| 1.Research purposesTo evaluate the clinical efficacy of "Zhongji point Qi needling combined with Taixi point" in the treatment of benign prostatic hyperplasia of kidney deficiency and blood stasis type,which was summarized by Professor Chen Feng’s clinical experience of more than 30 years,and to explore the clinical application value of this method.2 Research methodsIn this study,66 patients with benign prostatic hyperplasia(BPH)who met the inclusion criteria were divided into two groups according to the random number table method.There were 33 cases in the experimental group and 33 cases in the control group.Before treatment,IPSS,QOL.TCM syndromes,post-void residual urine(PVR)and prostate volume were used to evaluate the two groups.The experimental group was treated with the combined needling of Zhongji acupoint and Taixi acupoint three times a week,while the control group was treated with the acupoint acupuncture recommended by the Ninth Edition of Acupuncture and Moxibustion,three times a week.After 3 and 6 weeks of treatment,IPSS score,QOL score and TCM syndrome score were used to evaluate the patient’s condition.After 6 weeks of treatment,PVR and prostate volume were added to evaluate the patient’s condition.SPSS 10.0 software was used for statistical analysis to compare the improvement of two groups of patients before and after treatment.2 test was used for counting data,t test was used for measuring data which conformed to normal distribution and had homogeneous variance,and rank sum test was used for measuring data or grade data which did not conform to normal distribution.P<0.05 had statistical significance.3.Research results3.1 Baseline dataFrom January 2018 to December 2018,66 patients with benign prostatic hyperplasia(BPH)were recruited from Wangjing Hospital of Chinese Academy of Traditional Chinese Medicine and hospitalized in the Acupuncture and Moxibustion Ward.All patients were diagnosed by urologists.There were 33 patients in the experimental group and 33 patients in the control group.Among them,after 3 weeks of treatment,the experimental group could not insist on participating in the study of abscission in 1 case;in the control group,one case was self-administered and excluded;after 6 weeks of treatment,the control group could not insist on participating in the study of abscission in 1 case,so the final treatment of 32 cases in the experimental group and 31 cases in the control group was completed.The average age of the patients was 61.33 years,the average course of the disease was 3.35 years,and the average IPSS score was 23.24.The age,course of disease,IPSS score and other data of the patients in the experimental group and the control group were grouped and analyzed respectively.The results showed that there was no significant difference in the basic data and the degree of the disease between the two groups(P>0.05).indicating that the baseline data of the two groups were comparable.3.2 Comparison of clinical efficacyAfter 3 weeks of treatment,the efficacy of the two groups was analyzed from the main efficacy index IPSS score,IPSS sub-sentence score,secondary efficacy index QOL score,and TCM syndrome score.The IPSS scores were compared between the two groups.The results showed that the differences between the two groups were statistically significant(P<0.01).There was significant difference between the two groups after treatment(P<0.01).There was no statistically significant difference between the two groups(P>0.05),indicating that the IPSS score of the experimental group was lower than that of the control group after treatment,but the two groups improved.The magnitude is similar.The IPSS sub-sentence scores were significantly different between the two groups(P<0.01).Only the nocturia scores were statistically significant(P<0.05),and the other sub-sentence scores were between the two groups.The difference was not statistically significant(P<0.05).The QOL scores were significantly different between the two groups(P<0.01).There was no significant difference between the two groups after treatment(P>0.05),but the difference between the groups was statistically significant(P<0.05).indicating that the test group improved the QOL score better than the control group.TCM syndrome scores were significantly different between the two groups(P<0.01).After treatment,the difference between the two groups was statistically significant(P<0.05),and the difference between the groups was statistically significant(P<0.05),indicating that the experimental group improved the TCM syndrome score better than the control group.After 6 weeks of treatment the main effect indicators were IPSS score.IPSS sub-sentence score,secondary efficacy index QOL score,TCM syndrome score,PVR,prostate volume analysis.The IPSS scores were compared between the two groups.The results showed that the differences between the two groups were statistically significant(P<0.01).There was a statistically significant difference between the two groups after treatment(P<0.01).The difference between the groups was statistically significant(P<0.05),indicating that the experimental group improved the IPSS score better than the control group.The differences between the two groups were statistically significant except for urgency and urinary fatigue(P<0.05).The difference between the urinary frequency and nocturia scores was statistically significant(P<0.05).The difference was not statistically significant(P<0.05).The QOL scores were significantly different between the two groups(P<0.01).After treatment the difference between the two groups was statistically significant(P<0.05).and the difference between the groups was statistically significant(P<0.05),indicating that the experimental group improved the QOL score better than the control group.TCM syndrome scores were significantly different between the two groups(P<0.01).After treatment,the difference between the two groups was statistically significant(P<0.05),and the difference between the groups was statistically significant(P<0.05),indicating that the experimental group improved the TCM syndrome score better than the control group.PVR,the difference between the two groups before and after treatment were statistically significant(P<0.01).There was significant difference between the two groups after treatment(P<0.05).There was no significant difference between the two groups(P>0.05),indicating that there was less PVR in the experimental group than before treatment,but the two groups improved the degree of PVR.similar.The prostate volume was significantly different between the two groups(P<0.01).There was no significant difference between the two groups after treatment(P>0.05),but the difference between the groups was statistically significant(P<0.05),indicating that the experimental group improved the prostate volume better than the control group.From the comparison of the overall efficacy of the two groups,the experimental group was effective 2 people,26 effective,4 invalid,the total effective rate was 87.5%,the control group was effective,1 effective,19 effective,11 invalid,the total effective rate was 64.52%.After chi-square test,the efficacy of the two groups was compared,X2=4.309,P=0.038(P<0.05).The difference between the two groups was statistically significant The effect of the test group was better than that of the control group.The comparison of the effects of the patients with BPH patients with the disease showed that the acupuncture method in the test group was superior to the control group in the BPH patients with hypertension,and the other two groups were equally effective.4 SecurityIn the study,5 cases of subcutaneous hemorrhage after acupuncture at the abdomen of the small abdomen occurred,and all recovered after treatment,which did not affect the study,and no adverse reactions were observed.5 Conclusion① Zhongji point acupuncture combined with Taixi point method and teaching materials recommended acupoint acupuncture treatment of kidney deficiency and blood stasis type BPH are effective.② The Chinese acupuncture points and the Taixi point method are better than the textbooks recommended by the acupuncture method.③For BPH patients with hypertension,the Chinese acupuncture points and the Taixi acupoint method are better than the recommended acupuncture method. |
PDF Full Text Request