针刺力敏腧穴治疗良性前列腺增生症的临床研究OA

Objective:To compare the clinical efficacy of needling force-sensitive acupoints with that of conventional acupoints in treatment of benign prostatic hyperplasia(BPH).Methods:60 patients with BPH were randomly assigned to the study group and the control group,with 30 patients in each group.In the study group,six force-sensitive acupoints with the lowest pressure pain threshold(PPT),identified individually based on PPT measurements,were selected for acupuncture treatment.In the control group,acupuncture was performed at six predetermined conventional acupoints.Both groups received treatment for 4 weeks.Results:Three patients in each group withdrew from the study.After 4 weeks of treatment,both the study group and the control group showed significant reductions in the scores of IPSS and QOL compared with baseline(P＜0.05);the reductions were more significant in the study group than those in the control group(P＜0.05).The total effective rate was 81.48％(22/27)in the study group and 66.67％(18/27)in the control group,with no statistical difference between the two groups(P＞0.05);however,the study group demonstrated superior cure rate,marked improvement rate,and effective rate compared with the control group(P＜0.05).The PPT values of several force-sensitive acupoints were significantly correlated with baseline values(P＜0.05).No adverse events were observed in either group.Conclusion:Both needling force-sensitive acupoints and needling conventional acupoints were effective in treatment of BPH.However,needling force-sensitive acupoints demonstrated superior efficacy in alleviating symptoms and improving quality of life.These findings provide a novel perspective for acupoint selection in the acupuncture treatment of BPH.