of Health—Chronic Prostatitis Symptom Index(NIH-CPSI)scores were used to assess the severity of chronic prostatitis.Routine examination of the leukocyte count in the prostatic fluid was performed before and after the treatment.Results Of the two 30 cases of the control and acupuncture groups,9 and 19 were cured,14 and 10 experienced improvement,and 7 and 1 failed in the treatment,with the effective rates being 76.67%and 96.67%,respectively.The effective rate of the acupuncture plus medication was significantly higher than that of the medication(P<0.05).After the treatment,the scores of NIH-CPSI and white blood cell counts in the prostatic fluid in both groups were significantly decreased in comparison with their own pre-treatment(P<0.05).The therapeutic effect of acupuncture plus medication was significantly superior to that of the medication alone in reducing the NIH-CPSI symptom score and the number of leukocytes in the prostatic fluid(P<0.05).Conclusion Acupuncture at Sanhuang points is effective in improving symptoms of CNP patients of kidney-yang deficiency type,and the therapeutic effect of acupuncture plus medication is superior to that of medication alone.
引文
[1]MOAYEDNIA A,HAGHDANI S,KHOSRAWI S,et al.Long-term effect of extracorporeal shock wave therapy on the treatment of chronic pelvic pain syndrome due to non bacterial prostatitis[J].J Res Med Sci,2014,19(4):293-296.
[2]叶章群,蓝儒竹,沈周俊,等.癃清片与左氧氟沙星单药或联合应用治疗非细菌性炎症性前列腺炎的临床研究[J].中华泌尿外科杂志,2016,37(5):363-367.
[3]徐秀梅,徐彦龙.矩阵针法配合针刺三阴穴治疗慢性非细菌性前列腺炎31例[J].西部中医药,2013,26(12):57-59.
[4]苏贻洲,黄永斌,张海涛,等.克拉霉素与左氧氟沙星联用治疗慢性前列腺炎疗效观察[J].河北医药,2009,31(5):635.
[5]郭盛,王雄将.针刺结合穴位注射治疗慢性非细菌性前列腺炎的随机对照研究[J].山西中医,2018,34(7):36-38.
[6]徐秀梅,徐彦龙.矩阵针法配合针刺三阴穴治疗慢性非细菌性前列腺炎31例[J].西部中医药,2013,26(12):57-59.
[7]吕家驹.前列腺炎的诊断与鉴别诊断[J].山东医药,2003,43(18):56.
[8]国家中医药管理局.中医病证诊断疗效标准[S].北京:中国医药科技出版社,2012:139-140.
[9]黄保成,陈科.盐酸坦索罗辛联合丁胺卡那霉素治疗慢性前列腺炎的疗效观察[J].中国医院用药评价与分析,2018,18(6):800-802.
[10]马鑫.抗生素在非细菌性前列腺炎治疗中的效果观察[J].中外医学研究,2017,15(31):12-13.
[11]王德明.非细菌性前列腺炎治疗中应用抗生素的疗效观察[J].临床合理用药杂志,2018,11(5):71-72.
[12]徐泽杰,郑文华,李锡主.慢性非细菌性前列腺炎综合疗法的研究进展[J].云南中医中药杂志,2013,34(8):66-68.
[13]陈文娟,于潮将.慢性非细菌性前列腺炎临床治疗进展[J].医学理论与实践,2012,25(19):2357-2358.
[14]杨文涛,王晨辉.慢性非细菌性前列腺炎的治疗进展[J].广西中医学院学报,2012,15(2):82-84.
[15]杨伟杰.董氏奇穴针灸学[M].北京:中医古籍出版社,2002:8.
[16]邱雅昌.董氏奇穴实用手册[M].北京:人民卫生出版社,2012:10.
[17]蓝仙美.针刺董氏“三皇穴”治疗混合痔术后尿潴留的临床疗效观察[D].广州:广州中医药大学,2012.
[18]朱崇安,罗云波.针灸董氏奇穴“下三皇”治疗慢性肾炎蛋白尿临床对照研究[J].中国针灸,2015,35(4):335-338.
[2]叶章群,蓝儒竹,沈周俊,等.癃清片与左氧氟沙星单药或联合应用治疗非细菌性炎症性前列腺炎的临床研究[J].中华泌尿外科杂志,2016,37(5):363-367.
[3]徐秀梅,徐彦龙.矩阵针法配合针刺三阴穴治疗慢性非细菌性前列腺炎31例[J].西部中医药,2013,26(12):57-59.
[4]苏贻洲,黄永斌,张海涛,等.克拉霉素与左氧氟沙星联用治疗慢性前列腺炎疗效观察[J].河北医药,2009,31(5):635.
[5]郭盛,王雄将.针刺结合穴位注射治疗慢性非细菌性前列腺炎的随机对照研究[J].山西中医,2018,34(7):36-38.
[6]徐秀梅,徐彦龙.矩阵针法配合针刺三阴穴治疗慢性非细菌性前列腺炎31例[J].西部中医药,2013,26(12):57-59.
[7]吕家驹.前列腺炎的诊断与鉴别诊断[J].山东医药,2003,43(18):56.
[8]国家中医药管理局.中医病证诊断疗效标准[S].北京:中国医药科技出版社,2012:139-140.
[9]黄保成,陈科.盐酸坦索罗辛联合丁胺卡那霉素治疗慢性前列腺炎的疗效观察[J].中国医院用药评价与分析,2018,18(6):800-802.
[10]马鑫.抗生素在非细菌性前列腺炎治疗中的效果观察[J].中外医学研究,2017,15(31):12-13.
[11]王德明.非细菌性前列腺炎治疗中应用抗生素的疗效观察[J].临床合理用药杂志,2018,11(5):71-72.
[12]徐泽杰,郑文华,李锡主.慢性非细菌性前列腺炎综合疗法的研究进展[J].云南中医中药杂志,2013,34(8):66-68.
[13]陈文娟,于潮将.慢性非细菌性前列腺炎临床治疗进展[J].医学理论与实践,2012,25(19):2357-2358.
[14]杨文涛,王晨辉.慢性非细菌性前列腺炎的治疗进展[J].广西中医学院学报,2012,15(2):82-84.
[15]杨伟杰.董氏奇穴针灸学[M].北京:中医古籍出版社,2002:8.
[16]邱雅昌.董氏奇穴实用手册[M].北京:人民卫生出版社,2012:10.
[17]蓝仙美.针刺董氏“三皇穴”治疗混合痔术后尿潴留的临床疗效观察[D].广州:广州中医药大学,2012.
[18]朱崇安,罗云波.针灸董氏奇穴“下三皇”治疗慢性肾炎蛋白尿临床对照研究[J].中国针灸,2015,35(4):335-338.