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An Economic Evaluation of Thread Embedding Acupuncture for the Treatment of Lumbar Herniated Intervertebral Disc in a Randomized Controlled Clinical Trial 在一项随机对照临床试验中,针刺埋线治疗腰椎间盘突出症的经济评价
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00199
Ha-Na Kim, Jun-Yeon Kim, K. Park, Ji-Min Hwang, Jun-Yeong Jang, M. Jo, Minkailov Ko, S. Chae, Jung-hyun Kim, Bonhyuk Goo, Yeoncheol Park, B. Seo, Y. Baek, Sang-Soo Nam
Background: Lumbar herniated intervertebral disc (LHIVD) is a frequently presented condition/disease in Korean medical institutions. In this study, the economics of thread embedding acupuncture (TEA) was evaluated in a randomized controlled trial comparing TEA with sham TEA (STEA).Methods: This economic evaluation was analyzed from a limited social perspective, and the per-protocol set was from a basic analysis perspective. The cost-effectiveness analysis was based on the change in visual analog scale score, and the cost-utility analysis was based on the quality-adjusted life years. The final results were expressed as the average cost-effectiveness ratio and incremental cost-effectiveness ratio, and furthermore sensitivity analysis was performed to confirm the robustness of the results observed.Results: The cost-effectiveness analysis showed that TEA was 9,908 won lower than STEA, while the decrease in 100 mm visual analog scale score was 8.5 mm greater in the TEA group compared with the STEA group (p > 0.05). The cost-utility analysis showed that TEA was 9,908 won lower than STEA, while the quality-adjusted life years of TEA was 0.0026 years higher than STEA (p > 0.05). These results were robust in the sensitivity analysis, but were not statistically significant.Conclusion: In treating LHIVD, TEA appeared to have cost-effectiveness and cost-utility compared with STEA. However, there were no significant differences between the groups in terms of cost, effectiveness, and utility indicators. Therefore, results must be interpreted prudently; this study was the 1st to conduct an economic evaluation of TEA for LHIVD.
背景:腰椎间盘突出症(LHIVD)是韩国医疗机构中常见的疾病。在这项研究中,通过一项随机对照试验,比较了埋线针刺(TEA)和假针刺(STEA)的经济性。方法:从有限的社会角度对经济评价进行分析,从基本分析角度对每个方案集进行分析。成本-效果分析基于视觉模拟量表得分的变化,成本-效用分析基于质量调整生命年。最终结果表示为平均成本-效果比和增量成本-效果比,并进行敏感性分析以证实观察结果的稳健性。结果:经成本-效果分析,TEA组比STEA组低9908韩元,100 mm视觉模拟量表评分下降幅度比STEA组大8.5 mm (p < 0.05)。经成本效用分析,TEA比STEA低9908韩元,但TEA的质量调整寿命年数比STEA高0.0026年(p < 0.05)。这些结果在敏感性分析中是稳健的,但没有统计学意义。结论:与STEA相比,TEA治疗LHIVD具有成本-效果和成本-效用。然而,在成本、有效性和效用指标方面,两组之间没有显著差异。因此,必须谨慎地解释结果;本研究首次对TEA治疗LHIVD进行了经济评价。
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引用次数: 1
Leg Amputation due to Buerger’s Disease: Management with Combined Korean Medicine Buerger病致腿部截肢的韩国联合用药治疗
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00150
Eun Sol Won, Hyun Lee, Hwa yeon Ryu, Yong Ho Ku, G. H. Jung, C. Park, J. Kang
In this Case Report, a patient with Buerger’s disease who had a leg amputation below his lower right knee and a vascular bypass of right leg, developed a wound caused by his prosthetic leg and subjective discomfort. The patient received skin flap surgery but the wound did not heal properly. He was admitted to the Korean Medicine Hospital where his wound, right leg coldness, and phantom pain were treated with combined Korean medicine. The patient was hospitalized again where he underwent micro-drilling surgery. The patient was re-admitted to the Korean Medicine Hospital where he received combined Korean medicine treatment (CKMT) and carbon arc light treatment (CALT) for his wound, leg coldness, stiffness, and hypoplasia. The temperature of his right leg increased, the numeric rating scale score for assessing pain fell from 5 to 1.5, and subjective discomfort was reduced (< 20%) suggesting this may be an effective treatment.
在本病例报告中,一位患有伯格氏病的患者在右下膝以下截肢并对右腿进行血管搭桥手术后,出现了假腿造成的伤口和主观不适。患者接受皮瓣手术,但伤口未愈合。他被送往韩国医院,在那里用韩药联合治疗了伤口、右腿冷和幻肢痛。患者再次住院,接受微钻孔手术。该患者因伤口、腿部发冷、僵硬、发育不全,再次被送往韩国医院接受韩药联合治疗(CKMT)和碳弧光治疗(CALT)。他的右腿温度升高,评估疼痛的数值评定量表得分从5下降到1.5,主观不适感减少(< 20%),表明这可能是一种有效的治疗方法。
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引用次数: 0
Thread Embedding Acupuncture and Complex Korean Medicine Treatment for Lumbar Spinal Stenosis with Degenerative Scoliosis: A Clinical Case Report 埋线针配合韩药治疗腰椎管狭窄伴退行性脊柱侧凸1例
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00108
Yu-Kyeong Park, Jung Hee Lee, Jae Soo Kim, Y. Lee, Hyun-Jong Lee
Lumbar spinal stenosis (LSS) is a common degenerative spinal condition that can have unpredictable improvement and worsening of symptoms which include low back pain, radiating pain, claudication, and degenerative lumbar scoliosis affecting quality of life. In this study, thread embedding acupuncture (TEA) was used as a conservative treatment for LSS in combination with complex Korean medicine treatments (acupuncture, herbal medicines, and physical therapy). The treatment was evaluated using the numerical rating scale, walking distance and duration, and inclination of radiological lumbar scoliosis according to antalgic posture. TEA was performed 27 times between June 8, 2020, and March 16, 2021. The patient showed improvement in numerical rating scale score from 7 to 2, pain-free walking distance from 10 m to 900 m, and scoliosis inclination following treatment. The findings of this study suggest that TEA may be helpful in the treatment of LSS.
腰椎管狭窄症(LSS)是一种常见的退行性脊柱疾病,其症状可有不可预测的改善和恶化,包括腰痛、放射痛、跛行和影响生活质量的退行性腰椎侧凸。本研究采用埋线针(TEA)作为LSS的保守治疗,结合韩医综合治疗(针灸、草药、物理治疗)。采用数值评定量表、步行距离和持续时间以及放射性腰椎侧凸的倾斜度评估治疗效果。从2020年6月8日至2021年3月16日,TEA进行了27次。治疗后患者的数值评定量表评分从7分改善到2分,无痛步行距离从10米改善到900米,脊柱侧凸倾斜度改善。本研究结果提示TEA可能有助于LSS的治疗。
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引用次数: 1
A Review of Randomized Controlled Trials of Pes Anserinus Tendinitis/Bursitis Syndrome in the China National Knowledge Infrastructure Database 中国国家知识基础设施数据库中Pes Anserinus肌炎/滑囊炎综合征随机对照试验综述
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00192
Hyo-jung Choi, Hye-Kyung Back, Young-Jun Kim, D. Oh, C. Park, Jin Namgoong
The purpose of this study was to review randomized controlled trials (RCTs) of pes anserinus tendinitis or bursitis (PATB) syndrome in the China National Knowledge Infrastructure database to investigate the efficacy of traditional Chinese medicine treatment for PATB syndrome. There were 20 RCTs published from 2001 to 2021 which were selected for analysis by publication year, number of samples, evaluation criteria, treatment duration, and treatment method. Out of the 142 retrieved RCTs, 20 were relevant to this review, and had performed Chinese medicine treatments including acupuncture (the most common treatment typically using acupoints SP10, ST35, SP9, and LR8), manipulation (typically using acupoints ST35, SP10, and SP9), and external application therapy (typically herbal medicine) in the treatment of PATB syndrome. Chinese medicine treatments were used widely in the treatment of PATB syndrome. We hope in the future, this review may initiate the development of treatments for PATB syndrome using Korean medicine.
本研究的目的是回顾中国国家知识基础设施数据库中关于脊髓炎或滑囊炎(PATB)综合征的随机对照试验(RCTs),以研究中药治疗PATB综合征的疗效。2001年至2021年发表的20项随机对照试验按发表年份、样本数量、评估标准、治疗持续时间和治疗方法进行分析。在检索到的142项随机对照试验中,有20项与本综述相关,并在PATB综合征的治疗中进行了中医治疗,包括针灸(最常见的治疗方法通常使用穴位SP10、ST35、SP9和LR8)、手法(通常使用穴位ST35、ST10和SP9)和外用疗法(通常是草药)。中医治疗广泛应用于PATB综合征的治疗。我们希望在未来,这篇综述可能会启动使用韩国药物治疗PATB综合征的开发。
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引用次数: 0
A Review of Acupuncture Treatment for Infertility 针刺治疗不孕症的研究进展
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00213
H. Chun, H. Song
The purpose of this study was to analyze acupuncture treatment methods and acupoint used to treat infertility in the last decade. The data were retrieved from 2010.1 to 2021.8. using national and international electronic databases (PubMed, EMBASE, OASIS, NDSL, and KISS). “Infertility,” “sterility,” “acupuncture,” “electroacupuncture,” “bloodletting,” “pharmacopuncture,” were used as search terms. All studies were mainly concerned with acupuncture treatment of infertility, but the studies which were not related included; (1) infertility or acupuncture treatment; (2) animal studies; (3) review/meta/protocol or clinical study; comparative studies and case reports which were excluded from this review. Only clinical trials for acupuncture treatment of infertility were included in this review (n = 18). For infertility treatment studies using acupuncture, polycystic ovarian syndrome was the main cause of infertility, the most common acupoint used was CV4, CV3, CV6, SP6, BL23, and the treatment effect significantly improved in the group receiving acupuncture treatment compared with the control group, or the group taking Western medicine alone. In some studies, the group using acupuncture treatment did not show side effects. Acupuncture is an effective treatment for infertility.
本研究的目的是分析近十年来针灸治疗不孕不育的方法和穴位。数据检索时间为2010.1至2021.8。使用国家和国际电子数据库(PubMed、EMBASE、OASIS、NDSL和KISS)。“不孕”、“不育”、“针灸”、“电针”、“放血”、“药效针灸”被用作搜索词。所有的研究都主要涉及针灸治疗不孕,但没有相关的研究包括;(1) 不孕不育或针灸治疗;(2) 动物研究;(3) 审查/荟萃分析/方案或临床研究;本综述中排除的比较研究和病例报告。本综述仅包括针灸治疗不孕的临床试验(n=18)。在针灸治疗不孕不育的研究中,多囊卵巢综合征是不孕不育的主要原因,最常见的穴位是CV4、CV3、CV6、SP6、BL23,与对照组或单独服用西药组相比,针灸治疗组的治疗效果显著改善。在一些研究中,使用针灸治疗的组没有显示出副作用。针灸是治疗不孕的有效方法。
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引用次数: 0
Spatial and Temporal Electrodynamics in Acuzones: Test-Induced Kinematics and Synchronous Structuring. Phenomenological Study 穴位的空间和时间电动力学:测试诱发的运动学和同步结构。现象学研究
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00164
Y. F. Babich, Andrey Y. Babich
Background: So far there is no confidence in the basics of acupoint/meridian phenomena, specifically in spatial and temporal electrical manifestations in the skin.Methods: Using the skin electrodynamic introscopy, the skin areas of 32 × 64 mm2 were monitored for spectral electrical impedance landscape with spatial resolution of 1 mm, at 2 kHz and 1 MHz frequencies. The detailed baseline and 2D test-induced 2 kHz-impedance phase dynamics and the 4-parameter time plots of dozens of individual points in the St32-34 regions were examined in a healthy participant and a patient with mild gastritis. Non-thermal stimuli were used: (1) (for the sick subject), microwaves and ultraviolet radiation applied alternately from opposite directions of the meridian; and (2) (for the healthy one) microwaves to St17, and cathodic/anodic stimulation of the outermost St45, alternately.Results: In both cases, the following phenomena have been observed: emergence of in-phase and/or antiphase coherent structures, exceeding the acupoint conditional size of 1 cm; collective movement along the meridian; reversible with a reversed stimulus; counter-directional dynamics of both whole structures and adjacent points; local abnormalities in sensitivity and dynamics of the 1 MHz and 2 kHz parameters indicating existence of different waveguide paths.Conclusion: It is assumed that these findings necessitate reconsideration of some basic methodological issues regarding neurogenic/acupuncture points as spatial and temporal phenomena; this requires development of an appropriate approach for identifying the acuzones patterns. These findings may be used for developing new approaches to personalized/controlled therapy/treatment.
背景:到目前为止,在穴位/经络现象的基础上,特别是在皮肤的空间和时间电表现方面,还没有信心。方法:采用皮肤电动力学内窥镜,在2 kHz和1 MHz频率下监测32 × 64 mm2皮肤区域的频谱电阻抗景观,空间分辨率为1 mm。对1例健康受试者和1例轻度胃炎患者进行了详细的基线和2D测试诱导的2 khz阻抗相动力学以及St32-34区域数十个单个点的4参数时间图。使用非热刺激:(1)(对患病受试者),微波和紫外线从经络的相反方向交替施加;(2)(健康人)对St17进行微波,对最外层St45进行阴/阳极交替刺激。结果:在两种情况下均观察到以下现象:出现同相和/或反相的相干结构,超过1 cm的穴位条件尺寸;沿子午线的集体运动;可逆的:有反向刺激的可逆的;整体结构和相邻点的反方向动力学;1 MHz和2 kHz参数的灵敏度和动力学的局部异常表明存在不同的波导路径。结论:我们认为这些发现需要重新考虑神经源性/穴位作为时空现象的一些基本方法学问题;这需要开发一种适当的方法来识别穴位模式。这些发现可能用于开发个性化/控制治疗/治疗的新方法。
{"title":"Spatial and Temporal Electrodynamics in Acuzones: Test-Induced Kinematics and Synchronous Structuring. Phenomenological Study","authors":"Y. F. Babich, Andrey Y. Babich","doi":"10.13045/jar.2021.00164","DOIUrl":"https://doi.org/10.13045/jar.2021.00164","url":null,"abstract":"Background: So far there is no confidence in the basics of acupoint/meridian phenomena, specifically in spatial and temporal electrical manifestations in the skin.Methods: Using the skin electrodynamic introscopy, the skin areas of 32 × 64 mm2 were monitored for spectral electrical impedance landscape with spatial resolution of 1 mm, at 2 kHz and 1 MHz frequencies. The detailed baseline and 2D test-induced 2 kHz-impedance phase dynamics and the 4-parameter time plots of dozens of individual points in the St32-34 regions were examined in a healthy participant and a patient with mild gastritis. Non-thermal stimuli were used: (1) (for the sick subject), microwaves and ultraviolet radiation applied alternately from opposite directions of the meridian; and (2) (for the healthy one) microwaves to St17, and cathodic/anodic stimulation of the outermost St45, alternately.Results: In both cases, the following phenomena have been observed: emergence of in-phase and/or antiphase coherent structures, exceeding the acupoint conditional size of 1 cm; collective movement along the meridian; reversible with a reversed stimulus; counter-directional dynamics of both whole structures and adjacent points; local abnormalities in sensitivity and dynamics of the 1 MHz and 2 kHz parameters indicating existence of different waveguide paths.Conclusion: It is assumed that these findings necessitate reconsideration of some basic methodological issues regarding neurogenic/acupuncture points as spatial and temporal phenomena; this requires development of an appropriate approach for identifying the acuzones patterns. These findings may be used for developing new approaches to personalized/controlled therapy/treatment.","PeriodicalId":33306,"journal":{"name":"Journal of Acupuncture Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41581917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Review of Korean Medicine Treatment for Postherpetic Neuralgia 韩药治疗带状疱疹后神经痛的综述
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00171
Min Ju Kim, H. J. Cha, Young Rok Lee, Beom Seok Kim, Ki Jung Sung, H. Choi, Y. Lee, J. Jeon, Young Il Kim
The purpose of this study was to analyze the Korean medicine treatment methods for Postherpetic Neuralgia (PHN) in Korea. There were 5 online databases searched (OASIS, NDSL, RISS, KISS and KMBASE) for studies which were related to PHN. A total of 12 studies were selected. Various treatments such as acupuncture, herbal medicine, and moxibustion were reported treatments for PHN, some of which included Western medicine and Korean medicine treatment. Korean herbal medicine was the most frequently used treatment method, followed by manual acupuncture. Sipjeondaebotanggami was the most frequently used prescription. Poria Sclerotium was the most frequently used principal herb, followed by Angelicae Gigantis Radix, Zingiberis Rhizoma, and Ginseng Radix. GB44, LI4, LR3 were the common acupoints used for the treatment of PHN. CV12 was the most frequently used moxibustion point, and gabapentin was the most frequently used concomitant Western drug. Additional research on Korean medicine treatment of PHN is expected in the future.
本研究旨在分析韩国医学治疗带状疱疹后神经痛(PHN)的方法。检索了5个在线数据库(OASIS、NDSL、RISS、KISS和KMBASE)与PHN相关的研究。共选择了12项研究。据报道,PHN的治疗方法包括针灸、草药、艾灸等多种疗法,其中包括西药和韩国药治疗。最常用的治疗方法是韩国草药,其次是手工针灸。四全大保汤汤是使用频率最高的处方。茯苓是最常用的主要草药,其次是白芷、姜黄和人参。GB44、LI4、LR3是治疗PHN的常用穴位。CV12是最常用的灸点,加巴喷丁是最常用的伴随西药。今后还将进一步研究韩药治疗PHN的方法。
{"title":"A Review of Korean Medicine Treatment for Postherpetic Neuralgia","authors":"Min Ju Kim, H. J. Cha, Young Rok Lee, Beom Seok Kim, Ki Jung Sung, H. Choi, Y. Lee, J. Jeon, Young Il Kim","doi":"10.13045/jar.2021.00171","DOIUrl":"https://doi.org/10.13045/jar.2021.00171","url":null,"abstract":"The purpose of this study was to analyze the Korean medicine treatment methods for Postherpetic Neuralgia (PHN) in Korea. There were 5 online databases searched (OASIS, NDSL, RISS, KISS and KMBASE) for studies which were related to PHN. A total of 12 studies were selected. Various treatments such as acupuncture, herbal medicine, and moxibustion were reported treatments for PHN, some of which included Western medicine and Korean medicine treatment. Korean herbal medicine was the most frequently used treatment method, followed by manual acupuncture. Sipjeondaebotanggami was the most frequently used prescription. Poria Sclerotium was the most frequently used principal herb, followed by Angelicae Gigantis Radix, Zingiberis Rhizoma, and Ginseng Radix. GB44, LI4, LR3 were the common acupoints used for the treatment of PHN. CV12 was the most frequently used moxibustion point, and gabapentin was the most frequently used concomitant Western drug. Additional research on Korean medicine treatment of PHN is expected in the future.","PeriodicalId":33306,"journal":{"name":"Journal of Acupuncture Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41524743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Effect of Astaxanthin on Anti-Inflammatory and Anti-Oxidative Effects of Astaxanthin Treatment for Atopic Dermatitis-induced Mice 虾青素对虾青素治疗特应性皮炎小鼠抗炎抗氧化作用的影响
Pub Date : 2021-11-30 DOI: 10.13045/jar.2021.00178
Jin Woo Park, H. Song
Background: This study sought to determine whether the antioxidant effects of astaxanthin (AST) could have an anti-inflammatory effect to reduce inflammation caused by atopic dermatitis (AD).Methods: Using a mouse model of AD induced by phtalic acid (PA), the levels of inflammation, inflammatory agents, and evidence of antioxidant activity were examined in PA treated mice (n = 3), PA-AST treated mice (n = 3), and a control group of mice (n = 3). This included measurements of ear thickness, levels of mast cells, IgE, inflammatory cytokine, malondialdehyde (MDA), hydrogen peroxide, HO-1, and GPx-1.Results: AST treatment significantly prevented inflammation as measured by ear thickness (p < 0.05), mast cell count (p < 0.001), and IgE concentration in the blood (p < 0.001). Levels of TNF-α (p < 0.001), IL-1β (p < 0.001), IL-6 (p < 0.001), and MDA (p < 0.05) were also significantly lower. In addition, GSH levels increased significantly (p < 0.001), and the level of hydrogen peroxide significantly reduced (p < 0.01). The expression of HO-1, GPx-1 increased.Conclusion: In this small experimental study, AST acted on inflammatory mechanisms that induced AD, through anti-inflammatory and antioxidant mechanisms, and is a candidate of interest in the clinical treatment of AD.
背景:本研究旨在确定虾青素(AST)的抗氧化作用是否具有抗炎作用,以减轻特应性皮炎(AD)引起的炎症,PA-AST处理的小鼠(n=3)和对照组的小鼠(n=3)。这包括测量耳朵厚度、肥大细胞水平、IgE、炎性细胞因子、丙二醛(MDA)、过氧化氢、HO-1和GPx-1。结果:AST治疗显著预防了耳朵厚度(p<0.05)、肥大细胞计数(p<0.001)和血液中IgE浓度(p<0.001)的炎症,MDA含量也显著降低(p<0.05)。此外,GSH水平显著升高(p<0.001),过氧化氢水平显著降低(p<0.01)。HO-1、GPx-1的表达增加。结论:在这项小型实验研究中,AST通过抗炎和抗氧化机制作用于诱导AD的炎症机制,是临床治疗AD的候选药物。
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引用次数: 1
Quality Assessment and Implications for Further Study of Acupotomy: Case Reports Using the Case Report Guidelines and the Joanna Briggs Institute Critical Appraisal Checklist 针刀的质量评估及其对进一步研究的影响:使用病例报告指南和乔安娜布里格斯研究所关键评估清单的病例报告
Pub Date : 2021-05-24 DOI: 10.13045/JAR.2021.00024
Hyungsun Jun, Sang-hoon Yoon, Minyeong Roh, Seon-hye Kim, Jisu Lee, Jihyun Lee, Miri Kwon, Jungtae Leem
This review aimed to evaluate the quality of case reports where acupotomy was performed according to the CAse REport (CARE) guidelines and the Joanna Briggs Institute (JBI) critical appraisal checklist. Case reports on acupotomy published in Korea from 2013 to October 2020 were included in this review. A total of 28 acupotomy related case reports were selected, and a quality evaluation was verified using the CARE guidelines and JBI critical appraisal checklist. Among the case reports, spinal conditions/diseases were most commonly reported. The overall complete reporting rate for each study was relatively high (median of 63.4% according to the CARE guidelines and 73.4% according to JBI critical appraisal checklist for case reports and 62% for case series). However, low reporting rates were determined in several subcategories namely, “Intervention adherence and tolerability,” “Timeline,” “Diagnostic challenges,” “Patient perspective,” and “Adverse or unanticipated events” for case reports, and “Reporting of the presenting site/clinic,” “Demographic information,” “Statistical analysis,” and “Clear criteria for inclusion” for case series. When reporting cases where acupotomy was performed, it is recommended that the CARE guidelines are followed to improve the quality of research. In addition, new guidelines and tools for the clinical situation of Korean medicine should be developed.
本综述旨在根据病例报告(CARE)指南和乔安娜布里格斯研究所(JBI)关键评估清单评估针刀治疗的病例报告的质量。本综述纳入了2013年至2020年10月在韩国发表的针刀治疗病例报告。共选择28例针刀相关病例报告,并使用CARE指南和JBI关键评估清单进行质量评估。在病例报告中,最常报告的是脊柱状况/疾病。每项研究的总体完整报告率相对较高(根据CARE指南的中位数为63.4%,根据JBI病例报告关键评估清单的中位数为73.4%,病例系列的中位数为62%)。然而,低报告率在几个子类别中确定,即病例报告的“干预依从性和耐受性”、“时间线”、“诊断挑战”、“患者观点”和“不良或意外事件”,以及病例系列的“报告呈现地点/诊所”、“人口统计信息”、“统计分析”和“明确的纳入标准”。当报告进行针刀手术的病例时,建议遵循CARE指南以提高研究质量。此外,还应制定针对韩国医学临床情况的新指南和工具。
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引用次数: 0
The Analgesic Effect of Aconitum Sinomontanum Nakai Pharmacopuncture in Sprague-Dawley Rats 中附子针刺对sd大鼠的镇痛作用
Pub Date : 2021-05-24 DOI: 10.13045/JAR.2020.00409
Jung Hee Lee, Y. Lee, Hyun-Jong Lee, Jae Soo Kim
Background: Aconitum sinomontanum Nakai (ASN) has been reported to have analgesic effects. In this study an animal model of pharmacopuncture using ASN (100-500 mg/kg) was examined.Methods: Sprague-Dawley (SD) rats (n = 40) were randomly assigned to ASN-Low (1 mg/mL, 1.8 mL, ASN-L), ASN-Intermediate (5 mg/mL, 1.8 mL, ASN-M), ASN-High (10 mg/mL, 1.8 mL, ASN-H), negative control (0.2 mL normal saline), and positive control (0.2 mL 0.5% lidocaine) groups. All experiments were administered to the rats’ left hind leg. The analgesic response was assessed by monitoring the physical (hot plate, and von Frey test) and chemical (formalin) responses to pain.Results: All ASN pharmacopuncture groups demonstrated significant differences in pain response to the hot plate test, von Frey test, and formalin test, compared to the control group (p < 0.05). The response of the ASN-M group and ASN-H groups to the hot plate, the formalin, and the von Frey tests were significantly different, compared to the lidocaine group (p < 0.05).Conclusion: ASN pharmacopuncture had a significant analgesic effect on SD rats in response to physical and chemical models of pain.
背景:据报道,中海乌头(ASN)具有镇痛作用。本研究采用ASN (100-500 mg/kg)建立药物穿刺动物模型。方法:SD大鼠(n = 40)随机分为ASN-Low组(1 mg/mL, 1.8 mL, ASN-L)、ASN-Intermediate组(5 mg/mL, 1.8 mL, ASN-M)、ASN-High组(10 mg/mL, 1.8 mL, ASN-H)、阴性对照组(生理盐水0.2 mL)和阳性对照组(0.5%利多卡因0.2 mL)。所有实验均在大鼠左后腿进行。通过监测物理(热板和von Frey试验)和化学(福尔马林)对疼痛的反应来评估镇痛反应。结果:与对照组相比,所有ASN药物穿刺组在热板试验、von Frey试验和福尔马林试验中的疼痛反应均有显著差异(p < 0.05)。与利多卡因组相比,ASN-M组和ASN-H组对热板、福尔马林、von Frey试验的反应有显著性差异(p < 0.05)。结论:ASN药物穿刺对SD大鼠疼痛的理化模型有明显的镇痛作用。
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引用次数: 1
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Journal of Acupuncture Research
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