Clinical Study On Awn Needle In Treating Kidney Deficiency And Damp-heat Type Benign Prostatic Hyperplasia

Objective:This study is aimed at patients with benign prostatic hyperplasia.Through the observation and comparison of clinical curative effects of elongated needle therapy and filiform needle therapy,the effectiveness and safety of acupuncture in treating this disease are discussed,the advantages and disadvantages of the two acupuncture methods are compared,the advantages of elongated needle therapy are explored,and a new treatment scheme and acupuncture method are provided for clinical treatment of this disease.Method:In this study,60 patients who met the inclusion criteria were randomly divided into awn needle group and normal needle group.Awn needle group used 0.3×75mm size needle to perform deep needling treatment on Zhongji,Shuidao,Zhongwan and Guanyuan acupoints.After the acupuncture points are disinfected with alcohol,the needle is slowly and gently inserted into the abdomen according to the richness of the abdominal muscles of the patient.The depth of needle insertion is about 2.5-2.9 inches.After the patient obtains the needle sensation,gently and slowly withdraw the needle so that the needle stays about 1-1.5inches in the body.The filiform needle with a size of 0.25×40mm is vertically inserted into Taichong,Fenglong and Yinlingquan acupoints.Taichong is applied with the method of lifting,inserting and purging,Fenglong and Yinlingquan are applied with the method of calming,supplementing and purging,so that the needle remains in the body after the patient feels the qi.In the normal needle group,the above-mentioned acupoints are all applied with normal needles vertically inserted into Zhongji,Shuidao,Zhongwan,Guanyuan,Fenglong acupoints to apply lifting,inserting,twisting,turning,smoothing,supplementing and purging techniques,and Taichong to apply lifting,inserting and purging techniques.All acupoints leave the needles on the body after qi is obtained.Both groups are treated once a day(except Sunday).needles remain in the body for 30 minutes after each treatment.treatment is required 6 times a week and 1 week is a course of treatment.both groups need 2 courses of treatment.The International Prostate Symptom Score(IPSS)and Quality of Life Index Score(QOL)before treatment,the first week of treatment and the second week of treatment were observed.The self-rating depression scale(SDS)before and after treatment of the two groups of patients wasobserved,and the TCM syndrome scores before and after treatment of the two groups of patients were observed,according to which the curative effect was evaluated.SPSS23.0software was used to analyze the effects of acupuncture treatment on the clinical symptoms,quality of life and depressive state of patients in the two groups,and to explore the advantages and disadvantages of the two groups of treatment methods.Frequency and percentage were used in the description and chi-square test was used in the comparison.The measurement data are expressed by mean standard deviation(xs).If they conform to normal distribution and homogeneity of variance,then T test is used for analysis.If not,rank sum test analysis is adopted.Rseult:1.There was no significant difference in the general condition before treatment.2.After treatment,the total effective rate was 92.3% in awn needle group and 80% in filiform needle group,the difference was statistically significant(p < 0.05).3.IPSS: The IPSS scores of the two groups after treatment were significantly lower than that of the group before treatment(p < 0.01),suggesting that both groups can improve the clinical symptoms of Benign prostatic hyperplasia,and the awn needle group was better than the filiform needle group(p < 0.01).4.Qol score table(Qol): After treatment,Qol scores in both groups were significantly lower than those before treatment(p < 0.01),and awn needle group was better than filiform needle group(p < 0.05).5.TCM syndrome points: after treatment,TCM syndrome points of the two groups of patients were significantly lower than before treatment(p < 0.01),and the elongated needle group was significantly better than the filiform needle group(p < 0.01).6.Self-rating depression scale(SDS): After treatment,the SDS scores of both groups decreased(p < 0.01),and the effect of Awn Needle Group was more significant(p < 0.01).7.IPSS total score severity stratification: the two groups of treatment have curative effects on moderate and severe patients,and the score of the awn needle group in the moderate group is significantly lower than that of the normal needle group(p < 0.05),while the score of the awn needle group in the severe group is significantly lower than that of the normal needle group(p< 0.01).8.The incidence of adverse reaction was 6.7% in awn needle group and 3.3% in filiform needle group.There was no significant difference between the two groups(p > 0.05).Conclusion:1.Both awn needle and normal needle can treat kidney deficiency and damp-heat type Benign prostatic hyperplasia,and elongated needle has better therapeutic effect,and the effect is more obvious in severe treatment2.Both groups of treatment can reduce IPSS total score,and the elongated needle group has significant effect on urinary tract obstruction symptoms.3.Awn needle therapy for kidney deficiency and damp-heat type Benign prostatic hyperplasia can not only improve the symptoms,but also improve the quality of life of patients and relieve the depressive psychology of patients due to illness.4.Elongated needle has obvious curative effect on kidney deficiency and damp-heat type Benign prostatic hyperplasia,and the treatment process is safe without side effects.The adverse reactions after treatment are slight and the side effects are small.The treatment operation is simple and simple,and the cost is relatively low,which can be widely used in clinic.