Objectives:To verify the clinical effect of warm acupuncture and moxibustion for treatment of kidney deficiency and blood stasis type varicocele (VC).Methods:70 patients were randomly divided into two groups:acupuncture group (n =35) and drug group (n =35).With the warming acupuncture group,Guanyuan,Qihai,Zusanli and Sanyinjiao acupoints were as the main points for moxibustion,once daily;drug group were treated with Guizhifuling capsule,three capsules each time,three times a day.Before and after treatment,color Doppler imaging,semen quality analysis,clinical efficacy and recurrence rate were observed before and after treatment in two groups.Results:After treatment,in the two groups,maximal internal spermatic vein diameter (DR)narrowed the reflux duration (TR) reduced,and ultrasound grading decreased (all Ps ＜0.01);and the above indexes of acupuncture group were better than these of drug group;Semen quality of two groups was improved and the effects were similar;the clinical efficiency of acupuncture group was 91.4％ and it was 88.6％ in the drug group.There was no significant difference between the two groups (P ＞ 0.05);the recurrence rate of acupuncture group was 14.2％ and it was 47.1％ in drug group (P ＜ 0.05).Conclusion:The curative effect of warm acupuncture and moxibustion on the treatment of kidney deficiency and blood stasis type varicocele is better,with good long-term curative result.%目的:验证温针灸治疗肾虚血瘀型精索静脉曲张的临床疗效.方法:将70例患者随机分为温针灸组(35例)及药物组(35例).温针灸组以关元、气海、足三里、三阴交为主穴,针刺得气后于主穴处各施灸2壮,每日治疗1次;药物组口服桂枝茯苓胶囊,每次3粒,每日3次.观察两组患者治疗前后彩色多普勒成像、精液质量分析、临床有效率及复发率等情况.结果:与治疗前相比,两组患者治疗后彩色多普勒下精索静脉最大内径(DR)变窄、反流持续时间(TR)减少,两组超声分级均下降(均P＜0.01);且温针灸组优于药物组;精液质量均较治疗前提高,且疗效相似;临床有效率温针灸组为91.4％,药物组为88.6％,组间差异无统计学意义(P＞0.05);复发率温针灸组为14.2％,药物组为47.1％ (P ＜0.05).结论:温针灸疗法治疗肾虚血瘀型精索静脉曲张近、远期疗效较佳.
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