Clinical Observation Of Acupuncture Combined With Guanyuan Moxibustion On Benign Prostatic Hyperplasia With Kidney-Yang Deficiency

Objective:By observing the clinical efficacy of acupuncture combined with guanyuan moxibustion and oral tamsulosin hydrochloride sustained release capsule in the treatment of kidney-yang deficiency benign prostatic hyperplasia,and comparing the efficacy of the two,to provide some reference for the clinical treatment of kidney-yang deficiency benign prostatic hyperplasia.Methods:A total of 68 patients with benign prostatic hyperplasia with kidney-yang deficiency were randomly divided into observation group and control group(34 cases in each group).The observation group was treated with acupuncture and moxibustion at Guanyuan point separated by aconite cake,once a day for 5 consecutive days as a course of 4 courses,with 2 days rest between the courses of 4 weeks.The control group was given oral tamsulosin hydrochloride sustained-release capsule,once a day,for 7 days as a course of treatment,for 4 courses of continuous treatment,for 4 weeks.The changes of international prostate symptom score(I-PSS),quality of life index(QOL),residual urine volume(PVR)and TCM symptom score were recorded 1 day before treatment and the day after treatment.SPSS 23.0 statistical software was used for statistical analysis.Results:1.International Prostate Symptom Score(I-PSS): Intragroup comparison of I-PSS scores before and after treatment showed a decrease in both groups,with statistical significance(P<0.05).After treatment,the difference between the two groups was statistically significant(P<0.05),indicating that the observation group was superior to the control group in reducing I-PSS score.2.Quality of life index(QOL): Intra-group comparison of QOL scores before and after treatment showed a decrease in both groups,with statistical significance(P<0.05).After treatment,the difference between the groups was statistically significant(P<0.05),indicating that the observation group was superior to the control group in reducing QOL score.3.Comparison of residual urine volume: intra-group comparison of residual urine volume before and after treatment showed a decrease in both groups,with statistical significance(P<0.05).After treatment,the difference between the groups was statistically significant(P<0.05),indicating that the observation group was superior to the control group in reducing residual urine volume.4.Comparison of TCM symptom score:(1)Total score: After treatment,the total score of the two groups decreased compared with that before treatment,and the intra-group comparison was statistically significant(P<0.05),and the inter-group comparison was statistically significant(P<0.05),indicating that the observation group was superior to the control group in reducing the total score of TCM symptom.(2)Single score: after treatment,there were statistically significant differences among observation groups(P<0.05);After treatment,the scores of dysuria,weakness of voiding and nocturia increase in the control group were statistically significant(P<0.05),while the scores of remaining symptoms were not statistically significant(P>0.05),and the inter-group comparisons of the two groups were statistically significant(P<0.05).5.Comparison of clinical efficacy: the total effective rate was 87.50% in the observation group and 78.79% in the control group,and the comparison between the two groups was statistically significant(P<0.05),The curative effect of observation group is better than control group.Conclusions:1.Acupuncture combined with guanyuan moxibustion and oral tamsulosin hydrochloride sustained-release capsule can reduce the international prostate symptom score(I-PSS),quality of life index(QOL),TCM symptom score and residual urine volume of patients,but the former has better efficacy.2.The clinical efficacy of acupuncture combined with guanyuan moxibustion in the treatment of kidney-Yang deficiency prostatic hyperplasia is better than oral tamsulosin hydrochloride sustained-release capsule.