CAJ | 학술논문

目的：比较不同灸频的隔发酵附子饼灸治疗肾阳虚型良性前列腺增生症的临床疗效差异。方法将80例患者随机分为对照组、治疗1组(每日1次)、治疗2组(每日2次)、治疗3组(隔日1次),于治疗前及治疗后分别观察国际前列腺症状积分(I-PSS)、中医症状积分、最大尿流率(Qmax)、膀胱残余尿量(PVR)的变化。结果各治疗组均能不同程度地改善I-PSS和中医症状积分,提高Qmax及减少PVR,其中治疗1组疗效明显优于其余3组。对照组及各治疗组总有效率分别为70.0%、85.0%、80.0%、65.0%。结论不同灸频的隔发酵附子饼灸对肾阳虚型前列腺增生症均有不同的临床疗效,综合分析表明每日1次为最佳灸频。
목적：비교불동구빈적격발효부자병구치료신양허형량성전렬선증생증적림상료효차이。방법장80례환자수궤분위대조조、치료1조(매일1차)、치료2조(매일2차)、치료3조(격일1차),우치료전급치료후분별관찰국제전렬선증상적분(I-PSS)、중의증상적분、최대뇨류솔(Qmax)、방광잔여뇨량(PVR)적변화。결과각치료조균능불동정도지개선I-PSS화중의증상적분,제고Qmax급감소PVR,기중치료1조료효명현우우기여3조。대조조급각치료조총유효솔분별위70.0%、85.0%、80.0%、65.0%。결론불동구빈적격발효부자병구대신양허형전렬선증생증균유불동적림상료효,종합분석표명매일1차위최가구빈。
ObjectiveTo comparethetherapeutic efficaciesofaconite-cake-partitionedmoxibustionat different frequencies in treatingbenign prostatic hyperplasiadue tokidney-yangdeficiency.MethodEightypatientswere randomized into four groups:control group,treatment group1(moxibustiononceper day),treatmentgroup2(moxibustiontwiceper day), andtreatmentgroup3 (moxibustiononce every other day).TheInternational prostate symptom score (I-PSS), TCM syndrome score, maximum flow rate of urine (Qmax) and bladder residual urine volume (PVR) were observedbefore and after intervention.ResultAfter treatment,the improvement of theInternational prostate symptom scoreandTCM syndrome score,increase of Qmax and decrease of PVR were found in the three treatment groups, while the therapeutic efficacy in treatment group 1 was more significant than that in the rest groups. The total effective rate was 70.0% in the control group, 85.0% in treatment group 1, 80.0% in treatment group 2, and 65.0%in treatment group 3.ConclusionAconite-cake-partitionedmoxibustionat different frequenciescan produce therapeutic efficacies to different extent in treatingbenign prostatic hyperplasiadue tokidney-yangdeficiency, and the comprehensive analysis shows that the optimal frequency is once per day.