CAJ | 학술논문

目的观察He-Ne激光会阴穴深部(前列腺内)及直肠内前列腺照射治疗慢性非细菌性前列腺炎(CNP)的疗效.方法 CNP患者舳例随机分为He-Ne激光穴位深部照射组(深部照射组)和He-Ne激光穴位体表照射组(体表照射组),每组各40例.深部照射组采用特制空芯针灸针针刺会阴穴,并在左手示指肛诊引导下刺入肿大或压痛的前列腺内,将He-Ne激光针光纤(直径50 μm)通过针芯导人穴位行深部(前列腺内)照射,激光功率2 mW,光斑直径0.1 cm,功率密度255 mW/cm~2,再将He-Ne激光照射器耦合光纤(直径600 μm),套入末端封闭的玻璃管内,插入肛门约8～10 cm直接照射直肠前列腺部,激光功率15 mW,光斑直径0.2 cm,功率密度478 mW/cm~2;以上均各照射10 min.体表照射组除会阴穴行He-Ne激光(功率255mW)体表照射外,直肠内照射及治疗参数均同深部照射组.两组均每天治疗1次,5次为1疗程.结果深部照射组治愈29例(72.5%),好转8例(20.0%),无效3例(7.5%);体表照射组治愈19例(47.5%),好转13例(32.5%),无效8例(20.0%),深部照射组疗效好于体表照射组(P<0.05).治疗后两组患者前列腺液镜检(EPS),WBC较治疗前明显降低(P<0.01),卵磷脂小体(LC)明显增多(P<0.01),前列腺B超检查体积明显缩小(P<0.01);患者治愈的平均治疗天数深部照射组明显短于体表照射组(P<0.01).结论 He-Ne激光会阴穴深部(前列腺内)及直肠内前列腺照射治疗CNP具有较好的效果,疗效好于会阴穴体表照射,为CNP的治疗提供了一条新途径.
목적 관찰He-Ne격광회음혈심부(전렬선내)급직장내전렬선조사치료만성비세균성전렬선염(CNP)적료효.방법 CNP환자축례수궤분위He-Ne격광혈위심부조사조(심부조사조)화He-Ne격광혈위체표조사조(체표조사조),매조각40례.심부조사조채용특제공심침구침침자회음혈,병재좌수시지항진인도하자입종대혹압통적전렬선내,장He-Ne격광침광섬(직경50 μm)통과침심도인혈위행심부(전렬선내)조사,격광공솔2 mW,광반직경0.1 cm,공솔밀도255 mW/cm~2,재장He-Ne격광조사기우합광섬(직경600 μm),투입말단봉폐적파리관내,삽입항문약8～10 cm직접조사직장전렬선부,격광공솔15 mW,광반직경0.2 cm,공솔밀도478 mW/cm~2;이상균각조사10 min.체표조사조제회음혈행He-Ne격광(공솔255mW)체표조사외,직장내조사급치료삼수균동심부조사조.량조균매천치료1차,5차위1료정.결과 심부조사조치유29례(72.5%),호전8례(20.0%),무효3례(7.5%);체표조사조치유19례(47.5%),호전13례(32.5%),무효8례(20.0%),심부조사조료효호우체표조사조(P<0.05).치료후량조환자전렬선액경검(EPS),WBC교치료전명현강저(P<0.01),란린지소체(LC)명현증다(P<0.01),전렬선B초검사체적명현축소(P<0.01);환자치유적평균치료천수심부조사조명현단우체표조사조(P<0.01).결론 He-Ne격광회음혈심부(전렬선내)급직장내전렬선조사치료CNP구유교호적효과,료효호우회음혈체표조사,위CNP적치료제공료일조신도경.
Objective To observe the effect of He-Ne laser deep Huiyin (Ben 1) acupoint irradiation and intrarectal prostate irradiation on chronic nonbacterial prostatitis(CNP) . Methods Eighty patients with CNP were randomly divided into deep irradiation group and superficial irradiation control group, per group forty patients. In the deep irradiation group using hollow acupuncture needle specially made pricked in Hniyin(Ren 1) acupoint and punctured into tumescent or painful part in the prostate under the leading of index finger of left hand in the rectum. After that through hollow acupuncture needle the fight-guided fiber of He-Ne laser needle was inserted into Huiyin(Pen 1) acupoint for irradiation of prostate for 10 minutes (power 2 mW, diameter of light spot 0.1 cm and density of power 255 mW/cm~2). In addition the light-guided fiber coupling with He-Ne laser was inserted into the glass tube, which was inserted in the rectum 8 to 10 cm for irradiation of prostate for 10 minutes (power 15 mW, diameter of light spot 0.2 cm and density of power 478 mW/cm~2). The methods and parameter of treatment in the superfical irradiation control group were the same as in the deep one except laser irradiation was outside of Huiyin (Ren 1) acupoint. The number of times of laser treatment was once per day for 5 days of a course of treatment in the two groups. Results The cure was 29 cases (72.55), improvement 8 cases (20.0%) and inefficacy 3 eases (7.5%) in the deep irradiation group vs 19 cases (47.5%), 13 cases (32.5%) and 8 cases (20.0%) in the superficial irradiation control group. The effects of treatment were compared between two groups and the differences were significant (P < 0.05). After treatment the white blood cell count was lower and the lecithin corpuscle was higher in the expressed prostatic secretion, and volume of prostate was smaller in the two groups (P <0.01). The curative number of days in the deep irradiation group was shorter than control one (P <0.01). Conclusions The He-Ne laser deep Huiyin(Ben 1) acupoint irradiation and intmreetal prostate irradiation have a good curative effect for patients with CNP, and the effect of treatment is better than that of in the superficial irradiation control group. It provides a new way for treatment of patients with CNP.