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The Consistency between Registered Acupuncture-Moxibustion Clinical Studies and Their Published Studies and Update Status of Registered Information. 注册针灸临床研究与已发表研究的一致性及注册信息的更新状况。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1159/000530245
Yali Liu, Shu Wang, Wenjie Chen, Yingxin Tan, Wangqing Dun, Yuan Zhang, Tingting Lu, Xuejing Hou, Jia Liu
<p><strong>Background: </strong>Few studies have analyzed the consistency between registered acupuncture-moxibustion clinical studies and their published research results as well as their update status of registered information.</p><p><strong>Methods: </strong>We searched for acupuncture-moxibustion clinical studies that were registered at the World Health Organization International Clinical Trials Registry Platform between 2013 and 2015 and collected data regarding their characteristics and update status. Published results of these registered studies were identified and compared with registered information.</p><p><strong>Results: </strong>A total of 425 registered acupuncture-moxibustion clinical studies were included; 379 (89.2%) of them were interventional studies, and the remaining 46 (10.8%) were observational studies. Forty-six studies (10.8%) were found to have published results, and 51 published articles were identified. Overall, 73.2% (311) of registered studies did not update the research status in time; 46.6% (198) stopped updating before recruiting; 21.6% (92) stopped updating after recruiting; and 4.9% (21) stopped updating after completion. Regarding the 46 studies with published results, 29 (63.0%) were considered to be affected by reporting bias. These reporting biases predominantly involved the omission of some predefined outcomes or endpoints (16 studies), contradictions regarding descriptions of sample sizes (9 studies), discrepancies in treatment measurements or group distribution (7 studies), and inconsistent treatment durations (4 studies). When compared with other studies, significant and various reporting biases could also be commonly found in fields other than acupuncture-moxibustion.</p><p><strong>Conclusions: </strong>There were many discrepancies between registered information and published reports on acupuncture-moxibustion, which could also be commonly observed in other fields. Moreover, a large proportion of registered studies did not update their research status in time. Efforts should be made to improve the reporting quality and timely updates.</p><p><p><title>Hintergrund</title>Es gibt nur wenige Studien, in denen die Übereinstimmung zwischen den registrierten klinischen Studien zur Akupunktur und Moxibustion mit den veröffentlichten Studienergebnissen und dem Aktualisierungsstand der Informationen im Register untersucht wurde.<title>Methoden</title>Wir suchten nach klinischen Studien zur Akupunktur und Moxibustion, die zwischen 2013 und 2015 auf der International Clinical Trials Registry Platform der Weltgesundheitsorganisation registriert wurden, und erhoben Daten zu ihren Merkmalen und ihrem Aktualisierungsstand. Die veröffentlichten Ergebnisse der registrierten Studien wurden identifiziert und mit den Informationen im Register verglichen.<title>Ergebnisse</title>Insgesamt wurden 425 registrierte klinische Studien zur Akupunktur und Moxibustion eingeschlossen, davon waren 379 (89,2 %) Interventionsstudien und
背景:很少有研究分析针灸临床注册研究与已发表研究成果的一致性以及注册信息的更新情况。方法:检索2013年至2015年在世界卫生组织国际临床试验注册平台注册的针灸临床研究,收集其特征和更新状态的数据。对这些已注册研究的已发表结果进行鉴定,并与已注册信息进行比较。结果:共纳入注册针灸临床研究425项;其中379项(89.2%)为介入研究,其余46项(10.8%)为观察性研究。发现46项研究(10.8%)已发表结果,并确定了51篇已发表文章。总体而言,73.2%(311项)的注册研究未及时更新研究状态;46.6%(198人)在招聘前停止更新;21.6%(92人)招聘后不再更新;4.9%(21)完成后停止更新。在已发表结果的46项研究中,29项(63.0%)被认为受到报告偏倚的影响。这些报告偏倚主要涉及遗漏一些预定的结果或终点(16项研究),关于样本量描述的矛盾(9项研究),治疗测量或组分布的差异(7项研究)以及治疗持续时间的不一致(4项研究)。与其他研究相比,在针灸以外的领域也普遍存在显著和各种各样的报告偏差。结论:针灸注册信息与文献报道存在诸多差异,这在其他领域也普遍存在。此外,很大一部分已登记的研究没有及时更新其研究状态。应努力提高报告质量和及时更新。研究方向:研究方向:针灸研究方向:针灸研究方向:veröffentlichten研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向:针灸研究方向方法采用国际临床试验注册平台(wetgesundheitsorganisation registriert wurden),于2013年9月和2015年9月注册,并于2013年9月和2015年9月注册,并于2013年9月注册,并于2015年9月注册。Die veröffentlichten Ergebnisse der registererten student wurden identifiziert and mit den Informationen im Register verglichen。干预组379例(89.2%),死亡限制组46例(10.8%)。Es wurden 46 studen (10.8%) mit veröffentlichten Ergebnissen gefunden and 51 veröffentlichte Artikel identifiziert。Insgesamt wurde bei 73,2 % (311) der registererten studen der Forschungsstand night zeitnah aktualisiert;[46,6 % (198)] wde die Aktualisierung vor der Rekrutierung eingestellt;21.6%(92)的研究对象为德国的Aktualisierung nach der Rekrutierung eingestellt和4.9%(21)的研究对象为德国的Aktualisierung nach Abschluss der studeingestellt。Von den 46 Studien mit veröffentlichten Ergebnissen wurden 29(63,0 %)也Von Publikationsverzerrung between angesehen。disespublikationsverzerrung betrafer allem die Auslassung eiger vordefinierter zielkriteren oder Endpunkte (16 Studien), widerspr bechreibung des Stichprobenumfangs (9 Studien), Diskrepanzen Behandlungsmessungen oder der grouppenveritilung (7 Studien)和inconsistenzen Behandlungsdauer (4 Studien)。贝姆Vergleich麻省理工学院anderen Studien wurden欧什在anderen Bereichen als Akupunktur和艾灸haufig signifikante和unterschiedliche Publikationsverzerrungen festgestellt。SchlussfolgerungenEs been zahlreiche Diskrepanzen zwischen den Informationen im Register und den veröffentlichten Berichten berupunkturr and艾灸,die auch in anderen berichhen häufig zu beobachten waren。德语德语德语德语德语德语德语德语德语德语德语德语德语德语德语德语德语德语。他说:“我是说,我是说,我是说,我是说,我是说,我是说,我是说,我是说,我是说,我是说,我是说,我是说,我是说。”
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引用次数: 0
Efficacy and Safety of Yukmijihwang-Tang in the Treatment of Cough-Variant Asthma: Study Protocol for a Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial. Yukmijihwang汤治疗咳嗽变异性哮喘的疗效和安全性:2期随机、双盲、安慰剂对照、多中心试验的研究方案。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 Epub Date: 2023-08-21 DOI: 10.1159/000533252
Su Won Lee, Yee Ran Lyu, Won Kyung Yang, Seung Hyung Kim, Si Yeon Kim, Weechang Kang, In Chul Jung, Beom Joon Lee, Jun Yong Choi, Mee Young Lee, Yang Chun Park
<p><strong>Background: </strong>Cough-variant asthma (CVA), a precursor of typical asthma, is the main cause of chronic cough. We hypothesize that yukmijihwang-tang (YJT), which has been used for chronic cough in traditional medicine and has been reported to have an anti-inflammatory effect, could be an adjuvant to asthma treatment.</p><p><strong>Methods: </strong>We plan a randomized, double-blind, placebo-controlled, multicenter, phase 2 trial to investigate the efficacy and safety of YJT in CVA patients. A total of 60 patients with CVA will be recruited and randomly assigned to either a high-dose YJT group, standard-dose YJT group, or control group (placebo) in a 1:1:1 allocation ratio after a 2-week run-in period. For the run-in period, only inhaled corticosteroids (ICSs) will be used, and the investigational drug will be administered once a day with concomitant ICS for 6 weeks. Data will be collected at baseline, week 3, and week 6, and the primary outcome measure will be the mean cough symptom score (CSS) change before and after medication. The secondary outcome measures will include the Leicester cough questionnaire-Korean version (LCQ-K) score, eosinophil count and eosinophil cationic protein level, pulmonary function test, and the number of uses of rescue medication, and so on.</p><p><strong>Conclusion: </strong>This study aimed to evaluate the efficacy and safety of YJT in concomitant treatment with ICS in patients with CVA and to determine the optimal dosage of YJT. The results are expected to provide evidence for the use of YJT as an adjuvant treatment for CVA.</p><p><p><title>Hintergrund</title>Cough-Variant-Asthma (CVA), eine Frühform von typischem Asthma, ist die Hauptursache von chronischem Husten. Unserer Vermutung nach könnte Yukmijihwang-Tang (YJT), das in der traditionellen Medizin zur Behandlung von chronischem Husten eingesetzt wird und das Berichten zufolge einen entzündungshemmenden Effekt hat, unterstützend in der Asthma-Therapie wirken.<title>Method</title>en: Wir planen eine randomisierte, doppelblinde, placebokontrollierte, multizentrische Phase-2-Studie, um die Wirksamkeit und Sicherheit von YJT bei Patienten mit CVA zu untersuchen. Insgesamt werden 60 CVA-Patienten für die Studie rekrutiert und nach einer zweiwöchigen Run-in-Phase randomisiert im Verhältnis 1:1:1 einer Gruppe mit hochdosiertem YJT, einer Gruppe, die YJT in der Standarddosierung erhält oder einer Kontrollgruppe (Placebo) zugewiesen. Während der Run-in-Phase werden nur inhalative Corticosteroide (ICS) verwendet, und das Prüfpräparat wird über 6 Wochen einmal täglich gleichzeitig mit den ICS angewendet. Die Datenerhebung erfolgt bei Studienbeginn, in Woche 3 sowie in Woche 6, und das primäre Zielkriterium ist die Änderung des mittleren Hustenscores (cough symptom score, CSS) vor und nach der Anwendung der Medikamente. Zu den sekundären Zielkriterien gehören der Score des Leicester Hustenfragebogens - koreanische Version (LCQ-K), die Eosinophilenzahl und
背景:咳嗽变异性哮喘(CVA)是典型哮喘的前兆,是引起慢性咳嗽的主要原因。我们推测,在传统医学中用于治疗慢性咳嗽并被报道具有抗炎作用的玉米黄汤(YJT)可能是哮喘治疗的佐剂。方法:我们计划进行一项随机、双盲、安慰剂对照、多中心、2期试验,研究YJT治疗CVA患者的疗效和安全性。共招募60名CVA患者,并在2周的磨合期后按1:1:1的分配比例随机分配到高剂量YJT组、标准剂量YJT小组或对照组(安慰剂)。在磨合期内,仅使用吸入性皮质类固醇(ICSs),研究药物将每天给药一次,同时使用ICSs,持续6周。将在基线、第3周和第6周收集数据,主要结果测量将是用药前后的平均咳嗽症状评分(CSS)变化。次要结果测量将包括莱斯特咳嗽问卷韩国版(LCQ-K)评分、嗜酸性粒细胞计数和嗜酸性阳离子蛋白水平、肺功能测试和救援药物的使用次数,结论:本研究旨在评估YJT与ICS联合治疗CVA患者的疗效和安全性,并确定YJT的最佳剂量。研究结果有望为YJT作为CVA的辅助治疗提供证据。背景咳嗽变异性哮喘(CVA)是典型哮喘的早期形式,是慢性咳嗽的主要原因。我们相信,传统医学中用于治疗慢性咳嗽并据报道具有抗炎作用的玉米黄汤(YJT)可能对哮喘治疗具有支持作用。方法:我们计划进行一项随机、双盲、安慰剂对照、多中心2期研究,以研究YJT治疗CVA患者的疗效和安全性。总体而言,本研究招募了60名CVA患者,并在两周的1:1:1的磨合期后,将其随机分为高剂量YJT组、标准剂量YJT治疗组或对照组(安慰剂)。在试运行阶段,仅使用吸入性皮质类固醇(ICS),试验药物与ICS同时给药,每天一次,持续六周。数据是在研究开始时、第3周和第6周收集的,主要目的是在用药前后改变咳嗽症状评分(CSS)。次要目标标准包括莱斯特咳嗽问卷评分、韩国版(LCQ-K)、嗜酸性粒细胞计数和嗜酸性阳离子蛋白水平、肺功能测试和需要药物应用的次数等。结论本研究的目的是评估YJT与ICS联合用药治疗CVA的疗效和安全性,并确定YJT的最佳剂量。该结果有望为YJT作为CVA的辅助治疗提供证据。StudieWHO国际临床试验注册平台的注册,临床研究信息服务(CRIS),KCT0006994,于10日注册。2022年2月,https://cris.nih.go.kr/cris/search/detailSearch.do/21743.
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引用次数: 0
Veterinary Naturopathy and Complementary Medicine: A Survey among Homepages of German Veterinary Practitioners. 兽医自然疗法和补充医学:对德国兽医从业人员主页的调查。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 Epub Date: 2023-01-18 DOI: 10.1159/000529209
Ines Stanossek, Axel Wehrend

Background: The use and interest in veterinary naturopathy and complementary medicine are increasing and modes of treatment are diverse. To this point, only a few data on the German situation in small animal medicine exist.

Material and methods: An online research of 1,083 German veterinary homepages for contents of veterinary naturopathy and complementary medicine was performed in September and October 2017. "Veterinarian" and "Chamber of Veterinary Surgeons" were used as search items. Homepages of small animal medicine were included. They were surveyed for modes of complementary and naturopathic treatments and corresponding qualifications of the offering veterinarian. Data were collected and processed using Excel 2013 Version 15.0. Afterward, a descriptive data analysis was performed.

Results: 60.7% (n = 657) of homepages showed contents of veterinary naturopathy and complementary medicine. The highest percentage was found in the Chamber of Veterinary Surgeons of Saarland (91.7%, n = 11 out of 12). Homeopathy was cited most frequently (58%, n = 381). Out of all homepages with relevant content, 31.4% (n = 206) gave information about user qualifications, with continuous education programs named most frequently (52.9%, n = 109).

Conclusion: The given data illustrate the high number of German veterinary homepages with contents of veterinary naturopathy and complementary medicine, corresponding to actual data of a high usage in veterinary and human medicine. Therefore, further scientific research in this field seems reasonable. Modes of treatment and qualifications are highly diverse and despite of controversial public discussions, homeopathy was the most frequently cited treatment modality on German veterinary homepages.

背景:兽医自然疗法和补充医学的使用和兴趣正在增加,治疗方式多种多样。到目前为止,关于德国小动物药物情况的数据很少。材料与方法:于2017年9月和10月对1083个德国兽医网站进行了兽医自然疗法和补充医学内容的在线研究。搜索项为“兽医”及“兽医商会”。包括小动物医学的主页。他们被调查了补充和自然疗法的治疗模式和相应的提供兽医的资格。使用Excel 2013 Version 15.0进行数据采集和处理。随后,进行描述性数据分析。结果:60.7% (n = 657)的网站显示兽医自然疗法和补充医学的内容。萨尔州兽医协会(Chamber of Veterinary Surgeons of Saarland)的比例最高(91.7%,n = 11 / 12)。顺势疗法被引用的频率最高(58%,n = 381)。在所有具有相关内容的主页中,31.4% (n = 206)提供了用户资格信息,其中继续教育项目被提及最多(52.9%,n = 109)。结论:上述数据说明德国兽医网站中包含兽医学自然疗法和补充医学内容的网站数量较多,与兽医学和人类医学中使用率较高的实际数据相对应。因此,在这一领域进行进一步的科学研究似乎是合理的。治疗模式和资格是高度多样化的,尽管有争议的公众讨论,顺势疗法是德国兽医主页上最常被引用的治疗方式。
{"title":"Veterinary Naturopathy and Complementary Medicine: A Survey among Homepages of German Veterinary Practitioners.","authors":"Ines Stanossek, Axel Wehrend","doi":"10.1159/000529209","DOIUrl":"10.1159/000529209","url":null,"abstract":"<p><strong>Background: </strong>The use and interest in veterinary naturopathy and complementary medicine are increasing and modes of treatment are diverse. To this point, only a few data on the German situation in small animal medicine exist.</p><p><strong>Material and methods: </strong>An online research of 1,083 German veterinary homepages for contents of veterinary naturopathy and complementary medicine was performed in September and October 2017. \"Veterinarian\" and \"Chamber of Veterinary Surgeons\" were used as search items. Homepages of small animal medicine were included. They were surveyed for modes of complementary and naturopathic treatments and corresponding qualifications of the offering veterinarian. Data were collected and processed using Excel 2013 Version 15.0. Afterward, a descriptive data analysis was performed.</p><p><strong>Results: </strong>60.7% (n = 657) of homepages showed contents of veterinary naturopathy and complementary medicine. The highest percentage was found in the Chamber of Veterinary Surgeons of Saarland (91.7%, n = 11 out of 12). Homeopathy was cited most frequently (58%, n = 381). Out of all homepages with relevant content, 31.4% (n = 206) gave information about user qualifications, with continuous education programs named most frequently (52.9%, n = 109).</p><p><strong>Conclusion: </strong>The given data illustrate the high number of German veterinary homepages with contents of veterinary naturopathy and complementary medicine, corresponding to actual data of a high usage in veterinary and human medicine. Therefore, further scientific research in this field seems reasonable. Modes of treatment and qualifications are highly diverse and despite of controversial public discussions, homeopathy was the most frequently cited treatment modality on German veterinary homepages.</p>","PeriodicalId":10541,"journal":{"name":"Complementary Medicine Research","volume":"30 3","pages":"230-237"},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9872091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improvement of Spinocerebellar Ataxia 3 Symptoms Treated with Eurythmy Therapy: A Case Vignette. Eurythmy疗法治疗脊髓角性共济失调3个症状的改善:一例Vignette。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 Epub Date: 2023-07-29 DOI: 10.1159/000532120
Katharina Gerlach

A 58-year-old male with genetically confirmed spinocerebellar ataxia 3 was treated with 10 sessions of eurythmy therapy. He was rated 9 on the "Scale for Assessment and Rating of Ataxia" before therapy started. Among movement and mental symptoms, he complained about sleep disturbances, insensitivity in the feet, and spasms in the legs. The patient was asked to build strong inner images as a basis for the eurythmy therapy movement exercises. After 10 sessions, he reported improvement in sleep disturbances, insensitivity in the feet, and spasms in the legs. He improved to 7.5 points on the "Scale for Assessment and Rating of Ataxia". In the 3 months, before starting and during eurythmy therapy, the patient did not alter the only medication taken (Bryophyllum 50% powder) and did not undergo any other therapy.

Ein 58-jähriger Mann mit genetisch bestätigter spinozerebellärer Ataxie 3 wurde mit 10 Sitzungen Heileurythmie behandelt. Vor Beginn der Therapie wurde er auf der “Scale for Assessment and Rating of Ataxia” mit 9 bewertet. Neben Bewegungs- und psychischen Symptomen klagte er über Schlafstörungen, Unempfindlichkeit in den Füßen und Spasmen in den Beinen. Der Patient wurde aufgefordert, starke innere Bilder als Grundlage für die heileurythmischen Bewegungsübungen aufzubauen. Nach 10 Sitzungen berichtete er über eine Verbesserung der Schlafstörungen, der Unempfindlichkeit in den Füßen und der Spasmen in den Beinen. Er verbesserte sich auf 7.5 Punkte auf der “Scale for Assessment and Rating of Ataxia”. Während der drei Monate vor Beginn und während der Eurythmie Therapie änderte der Patient seine Medikation nicht (Bryophyllum 50% Pulver) und unterzog sich keiner weiteren Therapie.

一名58岁的男性,经基因证实患有脊髓小脑共济失调3,接受了10次艺术疗法治疗。在治疗开始前,他在“共济失调评估和评定量表”中被评为9分。在运动和精神症状中,他抱怨睡眠障碍、脚部麻木和腿部痉挛。患者被要求建立强有力的内心图像,作为艺术体操治疗运动练习的基础。10次治疗后,他报告说睡眠障碍、足部麻木和腿部痉挛有所改善。他在“共济失调评定量表”上提高到7.5分。在开始治疗前和治疗期间的3个月内,患者没有改变所服用的唯一药物(Bryophyllum 50%粉末),也没有接受任何其他治疗。一名58岁的男性,经基因证实患有脊髓小脑共济失调3,接受了10次治疗性心律失常。在开始治疗之前,他在共济失调评估和评定量表上被评为9分。除了运动和心理症状外,他还抱怨睡眠障碍、双脚麻木和腿部痉挛。患者被要求建立强大的内心图像,作为治疗性艺术体操运动的基础。十次治疗后,他报告说睡眠障碍、脚部麻木和腿部痉挛的情况有所改善。他在共济失调评定量表上提高到7.5分。在开始治疗前的三个月内,以及在艺术疗法期间,患者没有改变药物(Bryophyllum 50%粉末),也没有接受进一步的治疗。
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引用次数: 0
Efficacy of Individualized Homeopathic Medicines in the Treatment of Cervical Spondylosis: A Double-Blind, Randomized, Placebo-Controlled Trial. 个体化顺势疗法治疗颈椎病的疗效:一项双盲、随机、安慰剂对照试验。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1159/000527523
Maneela Tomar, Nitai Chand Bhowmik, Subhas Singh, Satarupa Sadhukhan, James Michael, Maneet Parewa, Shruti Rai, Bharti Gupta, Himani Vashisht, Pankhuri Misra, Munmun Koley, Subhranil Saha

Introduction: Cervical spondylosis (CS) is a degenerative condition of the cervical spine, with approximately 80-90% of people suffering from disc degeneration by the age of 50 years. This trial attempts at evaluating the efficacy of individualized homeopathic medicines (IHMs) against placebos in the treatment of CS.

Methods: A 3-month, double-blind, randomized, placebo-controlled trial was conducted at the Organon of Medicine outpatient department of the National Institute of Homoeopathy, India. Patients were randomized to receive either IHMs (n = 70) or identical-looking placebos (n = 70) in the mutual context of concomitant conservative and standard physiotherapeutic care. Primary outcome measures were 0-10 Numeric Rating Scales (NRSs) for pain, stiffness, numbness, tingling, weakness, and vertigo, and the secondary outcome was the Neck Disability Index (NDI), measured at baseline and every month until 3 months. The intention-to-treat sample was analyzed to detect group differences and effect sizes.

Results: Overall, improvements were clinically significant and higher in the IHM group than the placebo group, but group differences were statistically nonsignificant with small effect sizes (all p > 0.05, two-way repeated measure analysis of variance). After 2 months of time points, improvements observed in the IHM group were significantly higher than placebo on a few occasions (e.g., pain NRS: p < 0.001; stiffness NRS: p = 0.024; weakness NRS: p = 0.003). Sulfur (n = 21; 15%) was the most frequently prescribed medication. No harm, unintended effects, or any serious adverse events were reported from either group.

Conclusions: An encouraging but nonsignificant direction of effect was elicited favoring IHMs against placebos in the treatment of CS.

颈椎病(CS)是一种颈椎退行性疾病,大约80-90%的人在50岁时患有椎间盘退变。本试验旨在评估个体化顺势疗法药物(IHMs)与安慰剂治疗CS的疗效。方法:在印度国家顺势疗法研究所奥加纳医学门诊部进行了一项为期3个月的双盲、随机、安慰剂对照试验。患者随机接受ihm (n = 70)或相同外观的安慰剂(n = 70),同时接受保守和标准物理治疗护理。主要结果测量是0-10数值评定量表(NRSs)对疼痛、僵硬、麻木、刺痛、虚弱和眩晕的评价,次要结果是颈部残疾指数(NDI),在基线和每个月测量一次,直到3个月。对意向治疗样本进行分析,以检测组间差异和效应量。结果:总体而言,IHM组的改善具有临床意义,且高于安慰剂组,但组间差异无统计学意义,效应量较小(均p > 0.05,双向重复测量方差分析)。2个月后,在少数情况下,IHM组的改善明显高于安慰剂组(例如,疼痛NRS: p < 0.001;刚度NRS: p = 0.024;NRS: p = 0.003)。硫(n = 21;15%)是最常用的处方药。两组均未报告任何伤害、意外效应或任何严重不良事件。结论:在CS治疗中,ihm优于安慰剂的效果方向令人鼓舞,但不显著。
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引用次数: 0
Effects of Modified Baizhu Shaoyao San on Postoperative Diarrhea in Colorectal Cancer Patients: A Single-Blind, Randomized Controlled Trial. 白术少药散加减对结直肠癌术后腹泻的影响:单盲、随机对照试验。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1159/000527706
Menghui Fei, Jiwen Zhang, Cuicui Zhu, Ming Luo, Lina Zhang, Yongmei Wu

Introduction: Postoperative gastrointestinal tract dysfunction is considered a common complication affecting patients undergoing intestinal surgery. This research aims to provide evidence to assess the efficacy and safety of Baizhu Shaoyao San (BSS) or modified BSS in treating postoperative diarrhea of colorectal cancer patients.

Methods: Eighty patients with colorectal cancer were randomized within 2 weeks after surgery to receive either modified BSS or Loperamide combined with the respective dummy. The curative effect was evaluated with the traditional Chinese medicine (TCM) syndrome score. Determination of motilin and gastrin in plasma was conducted utilizing ELISA.

Results: Compared with Loperamide therapy, the efficacy of modified BSS was statistically significant, the TCM syndrome score decreased, and the total effective rate increased. Levels of motilin and gastrin in plasma decreased.

Conclusion: The curative effect and safety of modified BSS were statistically significant.

前言:术后胃肠道功能障碍被认为是影响肠道手术患者的常见并发症。本研究旨在评价白术少药散(BSS)或改良BSS治疗结直肠癌术后腹泻的疗效和安全性。方法:80例结直肠癌患者在术后2周内随机接受改良BSS或洛哌丁胺联合各自的假体治疗。采用中医证候评分法评价疗效。采用ELISA法测定血浆胃动素和胃泌素。结果:与洛哌丁胺治疗相比,改良BSS的疗效有统计学意义,中医证候评分降低,总有效率提高。血浆中胃动素和胃泌素水平降低。结论:改良BSS的疗效及安全性均有统计学意义。
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引用次数: 0
Effects of Yijinjing Qigongin Alleviating Fatigue, Sleep Quality, and Health Status on Patients with Chronic Fatigue Syndrome: A Randomized, Controlled, and Parallel Group Clinical Study. 益金经气功对慢性疲劳综合征患者疲劳、睡眠质量和健康状况的影响:随机、对照、平行组临床研究
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1159/000528827
Fangfang Xie, Wenjun Dong, Chong Guan, Fei Yao

Background: Chronic fatigue syndrome (CFS) is a chronic disease characterized by various symptoms such as pathological fatigue, cognitive dysfunction, and inability to recover energy after waking up. The Yijinjing, a kind of health care practice from ancient China, consists of 12 movements, and it is considered as one of the complementary and alternative medicine (CAM) for health maintenance, health care, and disease healing. In this study, multiple scales were used to evaluate the effects of Yijinjing intervention on the clinical symptoms of CFS.

Patients and methods: Forty patients with CFS were randomly assigned to Yijinjing group and the cognitive behavior therapy (CBT) group separately. The Yijinjing intervention was practiced 6 times per week, among which one exercise should be guided by the teacher of the faculty in the university, and another 5 times should be finished at home over 12 consecutive weeks. Similarly, the control group received cognitive education, including popular science lectures and psychological counseling related to CFS prevention and treatment for 12 weeks. Multidimensional Fatigue Inventory-20 (MFI-20), Short Form 36-item Health Survey (SF-36), and Pittsburgh Sleep Quality Index (PSQI) were assessed before and after intervention.

Results: Intra-group analysis showed that the differences in MFI-20, SF-36, and PSQI were statistically significant (p < 0.05) after the intervention of 12 weeks Yijinjing intervention. Compared with the CBT group, the differences in MFI-20 and PSQI of the Yijinjing group were statistically significant (p < 0.05), but SF-36 was superior to the CBT group in terms of physical function, bodily pain, general health, and vitality (p < 0.05).

Conclusion: Yijinjing can significantly improve sleep disorders, fatigue, and quality of life in patients with CFS and is superior to behavioral cognitive education in pain and vitality. The study was registered with Chinese Clinical Trial Registry: ChiCTR-INR-17010694.

背景:慢性疲劳综合征(Chronic fatigue syndrome, CFS)是一种以病理性疲劳、认知功能障碍、醒来后无法恢复能量等多种症状为特征的慢性疾病。易经是一种来自中国古代的保健实践,由12个动作组成,被认为是一种补充和替代医学(CAM),用于保健,保健和治疗疾病。本研究采用多量表评价益金经干预对CFS临床症状的影响。患者与方法:将40例CFS患者随机分为益金净组和认知行为治疗组。益金经干预每周练习6次,其中1次由学校教师指导,另外5次在家中完成,连续12周。对照组同样接受认知教育,包括与CFS防治相关的科普讲座和心理咨询,为期12周。评估干预前后多维疲劳量表-20 (MFI-20)、简易36项健康调查量表(SF-36)和匹兹堡睡眠质量指数(PSQI)。结果:组内分析显示,益金经干预12周后,两组患者MFI-20、SF-36、PSQI差异均有统计学意义(p < 0.05)。与CBT组比较,易金晶组MFI-20、PSQI差异均有统计学意义(p < 0.05),但SF-36在身体功能、身体疼痛、一般健康、活力方面均优于CBT组(p < 0.05)。结论:益金经能显著改善CFS患者的睡眠障碍、疲劳和生活质量,在疼痛和活力方面优于行为认知教育。该研究已在中国临床试验注册中心注册:ChiCTR-INR-17010694。
{"title":"Effects of Yijinjing Qigongin Alleviating Fatigue, Sleep Quality, and Health Status on Patients with Chronic Fatigue Syndrome: A Randomized, Controlled, and Parallel Group Clinical Study.","authors":"Fangfang Xie,&nbsp;Wenjun Dong,&nbsp;Chong Guan,&nbsp;Fei Yao","doi":"10.1159/000528827","DOIUrl":"https://doi.org/10.1159/000528827","url":null,"abstract":"<p><strong>Background: </strong>Chronic fatigue syndrome (CFS) is a chronic disease characterized by various symptoms such as pathological fatigue, cognitive dysfunction, and inability to recover energy after waking up. The Yijinjing, a kind of health care practice from ancient China, consists of 12 movements, and it is considered as one of the complementary and alternative medicine (CAM) for health maintenance, health care, and disease healing. In this study, multiple scales were used to evaluate the effects of Yijinjing intervention on the clinical symptoms of CFS.</p><p><strong>Patients and methods: </strong>Forty patients with CFS were randomly assigned to Yijinjing group and the cognitive behavior therapy (CBT) group separately. The Yijinjing intervention was practiced 6 times per week, among which one exercise should be guided by the teacher of the faculty in the university, and another 5 times should be finished at home over 12 consecutive weeks. Similarly, the control group received cognitive education, including popular science lectures and psychological counseling related to CFS prevention and treatment for 12 weeks. Multidimensional Fatigue Inventory-20 (MFI-20), Short Form 36-item Health Survey (SF-36), and Pittsburgh Sleep Quality Index (PSQI) were assessed before and after intervention.</p><p><strong>Results: </strong>Intra-group analysis showed that the differences in MFI-20, SF-36, and PSQI were statistically significant (p < 0.05) after the intervention of 12 weeks Yijinjing intervention. Compared with the CBT group, the differences in MFI-20 and PSQI of the Yijinjing group were statistically significant (p < 0.05), but SF-36 was superior to the CBT group in terms of physical function, bodily pain, general health, and vitality (p < 0.05).</p><p><strong>Conclusion: </strong>Yijinjing can significantly improve sleep disorders, fatigue, and quality of life in patients with CFS and is superior to behavioral cognitive education in pain and vitality. The study was registered with Chinese Clinical Trial Registry: ChiCTR-INR-17010694.</p>","PeriodicalId":10541,"journal":{"name":"Complementary Medicine Research","volume":"30 3","pages":"204-212"},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10230288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of Patients Presenting at a University Outpatient Department for Complementary and Integrative Medicine. 在大学门诊就诊的补充和结合医学患者的特征。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1159/000529798
Gabriele Rotter, Sylvia Binting, Michael Teut, Miriam Ortiz, Stefan N Willich, Benno Brinkhaus
<p><strong>Background: </strong>Complementary and integrative medicine (CIM) is increasingly provided at university outpatient departments (OPDs) in Germany, but its scientific evaluation is sparse. Therefore, we aimed to investigate and evaluate feasibility, patients' characteristics and complaints at a university's CIM-OPD.</p><p><strong>Methods: </strong>A prospective evaluation included new patients without age restriction. At baseline, and after 6 and 12 months, patients filled out paper questionnaires. Patients rated their mean subjectively perceived severity of the main complaint within the last 7 days on a numerical rating scale (NRS) from 0 = no complaints to 10 = maximum complaints, their perceived resilience capacity in everyday life within the last 7 days (0 = not resilient to 10 = very resilient), and their contentment with the treatment (0 = not content to 10 = very content). Diagnoses were provided by physicians and coded according to the International Statistical Classification of Diseases and Related Health Problems, 10th revision. All data were analyzed descriptively.</p><p><strong>Results: </strong>During two years, 536 new patients {72.6% response, age (mean ± standard deviation [SD] and range) 49.6 ± 15.8 and 1-86 years, 75.7% female} chose to participate. The most frequent diagnosis groups were neoplasms (C00-C97, n = 143, 18.6%) and musculoskeletal diseases (M00-M99, n = 137, 17.9%). In n = 165 patients (30.8%), more than one diagnosis was provided. In a subgroup of 187 patients, who returned the questionnaire after 6 months, we compared baseline to 6-month values: severity of main complaint (mean ± SD) 5.2 ± 2.6 changed to 3.9 ± 2.6; resilience capacity 5.1 ± 2.6 to 5.6 ± 2.4. After 6 months, respondents rated their contentment with the treatment with (mean ± SD) 7.7 ± 2.6. Data after 12 months (n = 113) are comparable to data after 6 months.</p><p><strong>Conclusion: </strong>Patients of our CIM-OPD had a broad age range, were predominantly female, and suffered mostly from oncologic-related complaints and musculoskeletal diseases. In the responding subgroup after 6 months, patients were content with the treatment. These results should be verified by further prospective evaluations.</p><p><p><title>Hintergrund</title>Komplementäre und integrative Medizin (CIM) wird in Deutschland zunehmend in Hochschulambulanzen (OPDs) angeboten, deren wissenschaftliche Evaluation ist jedoch unzureichend. Deshalb war es unser Ziel, die Durchführbarkeit einer Evaluation, die Charakteristika und die Beschwerden der Patienten und Patientinnen an einer CIM-ODP zu untersuchen.<title>Methoden</title>Eine prospektive Evaluation schloss neue Patienten und Patientinnen ohne Altersbeschränkung ein. Zu Baseline sowie nach sechs und 12 Monaten füllten die Patienten und Patientinnen Papierfragebögen aus. Die Patienten und Patientinnen bewerteten ihre mittlere subjektiv empfundene Schwere der Hauptbeschwerden in den letzten sieben Tagen auf einer numeri
背景:在德国,大学门诊部(OPDs)越来越多地提供补充和结合医学(CIM),但其科学评价却很少。因此,我们旨在调查和评估一所大学的CIM-OPD的可行性,患者的特点和投诉。方法:前瞻性评价纳入无年龄限制的新患者。在基线、6个月和12个月后,患者填写纸质问卷。患者采用数值评定量表(NRS)对近7天内主诉主观感知的平均严重程度(0 =无主诉至10 =最大主诉)、近7天内日常生活感知的恢复能力(0 =无主诉至10 =非常恢复)、对治疗的满意度(0 =不满意至10 =非常满意)进行评分。诊断由医生提供,并根据国际疾病和相关健康问题统计分类第十次修订版进行编码。对所有数据进行描述性分析。结果:两年内,536名新患者(72.6%应答,年龄(平均值±标准差[SD]和范围)49.6±15.8),1-86岁,75.7%女性)选择参加。最常见的诊断组为肿瘤(C00-C97, n = 143, 18.6%)和肌肉骨骼疾病(M00-M99, n = 137, 17.9%)。在n = 165例(30.8%)患者中,提供了不止一种诊断。在187名患者的亚组中,他们在6个月后返回问卷,我们比较了基线和6个月的值:主诉严重程度(mean±SD)从5.2±2.6变为3.9±2.6;恢复能力5.1±2.6至5.6±2.4。6个月后,受访者对治疗的满意度评分为(mean±SD) 7.7±2.6。12个月后的数据(n = 113)与6个月后的数据可比较。结论:我们的CIM-OPD患者年龄广泛,以女性为主,主要患有肿瘤相关疾病和肌肉骨骼疾病。在6个月后的反应亚组中,患者对治疗感到满意。这些结果应通过进一步的前瞻性评价加以验证。HintergrundKomplementäre and integrative Medizin (CIM) wind in deutschschschulamanzen (OPDs) angeboten, deren wissenschaftliche Evaluation ist jedoch unzureichend。Deshalb war是一种新的研究方法,是一种新的临床评价方法,是一种新的临床评价方法,是一种新的临床评价方法,是一种新的临床评价方法。方法学前瞻性评价研究进展[j]。基线包含了每一组数据和12个moneton数据集,它们分别是Patienten和patientinen Papierfragebögen。Die Patienten和patientinen bewerten3 mittlere subjektitiv empfundene Schwere der Hauptbeschwerden in den letztensiben Tagen auf einer numerischen Ratingskala (NRS), 0 = keine Beschwerden 10 = maximale Beschwerden, 3 mittlere subjektiv empfundene Belastbarkeit im Alltag in den letztensibentagen (0 = nicht belastbar bis 10 = sehr belastbar)和3 Zufriedenheit mit der Behandlung (0 = nicht zufrieden bis 10 = sehr zufrieden)。《疾病与相关健康问题国际统计分类》,Ärzten和Ärztinnen。修改,kodiert。《时代》杂志的读者评论。ergebnisim Laufe von zwei Jahren nahmen 536 neue Patienten und patientinen (72.6%) rklauf, Alter (Mittelwert±SD und Range) 49.6±15.8 und 1-86 Jahre, 75.7% weiblich) teil。Die häufigsten诊断warenneoplasmen (C00-C97, n = 143, 18.6%)和Erkrankungen des Bewegungsapparates (M00-M99, n = 137, 17.9%)。本组病例165例(30.8%),均符合诊断标准。在187个患者和患者亚群中,6个单胞菌和6个单胞菌,6个单胞菌和6个单胞菌:单胞菌(Mittelwert±SD) 5.2±2.6 veränderte sich zu 3.9±2.6;Belastbarkeit 5.1±2.6祖5.6±2.4。Nach sechs Monaten bewerteten die Befragten ihre Zufriedenheit mit der Behandlung mit (Mittelwert±SD) 7.7±2.6。Die Daten nach 12 Monaten (n = 113)和mit Daten nach 6 Monaten vergleichbar。研究对象为临床病人,研究对象为临床病人,研究对象为临床病人,研究对象为临床病人,研究对象为临床病人,研究对象为临床病人。患者和患者在各自的领域,Monaten反世界亚组是由Behandlung zufrieden负责的。因此,对该方法进行了前瞻性的评价和验证。
{"title":"Characteristics of Patients Presenting at a University Outpatient Department for Complementary and Integrative Medicine.","authors":"Gabriele Rotter,&nbsp;Sylvia Binting,&nbsp;Michael Teut,&nbsp;Miriam Ortiz,&nbsp;Stefan N Willich,&nbsp;Benno Brinkhaus","doi":"10.1159/000529798","DOIUrl":"https://doi.org/10.1159/000529798","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Complementary and integrative medicine (CIM) is increasingly provided at university outpatient departments (OPDs) in Germany, but its scientific evaluation is sparse. Therefore, we aimed to investigate and evaluate feasibility, patients' characteristics and complaints at a university's CIM-OPD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A prospective evaluation included new patients without age restriction. At baseline, and after 6 and 12 months, patients filled out paper questionnaires. Patients rated their mean subjectively perceived severity of the main complaint within the last 7 days on a numerical rating scale (NRS) from 0 = no complaints to 10 = maximum complaints, their perceived resilience capacity in everyday life within the last 7 days (0 = not resilient to 10 = very resilient), and their contentment with the treatment (0 = not content to 10 = very content). Diagnoses were provided by physicians and coded according to the International Statistical Classification of Diseases and Related Health Problems, 10th revision. All data were analyzed descriptively.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;During two years, 536 new patients {72.6% response, age (mean ± standard deviation [SD] and range) 49.6 ± 15.8 and 1-86 years, 75.7% female} chose to participate. The most frequent diagnosis groups were neoplasms (C00-C97, n = 143, 18.6%) and musculoskeletal diseases (M00-M99, n = 137, 17.9%). In n = 165 patients (30.8%), more than one diagnosis was provided. In a subgroup of 187 patients, who returned the questionnaire after 6 months, we compared baseline to 6-month values: severity of main complaint (mean ± SD) 5.2 ± 2.6 changed to 3.9 ± 2.6; resilience capacity 5.1 ± 2.6 to 5.6 ± 2.4. After 6 months, respondents rated their contentment with the treatment with (mean ± SD) 7.7 ± 2.6. Data after 12 months (n = 113) are comparable to data after 6 months.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Patients of our CIM-OPD had a broad age range, were predominantly female, and suffered mostly from oncologic-related complaints and musculoskeletal diseases. In the responding subgroup after 6 months, patients were content with the treatment. These results should be verified by further prospective evaluations.&lt;/p&gt;&lt;p&gt;&lt;p&gt;&lt;title&gt;Hintergrund&lt;/title&gt;Komplementäre und integrative Medizin (CIM) wird in Deutschland zunehmend in Hochschulambulanzen (OPDs) angeboten, deren wissenschaftliche Evaluation ist jedoch unzureichend. Deshalb war es unser Ziel, die Durchführbarkeit einer Evaluation, die Charakteristika und die Beschwerden der Patienten und Patientinnen an einer CIM-ODP zu untersuchen.&lt;title&gt;Methoden&lt;/title&gt;Eine prospektive Evaluation schloss neue Patienten und Patientinnen ohne Altersbeschränkung ein. Zu Baseline sowie nach sechs und 12 Monaten füllten die Patienten und Patientinnen Papierfragebögen aus. Die Patienten und Patientinnen bewerteten ihre mittlere subjektiv empfundene Schwere der Hauptbeschwerden in den letzten sieben Tagen auf einer numeri","PeriodicalId":10541,"journal":{"name":"Complementary Medicine Research","volume":"30 4","pages":"279-288"},"PeriodicalIF":1.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10226050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Individualized Homeopathic Medicines in the Treatment of Psoriasis Vulgaris: Double-Blind, Randomized, Placebo-Controlled Trial. 个体化顺势疗法治疗寻常型银屑病:双盲、随机、安慰剂对照试验
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1159/000530180
Dharshna Balamurugan, Chintamani Nayak, Abhijit Chattopadhyay, Avaranjika Karuppusamy, Maria Malathi Ambrose, Ashwani Kumar, Navin Kumar Singh, Munmun Koley, Subhranil Saha
<p><strong>Introduction: </strong>Psoriasis is a chronic inflammatory skin disorder, affecting the trunk and extensor surfaces of the limbs and scalp predominantly. Worldwide prevalence ranges between 0.1 and 11.4%, and in India between 0.4 and 2.8%; this creates a serious health burden. Psoriasis remains a frequently encountered condition in homeopathy practice, but there is a dearth of conclusive efficacy data supporting its use.</p><p><strong>Methods: </strong>This 6-month, double-blind, randomized trial was conducted on 51 patients suffering from psoriasis at the National Institute of Homoeopathy, India. Patients were randomized to receive either individualized homeopathic medicines (IHMs; n = 25) in LM potencies or identical-looking placebos (n = 26). Psoriasis area and severity index (PASI; primary), psoriasis disability index (PDI), and dermatological life quality index (DLQI; secondary) were measured at baseline and every 2 months, up to 6 months. The intention-to-treat sample was analyzed using a two-way repeated measure analysis of variance.</p><p><strong>Results: </strong>Although intragroup changes were significant in both groups in the outcome measures, improvements were significantly higher in the IHMs group than in placebos in PASI scores after 6 months of intervention (F1, 49 = 10.448, p = 0.002). DLQI daily activity subscale scores also yielded similar significant results favoring IHMs against placebos after 6 months (F1, 49 = 5.480, p = 0.023). Improvement in PDI total (F1, 49 = 0.063, p = 0.803), DLQI total (F1, 49 = 1.371, p = 0.247), and all remaining subscales were higher in the IHMs group than placebos after 6 months, but nonsignificant statistically. Calcarea carbonica, Mercurius solubilis, Arsenicum album, and Petroleum were the most frequently prescribed medicines.</p><p><strong>Conclusions: </strong>IHMs exhibited better results than placebos in the treatment of psoriasis. Further research is warranted.</p><p><p><title>Einleitung</title>Psoriasis ist eine chronisch entzündliche Hauterkrankung, die vor allem den Körperstamm und die Streckseiten der Extremitäten sowie die Kopfhaut betrifft. Die weltweite Prävalenz liegt zwischen 0,1 und 11,4% und in Indien zwischen 0,4 und 2,8%, was sie zu einer erheblichen Belastung für das Gesundheitssystem macht. In der homöopathischen Praxis ist die Psoriasis nach wie vor häufig anzutreffen, doch mangelt es an schlüssigen Wirksamkeitsdaten, die deren Anwendung stützen.<title>Methoden</title>Diese sechsmonatige, doppelblinde, randomisierte Studie wurde mit 51 Psoriasis-Patienten am National Institute of Homoeopathy in Indien durchgeführt. Die Patienten erhielten randomisiert entweder individualisierte homöopathische Arzneimittel (individualized homeopathic medicines, IHMs; <italic>n</italic> = 25) in LM-Potenzen oder identisch aussehende Placebos (<italic>n</italic> = 26). Der Psoriasis Area and Severity Index (PASI; primär), der Psoriasis Disability Index (PDI) und der Dermatological
简介:银屑病是一种慢性炎症性皮肤病,主要影响四肢的干、伸肌表面和头皮。全球流行率在0.1%至11.4%之间,印度在0.4%至2.8%之间;这造成了严重的健康负担。牛皮癣仍然是顺势疗法实践中经常遇到的疾病,但缺乏确凿的疗效数据支持其使用。方法:这项为期6个月的双盲随机试验在印度国家顺势疗法研究所对51名牛皮癣患者进行了研究。患者随机接受个体化顺势疗法药物(IHMs);n = 25)或相同外观的安慰剂(n = 26)。银屑病面积及严重指数(PASI);原发性)、牛皮癣残疾指数(PDI)、皮肤病生活质量指数(DLQI;在基线和每2个月测量一次,直至6个月。意向治疗样本采用双向重复测量方差分析。结果:虽然两组的预后指标在组内均有显著变化,但干预6个月后,IHMs组PASI评分的改善明显高于安慰剂组(F1, 49 = 10.448, p = 0.002)。DLQI日常活动分量表评分也在6个月后得出了类似的显著结果,即IHMs组优于安慰剂组(F1, 49 = 5.480, p = 0.023)。6个月后,IHMs组PDI总分(F1, 49 = 0.063, p = 0.803)、DLQI总分(F1, 49 = 1.371, p = 0.247)及其余所有亚量表的改善均高于安慰剂组,但统计学上无显著差异。碳酸钙、可溶性汞、砷和石油是最常用的处方药。结论:IHMs治疗银屑病的效果优于安慰剂。进一步的研究是有必要的。EinleitungPsoriasis这chronisch entzundliche Hauterkrankung,死伏尔allem Korperstamm和Streckseiten der Extremitaten和港口死Kopfhaut betrifft。Die weltweite Prävalenz liegt zwischen 0,1和11.4%,inen zwischen 0,4和2.8%,是sie zu einer erheblichen Belastung f r das Gesundheitssystem macht。在der homöopathischen Praxis ist die Psoriasis nach wie vor häufig anzutreffen, doch manger和schlsigen Wirksamkeitsdaten, die deren Anwendung st tzen。方法在印度顺势疗法国家研究所进行的51例银屑病患者的双盲、随机对照研究。Die Patienten erhielten randomisiert entweder individualisierte homöopathische个体化顺势疗法药物;n = 25),在LM-Potenzen odender identischausseende安慰剂(n = 26)。银屑病面积及严重指数(PASI);primär)、牛皮癣残疾指数(PDI)和皮肤病生活质量指数(DLQI);sekundär) wurden bei Baseline und anschließend alle zwei Monate f r bis zu sechs Monate gemessen。模具分析与意向处理-深度探针的融合。Ergebnisse zgunsten der IHMs gegen在对照组中显著(F1, 49 = 10,448, p = 0,002),在对照组中显著(F1, 49 = 5,480, p = 0,023),在对照组中显著(F1, 49 = 10,448, p = 0,002),在对照组中显著(F1, 49 = 5,480, p = 0,023)。Die Verbesserungen beim PDI-Gesamt-Score (F1, 49 = 0,063, p = 0,803), beim DLQI-Gesamt-Score (F1, 49 = 1,371, p = 0,247)和bei den anderen Subskalen waren (6 Monaten)在ihm -组和安慰剂-组,erreichten jedoch keine有统计学意义。石炭酸钙、可溶性汞、砷、石油等矿物学研究进展häufigsten。银屑病患者与安慰剂的相关性研究。Weitere Untersuchungen和erforderlich。
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引用次数: 2
Turpentine Ointment in Bacterial Skin Infections: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial. 松节油软膏治疗细菌性皮肤感染:随机、安慰剂对照、双盲临床试验。
IF 1.8 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 Epub Date: 2022-11-23 DOI: 10.1159/000528220
Joachim Fuchs-Algrim, Horst Lorenz, Christian Zimmermann, Nils Günnewich, Ilona Schwarzensteiner, Peter-Michael Kaiser, Hagen Tronnier

Background: Turpentine-containing substances are considered effective in treating cutaneous bacterial infections, but reliable clinical data are scant.

Objective: We investigated the efficacy and safety of an ointment containing larch turpentine (from Larix decidua), eucalyptus oil (from Eucalyptus globulus), and turpentine oil (from Pinus pinaster) in outpatients with painful skin abscesses in a randomized, placebo-controlled, double-blind study.

Intervention: 116 outpatients with skin abscesses used verum or placebo for 10 days. Sum score of the patient's discomforts, changes in abscess size, rate of therapeutic success, and complete healing served as outcome parameters.

Results: Fifty-four patients were treated with verum and 56 with placebo. According to the patient's discomfort sum score, patients in the verum group showed a better improvement compared to the placebo group (7.3 vs. 4.7; p = 0.024), and subjective assessment by the investigators revealed a higher treatment success rate after verum (70% vs. 48%; p = 0.021). Complete healing was documented in 67% of the patients receiving verum versus 46% in the placebo group (p = 0.037). There was a positive trend toward a larger decrease in the abscess sizes in the verum group compared to the placebo group (p = 0.07).

Conclusion: The ointment studied is an effective and safe option for the treatment of bacterial skin diseases.

背景:含松节油的物质被认为能有效治疗皮肤细菌感染,但可靠的临床数据却很少:目的:我们在一项随机、安慰剂对照、双盲研究中调查了含有落叶松松脂(来自落叶松)、桉树油(来自球叶桉树)和松脂油(来自松柏)的软膏对门诊疼痛性皮肤脓肿患者的疗效和安全性:116 名患有皮肤脓肿的门诊患者使用维鲁姆或安慰剂 10 天。患者的不适感总分、脓肿大小变化、治疗成功率和完全愈合作为结果参数:结果:54 名患者接受了维鲁姆治疗,56 名患者接受了安慰剂治疗。根据患者的不适感总分,维鲁姆组患者的不适感改善情况优于安慰剂组(7.3 分对 4.7 分;P = 0.024),调查人员的主观评估显示,维鲁姆治疗后的成功率更高(70% 对 48%;P = 0.021)。据记录,67%的患者接受了维鲁姆治疗,而安慰剂组为 46%(p = 0.037)。与安慰剂组相比,阿维菌素组的脓肿面积呈明显缩小趋势(p = 0.07):结论:所研究的药膏是治疗细菌性皮肤病的一种有效而安全的选择。
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引用次数: 0
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Complementary Medicine Research
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