艾灸联合石蜡油灌肠治疗良性前列腺增生症合并急性尿潴留的临床疗效

摘要

Objectives:To observe the curative effect of moxibustion combined with paraffin oil enema in the treatment of benign prostatic hyperplasia complicated with acute urinary retention.Methods:35 benign prostatic hyperplasia complicated with acute urinary retention patients were randomly divided into the treatment group (n =18,intermediate,bladder,Sanyinjiao acupoints moxibustion,40ml of paraffin oil retention enema,all once per day) and control group (n =17,finasteride 5mg qd and tamsulosin hydroehloride sustained release capsules 0.2mg qn),all for 10 days.Before and after treatment,the prostate volume and international prostate syndrome score (IPSS) were recorded.Besides,the maximum urinary flow rate (Qmax) and bladder post-void residual volume were also recorded after treatment.Results:Moxibustion combined with paraffin oil enema can effectively improve prostate volume and IPSS of benign prostatic hyperplasia complicated with acute urinary retention patients;moreover,Qmax and bladder post-void residual volume were also improved after treatment.Conclusion:The therapy of moxibustion combined with paraffin oil enema for the treatment of benign prostatic hyperplasia complicated with acute urinary retention is simple and convenient,with definite curative effect.%目的:探讨艾灸联合石蜡油灌肠治疗良性前列腺增生症(BPH)合并急性尿潴留(AUR)的临床疗效.方法:将35例BPH合并AUR患者随机分为治疗组(18例,艾灸中极、膀胱俞、三阴交,石蜡油40mL保留灌肠,1次/d)和对照组(17例,非那雄胺5mg qd,盐酸坦洛新缓释胶囊0.2mg qn),两组均治疗10d.记录治疗前后前列腺体积、前列腺症状评分(IPSS),以及治疗后最大尿流率(Qmax)、膀胱残余尿.结果:艾灸中级、膀胱俞、三阴交联合开塞露灌肠可以显著改善BPH合并AUR患者的前列腺体积及IPSS,同时治疗后患者的尿流率及膀胱残余尿亦得到显著改善.结论:艾灸中级、膀胱俞、三阴交联合开塞露灌肠疗法治疗BPH合并AUR简单方便,疗效确切.