目的 探讨运用不同灸量温针灸法治疗老年性夜尿频多(肾阳虚衰证)的临床疗效.方法 将30例老年性夜尿频多属肾阳虚衰证的患者随机分为温针灸1壮组,温针灸2壮组,温针灸3壮组,采用《中医病证诊断疗效标准》对治疗后临床疗效进行分析.结果 3组夜尿次数与治疗前比较有改善(P<0.05),温针灸2壮组及温针灸3壮组夜尿次数皆明显少于温针灸1壮组(P<0.05),温针灸2壮和3壮组比较无明显差异.依据《中医病证诊断疗效标准》温针2壮组痊愈率53.33%,显效率26.67%,有效率13.33%,总有效率93.33%,温针灸3壮组痊愈率50.00%,显效率33.33%,有效率10%,总有效率93.33%;温针灸1壮组痊愈率33.33%,显效率26.67%,有效率20.00%,总有效率80.00%.结论 从疗效和经济、治疗时间等角度看,艾灸2壮量是温针灸治疗老年性夜尿频多的最佳灸量.%Objective To evaluate the clinical efficacy of warming needle moxibustion with different moxibustion intensity to treatment of senile nocturia (deficiency of kidney-yang). Methods Warming acupuncture with moxibustion one cone group, two cones group, three cones group were performed randomly on 30 patients with senile night to urinate. And clinical efficacy after treatment were analyzed by TCM Syndrome Diagnostic Efficacy Standards. Results Warming acupuncture with moxibustion two cones and three cones group were superior to that of one cone group (P<0.05); The times of senile nocturia with warming acupuncture with moxibustion two cone group and moxibustion three cone group is lower than the one group (P<0.05). Moxibustion of cone two and three groups were not significantly different.According to TCM Syndrome Diagnostic Efficacy Standards, the clinical curative rate of the warming acupuncture with moxibustion two cones group 53.33%, markedly effective rate was 26.67%, the effective rate of 13.33%, the total effective rate of 93.33%; Clinical curative rate of the warming acupuncture with moxibustion three cones group was 50.00%, markedly effective rate was 33.33%, the effective rate of 10.00%, the total effective rate was 93.33%, clinical curative rate of the warming acupuncture with moxibustion one cones group was 33.33%, markedly effective rate was 26.67%, the effective rate of 20.00%, the total effective rate was 80.00%. Conclusion From the perspective of the curative effect, the economy and the treatment time, two cones was the best quantity of warming acupuncture to treat Senile nocturia (deficiency of kidney-yang).
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