Clinical observation of the treatment of lower urinary tract symptoms in benign prostatic hyperplasia with herbal moxibustion combined with tamsulosin
隔药灸联合坦索罗辛治疗前列腺增生下尿路症状的临床观察

摘要

目的 探讨隔药灸联合坦索罗辛缓释胶囊治疗肾阳虚型前列腺增生（BPH）下尿路症状（LUTS）的临床疗效。方法 选取2024年1-12月北大荒集团红兴隆医院泌尿外科60例肾阳虚型BPH患者，随机分为隔药灸组、联合组、对照组各20例。对照组予口服坦索罗辛缓释胶囊；隔药灸组予“温阳肾气方”隔药灸神阙、关元、中极、双侧肾俞、双侧膀胱俞；联合组采用隔药灸+口服坦索罗辛缓释胶囊治疗。比较两组前列腺症状评分及生活质量评分。结果 联合组排尿不尽感、尿频等IPSS各项细分症状评分及QOL评分，均低于隔药灸组与对照组（P＜0.05）；隔药灸组与对照组上述两项评分对比，均无统计学差异（P＞0.05）。结论 隔药灸联合坦索罗辛缓释胶囊治疗肾阳虚型BPH LUTS疗效显著，可协同改善排尿症状，值得推广应用。

Abstract

Objective To investigate the clinical efficacy of separated moxibustion combined with sustained-release capsules of tamsulosin in the treatment of lower urinary tract symptoms (LUTS) in benign prostatic hyperplasia (BPH) of kidney yang deficiency type.
Methods Sixty patients with kidney yang deficiency type BPH in the urology department of Hongxinglong Hospital of Beidahuang Group from January to December 2024 were randomly divided into a medicinal moxibustion group, a combination group, and a control group, with 20 patients in each group. The control group was given oral sustained-release capsules of tamsulosin; The medicinal moxibustion group was given the "Warm Yang Kidney Qi Formula" medicinal moxibustion on Shenque, Guanyuan, Zhongji, bilateral kidney shu, and bilateral bladder shu; The combination group was treated with separated moxibustion and oral sustained-release capsules of tamsulosin. Compare the prostate symptom scores and quality of life scores between two groups.
Results The scores of IPSS symptoms such as incomplete urination and frequent urination, as well as QOL scores, in the combined group were lower than those in the moxibustion group and the control group (P<0.05); There was no statistically significant difference (P>0.05) in the above two scores between the medicinal moxibustion group and the control group.
Conclusion   The combination of medicinal moxibustion and tamsulosin sustained-release capsules has significant therapeutic effects on BPH LUTS of kidney yang deficiency type, and can synergistically improve urinary symptoms, which is worthy of promotion and application.