雷火灸治疗中老年良性前列腺增生夜尿症状的效果观察及护理
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摘要
目的探讨雷火灸治疗中老年良性前列腺增生夜尿症状的效果。方法将2018年1月-12月本院收治的良性前列腺增生伴有夜尿频多的61例中老年患者,按入院先后次序分到不同的病区,奇数有30例设为对照组,采用常规护理和药物治疗;偶数有31例设为观察组,在对照组基础上,采用雷火灸治疗,每天1次,每10d为1个疗程,共3个疗程。治疗前后观察患者夜尿次数和采用前列腺症状评分量表(international prostate symptom score,IPSS)对患者进行测评。结果治疗后,观察组患者夜尿次数少于治疗前和对照组;观察组IPSS评分低于治疗前和对照组(均P<0.001),并且无不良反应的发生。结论在药物治疗的同时采用雷火灸治疗,可改善中老年良性前列腺增生夜尿症状并且是安全的。
Objective To investigate the effect of Thunder-fire Moxibustion on nocturnal urinary symptoms in patients with benign prostatic hyperplasia(BPH). Methods According to hospitalized number from January to December 2018, 61 BPH patients with frequent nocturnal urination were divided into control group(treated with routine nursing and drug therapy) and observation group,where the Thunder-fire moxibustion was used once a day for one course of treatment every 10 days for 3 courses of treatment. The effect was observed by looking into the number of nocturnal urine and the prostate symptoms. Result After the treatment, the number of nocturnal urine in the observation group was smaller than that in the control group, and the IPSS score in the observation group was lower than that in the control group(P <0.001), and no adverse reactions were observed. Conclusion The Thunder-fire Moxibustion combined with drug therapy can improve nocturnal urinary symptoms of benign prostatic hyperplasia in a safe way.
Objective To investigate the effect of Thunder-fire Moxibustion on nocturnal urinary symptoms in patients with benign prostatic hyperplasia(BPH). Methods According to hospitalized number from January to December 2018, 61 BPH patients with frequent nocturnal urination were divided into control group(treated with routine nursing and drug therapy) and observation group,where the Thunder-fire moxibustion was used once a day for one course of treatment every 10 days for 3 courses of treatment. The effect was observed by looking into the number of nocturnal urine and the prostate symptoms. Result After the treatment, the number of nocturnal urine in the observation group was smaller than that in the control group, and the IPSS score in the observation group was lower than that in the control group(P <0.001), and no adverse reactions were observed. Conclusion The Thunder-fire Moxibustion combined with drug therapy can improve nocturnal urinary symptoms of benign prostatic hyperplasia in a safe way.
引文
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[2]王伟峰,刘辉,郝继东,等.老年良性前列腺增生夜尿病因特点及相关因素分析[J].现代生物医学进展,2014,20(14):3918-3921.
[3]彭海,冉青.前列腺增生症患者更换α1-受体阻滞剂的原因分析[J].西南国防医药,2015,25(5):479.
[4]董英界,曹慧敏.良性前列腺增生患者围手术期安全管理的价值探讨[J].泰山医学学院报,2018,39(12):1376-137.
[5]孙成力,高建东,陆文,等.良性前列腺增生症的病机探讨[J].辽宁中医杂志2015,42(8):1428-14.
[6]赵时碧,张丽.中国雷火灸疗法[M].上海:上海远东出版社,2008:40-46.
[7]那彦群.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2006:78-80.
[8]GACCI M,CORONA G,VIQNOZZI L,et al.Metabolic syndrome and benign prostatic enlargement:a systematic review and meta analysis[J].BJU Int,2015,115(1):24-31.
[9]张亚群,刘明,王建业,等.老年良性前列腺增生夜尿病因分类和相关因素分析[J].中华老年医学杂志,2010,29(11):884-887.
[10]SILVA S A,GOBBO M G,PINTO-FOCHI M E,et al.Prostate hyperplasia caused by long-term obesity is characterized by high deposition of extracellular matrix and increased content of MMP-9 and vegf[J].Int J Exp Pathol,2015,96(1):21-30.
[11]王健,任海林.对前列腺增生病因的再认识[J].西部医学,2016,28(2):155.
[12]高树中.中医脐疗大全[M].济南:济南出版社2009:8-10.
[13]游旭军,李其信,傅伟,等.基于数据挖掘技术分析针灸治疗慢性前列腺炎取穴规律[J].云南中医中药杂志,2018,39(6):18-22.