摘要
目的观察针刺"三阴穴"结合药物铺灸疗法治疗勃起功能障碍患者的临床疗效。方法将60例符合纳入标准的勃起功能障碍患者随机分为两组,每组30例。对照组在性活动前1 h口服枸橼酸西地那非片。治疗组采用针刺"三阴穴"结合药物铺灸疗法治疗,8次为1个疗程,疗程间休息2 d,连续治疗3个疗程。观察两组治疗前后勃起功能评分,并比较临床疗效。结果治疗组总有效率为93.3%,对照组为80.0%,两组比较差异无统计学意义(P>0.05)。治疗组愈显率为83.3%,对照组为60.0%,两组比较差异有统计学意义(P<0.05)。治疗组治疗20 d后,勃起功能评分与治疗前比较,差异有统计学意义(P<0.05),治疗30 d后,勃起功能评分与治疗前比较,有显著统计学差异(P<0.01);对照组治疗后10 d、20 d、30 d,勃起功能评分与治疗前比较,差异有统计学意义(P<0.05);治疗组治疗后10 d、20 d、30 d勃起功能评分与对照组比较,差异无统计学意义(P>0.05)。结论针灸与西地那非对勃起功能障碍均有治疗作用,枸橼酸西地那非片起效快,作用比较稳定;针灸起效较慢,但经一段时间的治疗后,针灸在愈显率方面具有优势,且针灸安全,禁忌较少,适合绝大多数人群。
Objective To investigate the clinical efficacy of ＂three yin points＂ acupuncture plus medicinal spreading moxibustion in treating erectile dysfunction.Methods Sixty patients with erectile dysfunction meeting the inclusion criteria were randomly allocated to two groups, 30 cases each. The control group took sildenafil at 1 hr before sexual intercourse. The treatment group received ＂three yin points＂ acupuncture plus medicinal spreading moxibustion, 8 days as one course of treatment, for three consecutive courses with 2 days of rest between the courses. The erectile function was scored in the two groups before and after treatment. The clinical therapeutic effects were compared.Results The total efficacy rate was 93.3% in the treatment group and 80.0% in the control group; there was no statistically significant difference between the two groups （P〉0.05）. The marked efficacy rate was 83.3% in the treatmentn group and 60.0% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. in the treatment group, there was a statistically significant pre-/post-treatment difference in the erectile function score after 20 days of treatment （P〈0.05） and statistically a very significant pre-/post-treatment difference in the erectile function score after 30 days of treatment （P〈0.01）. In the control group, the overall therapeutic effect was stable after treatment and there was a statistically significant pre-/post-treatment difference in the erectile function score （P〈0.05）. There was no statistically significant post-treatment difference in the erectile function score between the treatment and control groups （P〉0.05）.Conclusions Both acupuncture-moxibustion and sildenafil have a therapeutic effect on erectiledysfunction. Sildenafil produces a rapid and stable effect. Acupuncture and moxibustion produce a slower effect but have an advantage in the marked efficacy rate. Acupuncture and moxibustion are safe, of fewer contraindications and suitable for most of the population.
作者
徐彦龙
徐秀梅
何天有
张洪涛
XU Yan-long XU Xiu-mei HE Tian-you ZHANG Hong-tao(Gansu Hospital of Traditional Chinese Medicine,Lanzhou 730050,China Gansu University of Traditional Chinese Medicine Hospital, Lanzhou 730030,China)
出处
《上海针灸杂志》
2017年第5期573-577,共5页
Shanghai Journal of Acupuncture and Moxibustion
关键词
勃起功能障碍
阳痿
"三阴穴"
间接灸
随机对照试验
Erectile dysfunction
Functional impotence
Three yin acupoints
Indirect moxibustion
Randomized controlled trial
