| Objective: To evaluate the efficacy of acupuncture based on the "Warm Yang and Promote Qi Transformation" theory in treating nocturia complicated with insomnia. Methods: A total of 86 eligible patients were randomly divided into a treatment group and a control group, with 43 cases each. Both groups received behavioral therapy as the baseline intervention. The treatment group underwent acupuncture every other day, while the control group received oral tamsulosin hydrochloride sustained-release capsules (0.2 mg/day). The treatment course for both groups was 2 months. Therapeutic outcomes were compared using parameters including voiding diaries, the Nocturia-Specific Quality of Life Questionnaire (N-QOL), the Pittsburgh Sleep Quality Index (PSQI), and wrist-actigraphy sleep monitoring indices. Results: The total effective rate in the treatment group was significantly higher than that in the control group (P < 0.05). After treatment, both groups showed significant improvements in nocturia episodes, nocturnal urine volume (NUV), nocturnal polyuriaindex（NPI）,PSQI scores, N-QOL scores, and monitored sleep durations (P < 0.05). In the treatment group, proportion of light sleep decreased (P < 0.05), while the proportion of REM sleep increased (P < 0.05). Moreover, the treatment group demonstrated superior improvements in nocturia episodes, NUV, NPI, N-QOL, PSQI, sleep durations (except light sleep duration), and sleep architecture compared to the control group (P < 0.05). Conclusion: Acupuncture based on the Warm Yang and Promote Qi Transformation theory significantly alleviates symptoms and enhances quality of life in elderly male patients with nocturia and insomnia. |
