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Analysis of the Effects on the Level of Pain and Functional Improvement After Integrated Korean Medicine in Patients with Shoulder Impingement Syndrome: A Retrospective Chart Review 韩医结合对肩撞击综合征患者疼痛程度和功能改善的影响分析:回顾性图表回顾
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00101
Eun-song Kim, J. Woo, Hyo-eun Lee, Hyun-seok Lee, Soo-kyeong Lee, Yoon-jung Lee, So-ri Jin
Background: This study investigated the clinical effectiveness of Korean medicine (KM) treatment for shoulder impingement syndrome (SIS).Methods: There were 61 patients who were diagnosed with SIS in the Jaseng hospital network of KM (7 hospitals located in Korea: Gangnam, Daejeon, Bucheon, Haeundae, Bundang, Ulsan, and Gwangju) between January 1st, 2015 and December 31st, 2020 who were retrospectively reviewed. The patients were grouped according to complications, intake of analgesics, duration of illness preadmission, and treatment. Treatments consisted of herbal medicine, acupuncture, cupping, Chuna, pharmacopuncture, bee venom pharmacopuncture, medicinal steaming, Daoyin exercises, and physical therapy. By comparing the Numeric Rating Scale (NRS), Shoulder Pain and Disability Index, and European Quality of Life 5-Dimensions questionnaire scores, the effectiveness of integrated KM treatment was evaluated.Results: There were 14 males and 47 females. For inpatients diagnosed with SIS, the mean NRS score decreased from 5.78 ± 1.33 to 3.40 ± 1.43 (p < 0.001). The mean Shoulder Pain and Disability Index score decreased from 53.87 ± 14.76 to 38.56 ± 18.87 (p < 0.001), and the mean European Quality of Life 5-Dimensions questionnaire increased from 0.67 ± 0.13 to 0.76 ± 0.09 (p < 0.001) after KM treatment. Medicinal steaming (0.398; p < 0.001), acupuncture (0.290), cupping (0.288), bee venom pharmacopuncture (0.282), and Daoyin exercises (0.262; p < 0.05) had a positive correlation with improved changes in the NRS score.Conclusion: Conclusion: Treatment with integrated KM treatment improved the pain, range of motion, shoulder function, and quality of life of patients with SIS.
背景:探讨韩医治疗肩撞击综合征(SIS)的临床疗效。方法:对2015年1月1日至2020年12月31日在KM Jaseng医院网络(韩国江南、大田、富川、海云台、盆唐、蔚山、光州7家医院)诊断为SIS的61例患者进行回顾性分析。患者根据并发症、镇痛药的摄入、入院前疾病持续时间和治疗情况进行分组。治疗方法包括草药、针灸、拔罐、针刺、药刺、蜂毒药刺、药蒸、导音练习和物理治疗。通过比较数字评定量表(NRS)、肩痛和残疾指数以及欧洲生活质量5维度问卷得分,评估综合KM治疗的有效性。结果:男性14例,女性47例。对于诊断为SIS的住院患者,平均NRS评分从5.78±1.33降至3.40±1.43 (p < 0.001)。KM治疗后,患者肩痛和失能指数平均评分从53.87±14.76下降到38.56±18.87 (p < 0.001),欧洲生活质量5维度问卷平均评分从0.67±0.13上升到0.76±0.09 (p < 0.001)。药蒸(0.398;p < 0.001)、针刺(0.290)、拔火罐(0.288)、蜂毒穿刺(0.282)、导阴操(0.262);p < 0.05)与NRS评分改善变化呈正相关。结论:综合KM治疗可改善SIS患者的疼痛、活动范围、肩关节功能和生活质量。
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引用次数: 0
Effectiveness of Electroacupuncture for Patients with Failed Back Surgery Syndrome: A Systematic Review and Meta-analysis 电针治疗背部手术失败综合征的疗效:系统评价和荟萃分析
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00115
Dong-Ah Shin, Kyungmoon Shin, Hwejoon Jeong, Deok Kang, Jaewoo Yang, Jihoon Oh, Jinwoong Lim
Failed back surgery syndrome (FBSS) is a term that applies to symptoms such as persistent or recurring low back pain, paresthesia, sciatica, or numbness after spine surgery. Electroacupuncture (EA) has been reported to have excellent analgesic effects although there have been no systematic reviews on the effects of EA on FBSS. Therefore, a systematic review and meta-analysis of the effectiveness of EA on FBSS was conducted. Eight databases were searched for studies that used EA for FBSS and 7 randomized controlled trials (RCTs) were included. RCTs of EA as combination therapy for FBSS compared with conventional treatment demonstrated improvement in the level of pain, lumbar functional scale scores, and quality of life. However, meta-analysis showed that reduction in pain was not statistically significant, while evaluation of lumbar function significantly improved, although the quality of evidence in the RCTs was generally low. RCTs comparing EA alone with conventional treatment demonstrated an improved level of pain, lumbar function, and effective rate of treatment. Meta-analysis showed that pain was significantly decreased in the EA alone group compared with the control group, although the quality of evidence was low. To improve the quality of evidence, high-quality RCTs are required in the future.
背部手术失败综合征(FBSS)是一个术语,适用于脊柱手术后持续或复发的腰痛、感觉异常、坐骨神经痛或麻木等症状。电针(EA)具有良好的镇痛作用,尽管尚未对电针对FBSS的影响进行系统的综述。因此,对电针治疗FBSS的有效性进行了系统综述和荟萃分析。在8个数据库中搜索了使用EA进行FBSS的研究,并纳入了7项随机对照试验(RCT)。与传统治疗相比,电针作为FBSS联合治疗的随机对照试验显示,疼痛水平、腰椎功能量表评分和生活质量有所改善。然而,荟萃分析显示,尽管随机对照试验的证据质量普遍较低,但疼痛减轻在统计学上并不显著,而腰椎功能评估显著改善。随机对照试验将单纯电针与常规治疗进行比较,结果显示疼痛、腰椎功能和治疗有效率均有改善。Meta分析显示,与对照组相比,单独电针组的疼痛明显减轻,尽管证据质量较低。为了提高证据质量,未来需要高质量的随机对照试验。
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引用次数: 1
Integrative Korean Medicine Treatment for Idiopathic Glossopharyngeal Neuralgia: A Case Report 韩医结合治疗特发性舌咽神经痛1例
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00108
So jeong Kim, Hyeon Kyu Choi, Min Ju Kim, H. J. Cha, Young Rok Lee, H. Jang, Jeong Kyo Jeong, J. Jeon, Young Il Kim
Glossopharyngeal neuralgia is a skin-sensitive condition/disease that causes severe pain in the facial area predominantly innervated by the glossopharyngeal nerve. A 51-year-old man diagnosed with glossopharyngeal neuralgia who was hospitalized with severe pain that limited his daily life activities. From November 18, 2021, to March 4, 2022, he received inpatient (10 days) and outpatient treatment (35 times) using acupuncture, pharmacopuncture, and herbal medicine. His symptoms were assessed using the Numerical Rating Scale, Neuropathic Pain Scale, and the Self-report Leeds Assessment of Neuropathic Symptom and Signs. The pain reduced after 4 days of initiating Korean medicine treatment and was completely resolved within 4 months of treatment (Numerical Rating Scale score 4 to 0; Neuropathic Pain Scale score 49 to 8; Self-report of the Leeds Assessment of Neuropathic Symptoms and Signs score 18 to 0). Korean medicine treatment could be an option for treating patients with neuropathy who rely on analgesics.
舌咽神经痛是一种皮肤敏感的状况/疾病,主要由舌咽神经支配的面部区域引起剧烈疼痛。51岁男性,诊断为舌咽神经痛,因严重疼痛限制其日常生活活动而住院。从2021年11月18日至2022年3月4日,他接受了住院(10天)和门诊(35次)治疗,使用针灸、药物穿刺和草药。采用数值评定量表、神经性疼痛量表和利兹神经性症状和体征自评量表对患者的症状进行评估。开始韩药治疗4天后疼痛减轻,治疗4个月内完全缓解(数值评定量表评分4 ~ 0分;神经性疼痛量表评分49 ~ 8分;利兹神经症状和体征评估自我报告(18 ~ 0分)。韩国药物治疗可以作为治疗依赖止痛药的神经病变患者的一种选择。
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引用次数: 0
Analysis of Research Trends in Korean Medicine Treatment for Guillain-Barre Syndrome in Korea 韩国医学治疗格林-巴利综合征的研究动向分析
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00171
H. Jang, So jeong Kim, Min Ju Kim, Hyeon Kyu Choi, Young Rok Lee, H. J. Cha, Jeong Kyo Jeong, J. Jeon, Young Il Kim
This review aimed to analyze Korean medicine treatment (KMT) methods used for Guillain-Barre syndrome (GBS) in studies from January 1, 2010, to December 21, 2021. Five online databases (KISS, SCIENCEON, DBpia, RISS, KMbase) were searched for GBS-related studies. A total of 14 case reports were selected. Various treatment methods for GBS such as acupuncture, herbal medicine, moxibustion, and cupping have been reported, and some included Western medication. Herbal medicine and acupuncture were the most frequently used treatment methods. The most common prescription for GBS was Shipjeondaebotang Gami, the most common herb used was Glycyrrhizae radix et rhizome, and the most common acupoints were ST36, LI11, TE5, and LI4. In moxibustion treatment for GBS, CV4 was commonly used, and in cupping treatment the low back and back-shu points and were mostly used. Further studies on Korean medicine treatment of GBS are necessary for standardization of treatment.
本综述旨在分析2010年1月1日至2021年12月21日研究中用于格林-巴利综合征(GBS)的韩国药物治疗(KMT)方法。5个在线数据库(KISS, SCIENCEON, DBpia, RISS, KMbase)检索gbs相关研究。共选择了14例病例报告。据报道,治疗GBS的方法多种多样,如针灸、草药、艾灸和拔火罐,其中一些包括西药。草药和针灸是最常用的治疗方法。治疗GBS最常见的方剂为石全大保汤加味,最常见的中药为甘草,最常见的穴位为ST36、LI11、TE5、LI4。在艾灸治疗GBS时,常用CV4,而在拔火罐治疗时,多使用下背穴和背枢穴。进一步开展韩药治疗GBS的研究,对规范治疗具有重要意义。
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引用次数: 0
Efficacy and Safety of Cheong-A-Won Gagambang (JCE003) on Knee Osteoarthritis: Randomized Controlled Pilot Trial 清阿源加甘方(JCE003)治疗膝关节骨性关节炎的疗效和安全性:随机对照试验
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00017
H. Kong, J. Kang, Hyun Lee
Background: The aim of this study was to evaluate the effectiveness and safety of Cheong-A-Won Gagambang (JCE003) treatment for degenerative knee osteoarthritis.Methods: This was a single-center, randomized, double-blind, placebo-controlled pilot clinical trial. There were 36 adults with degenerative knee osteoarthritis who were randomly allocated into JCE003 1,000 mg, JCE003 2,000 mg, or the placebo group (in a 1:1:1 ratio). The participants received 12 weeks of treatment and had scheduled tests every 6 weeks. The primary outcomes were measured using the Korean Western Ontario and McMaster Universities scale, and the secondary outcomes were measured using the visual analog scale, European quality of life-5-dimensions, patient global impression of change, C-reactive protein, and erythrocyte sedimentation rate. Changes between baseline scores and scores following study completion were analyzed.Results: There were 29 participants whose data were analyzed in this study. The change of Korean Western Ontario and McMaster Universities, visual analog scale, European quality of life-5-dimensions scores showed significant improvement in the JCE003 1,000 mg group. The change of patient global impression of change was significantly improved in the placebo group. There were 14 adverse events, but there was no clinically significant relationship with the intake of JCE003 compared with the placebo.Conclusion: Taking JCE003 may be effective at improving knee pain in patients with degenerative knee osteoarthritis and appears to be safe. Based on this study, the concentration and feasibility of the test group may be used when conducting a large-scale clinical trial of degenerative knee osteoarthritis in the future.
背景:本研究的目的是评估清阿源加甘方(JCE003)治疗退行性膝骨关节炎的有效性和安全性。方法:这是一项单中心、随机、双盲、安慰剂对照的临床试验。有36名患有退行性膝骨关节炎的成年人被随机分配到JCE003 1,000 mg, JCE003 2,000 mg或安慰剂组(按1:1:1的比例)。参与者接受了12周的治疗,并安排每6周进行一次测试。主要结局采用韩国西部安大略和麦克马斯特大学量表进行测量,次要结局采用视觉模拟量表、欧洲生活质量-5维度、患者总体印象变化、c反应蛋白和红细胞沉降率进行测量。分析基线得分和研究完成后得分之间的变化。结果:本研究共分析了29名参与者的资料。JCE003 1000 mg组韩国西部安大略和麦克马斯特大学、视觉模拟量表、欧洲生活质量5维度评分的变化均有显著改善。安慰剂组患者对变化的整体印象的变化明显改善。有14个不良事件,但与安慰剂相比,JCE003的摄入量与临床无显著关系。结论:JCE003可有效改善退行性膝骨性关节炎患者的膝关节疼痛,且安全性较好。基于本研究,试验组的浓度和可行性可用于将来进行退行性膝骨关节炎的大规模临床试验。
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引用次数: 0
Effectiveness of Electroacupuncture in Patients with Chronic Fatigue Syndrome: A Systematic Review and Meta-analysis 电针治疗慢性疲劳综合征的疗效:一项系统综述和荟萃分析
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00143
Jaewoo Yang, Dong-Ah Shin, Jihoon Oh, Jinwoong Lim
This review evaluated the efficacy of electroacupuncture (EA) for chronic fatigue syndrome. Randomized controlled trials (RCTs) using EA as an intervention for patients with chronic fatigue syndrome were identified in 6 databases (PUBMED, EMBASE, CNKI, J-STAGE, KMBASE, OASIS). Fatigue indicators were used as the primary outcome measures. The quality-of-life index, efficiency rate, and level of pain were used as secondary outcome measures. There were 408 patients from seven RCTs included in this study. Meta-analysis showed that EA was significantly associated with fatigue relief compared with the control group (n = 141 SMD = -1.55, 95% CI: -2.58 - -0.52, p = 0.003, I² = 92%). In addition, EA had a statistically significant improvement in quality of life compared with the control group (n = 176, SMD = -2.29, 95% CI: -3.68 - -0.90, p = 0.001, I² = 96%). One study reported ten cases of bleeding, however, no serious adverse events were reported in any of the included studies. This review determined that EA may have a greater clinical effect than the control group for fatigue relief and improved quality of life. However, there were several risks of bias identified. Not all of the RCTs accurately reported the research method, all studies were conducted in 1 country (China), and the number of studies included were small.
本文对电针治疗慢性疲劳综合征的疗效进行评价。在6个数据库(PUBMED、EMBASE、CNKI、J-STAGE、KMBASE、OASIS)中确定了使用电针作为慢性疲劳综合征患者干预的随机对照试验(RCT)。疲劳指标被用作主要的结果测量。生活质量指数、有效率和疼痛程度被用作次要结果指标。本研究包括来自7个随机对照试验的408名患者。荟萃分析显示,与对照组相比,电针与疲劳缓解显著相关(n=141 SMD=-1.55,95%CI:2.58--0.52,p=0.003,I²=92%)。此外,与对照组相比,电针组的生活质量有统计学意义的改善(n=176,SMD=-2.29,95%CI:3.68--0.90,p=0.001,I²=96%)。一项研究报告了10例出血病例,但在任何纳入的研究中均未报告严重不良事件。这篇综述确定,在缓解疲劳和改善生活质量方面,电针可能比对照组具有更大的临床效果。然而,也发现了一些存在偏见的风险。并非所有随机对照试验都准确报告了研究方法,所有研究都在1个国家(中国)进行,所包括的研究数量很少。
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引用次数: 0
Korean Medicine Treatment for Managing Complex Regional Pain Syndrome: Case Report 韩医治疗复杂局部疼痛综合征:个案报告
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00122
Ji-won Park, Myung-In Jeong, Wu-Jin Jeong, Hae-Won Hong, Ji-eun Koo, Sung-won Choi, Da-hyun Kyung
A 53-year-old male who had received surgery on his right ankle joint 10 years previously was diagnosed with Complex Regional Pain Syndrome the following year. Despite various treatments (sympathetic nerve-block medication, pain relievers, corticosteroids, nerve blocks, and transcutaneous electrical nerve stimulation) over the years there was no improvement in his symptoms. Recently the patient was admitted to a Korean medicine hospital where he received treatment (acupuncture, pharmacopuncture, and herbal treatment) and his symptoms gradually showed improvement. The patient was concurrently on psychiatric medicine, antihistamine medication, and opioids for pain (when necessary). A decrease in numeric rating scale, Oswestry disability index scores, and an increase in the Korean version of the 5-level EuroQol-5 dimension score showed symptom improvement within 36 days. This study suggests complex Korean medicine treatment for Complex Regional Pain Syndrome may result in a reduction in pain and improved quality of life.
一名53岁男性,10年前接受过右踝关节手术,次年被诊断为复杂局部疼痛综合征。尽管多年来进行了各种治疗(交感神经阻滞药物、止痛药、皮质类固醇、神经阻滞和经皮神经电刺激),但他的症状没有改善。最近,该患者住进了韩国医院,接受了针灸、药物穿刺、草药治疗,症状逐渐好转。患者同时服用精神科药物、抗组胺药物和阿片类止痛药(必要时)。数字评定量表、Oswestry残疾指数得分下降,韩国版5级EuroQol-5维度得分上升,表明症状在36天内得到改善。研究结果表明,对复杂局部疼痛综合征进行综合韩药治疗,可以减轻疼痛,提高生活质量。
{"title":"Korean Medicine Treatment for Managing Complex Regional Pain Syndrome: Case Report","authors":"Ji-won Park, Myung-In Jeong, Wu-Jin Jeong, Hae-Won Hong, Ji-eun Koo, Sung-won Choi, Da-hyun Kyung","doi":"10.13045/jar.2022.00122","DOIUrl":"https://doi.org/10.13045/jar.2022.00122","url":null,"abstract":"A 53-year-old male who had received surgery on his right ankle joint 10 years previously was diagnosed with Complex Regional Pain Syndrome the following year. Despite various treatments (sympathetic nerve-block medication, pain relievers, corticosteroids, nerve blocks, and transcutaneous electrical nerve stimulation) over the years there was no improvement in his symptoms. Recently the patient was admitted to a Korean medicine hospital where he received treatment (acupuncture, pharmacopuncture, and herbal treatment) and his symptoms gradually showed improvement. The patient was concurrently on psychiatric medicine, antihistamine medication, and opioids for pain (when necessary). A decrease in numeric rating scale, Oswestry disability index scores, and an increase in the Korean version of the 5-level EuroQol-5 dimension score showed symptom improvement within 36 days. This study suggests complex Korean medicine treatment for Complex Regional Pain Syndrome may result in a reduction in pain and improved quality of life.","PeriodicalId":33306,"journal":{"name":"Journal of Acupuncture Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47459286","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
Effect of Facial Chuna Manual Therapy Combined with Korean Medicine Treatmeant for Bell’s Palsy 面部丘纳手法配合韩方治疗贝尔麻痹疗效观察
Pub Date : 2022-08-31 DOI: 10.13045/jar.2022.00087
Y. Choi, S. Ryu, S. M. Lee, You Jin Heo, Eun-Young Lee, C. Lee, N. Jo, J. Roh
The effect of combined Korean medicine treatment including facial chuna manual therapy was retrospectively investigated in patients with Bell’s palsy. There were 16 patients (14 males) who received 2 months outpatient treatment following > 14 days of hospitalization. The Yanagihara score and House- Brackmann grade were used to measure the severity of symptoms and recovery. The patients (mean age 58.5 ± 24.74 years) were categorized based on their medical history of hypertension (n = 10), diabetes millitus (n = 10), or oral intake of steroids early in the diagnosis of Bell’s palsy (n = 10). There was no difference between patients who had or did not have a previous history of diabetes mellitus or oral steroid. Both the Yanagihara-score and House-Brackmann grade improved significantly in the total patient sample after treatment (p < 0.001). Combined Korean medicine including facial chuna manual therapy may have a beneficial effect on patient symptoms and recovery.
回顾性研究了包括面部丘纳手法治疗在内的韩国药物联合治疗Bell’s麻痹患者的效果。有16名患者(14名男性)在住院14天后接受了2个月的门诊治疗。柳原评分和豪斯-布拉克曼评分用于衡量症状的严重程度和恢复情况。患者(平均年龄58.5±24.74岁)根据其高血压病史(n=10)、糖尿病病史(n=10)或Bell’s麻痹早期口服类固醇的病史(n=0)进行分类。有或没有糖尿病或口服类固醇病史的患者之间没有差异。柳原评分和House Brackmann评分在治疗后的总患者样本中均显著改善(p<0.001)。包括面部丘纳手法治疗在内的韩国联合药物可能对患者症状和康复有有益影响。
{"title":"Effect of Facial Chuna Manual Therapy Combined with Korean Medicine Treatmeant for Bell’s Palsy","authors":"Y. Choi, S. Ryu, S. M. Lee, You Jin Heo, Eun-Young Lee, C. Lee, N. Jo, J. Roh","doi":"10.13045/jar.2022.00087","DOIUrl":"https://doi.org/10.13045/jar.2022.00087","url":null,"abstract":"The effect of combined Korean medicine treatment including facial chuna manual therapy was retrospectively investigated in patients with Bell’s palsy. There were 16 patients (14 males) who received 2 months outpatient treatment following > 14 days of hospitalization. The Yanagihara score and House- Brackmann grade were used to measure the severity of symptoms and recovery. The patients (mean age 58.5 ± 24.74 years) were categorized based on their medical history of hypertension (n = 10), diabetes millitus (n = 10), or oral intake of steroids early in the diagnosis of Bell’s palsy (n = 10). There was no difference between patients who had or did not have a previous history of diabetes mellitus or oral steroid. Both the Yanagihara-score and House-Brackmann grade improved significantly in the total patient sample after treatment (p < 0.001). Combined Korean medicine including facial chuna manual therapy may have a beneficial effect on patient symptoms and recovery.","PeriodicalId":33306,"journal":{"name":"Journal of Acupuncture Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44070871","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: 1
Wet Cupping (al-hijama) for Mental Health: A Systematic Review 湿罩杯(al-hijama)对心理健康的系统评价
Pub Date : 2022-05-31 DOI: 10.13045/jar.2022.00031
Yasemin Ucun
This systematic review aimed to evaluate the effects of wet cupping on the treatment of mental illness. A total of 2,670 studies were retrieved using PubMed, Cochrane Library, Web of Science, Google Scholar, and Science Direct databases, and of these, 2,661 were excluded due to not meeting the inclusion criteria. There were 9 articles included in this review including 1,124 individuals who received wet cupping. Mental health was explored in, those who had migraines, metabolic syndrome, smoking addiction, post-traumatic stress, chronic medical disease, and depression. As an intervention procedure, the triple S technique was used in all studies. Only 3 studies reported that none of the participants complained of adverse events during or after the cupping therapy. In all studies, wet cupping was reported to be effective in reducing psychological symptoms. However, there are few randomized controlled trials testing the e?ectiveness of wet cupping in the treatment of mental health, and most are of poor quality. Therefore, more rigorous studies are required before the effectiveness of wet cupping for the treatment of mental illness can be determined.
本系统综述旨在评价湿罐治疗精神疾病的效果。PubMed、Cochrane Library、Web of Science、b谷歌Scholar和Science Direct数据库共检索了2670项研究,其中2661项因不符合纳入标准而被排除。本综述纳入了9篇文章,包括1124名接受湿拔罐治疗的个体。对患有偏头痛、代谢综合征、吸烟成瘾、创伤后应激障碍、慢性疾病和抑郁症的人进行了心理健康调查。作为一种干预手段,三S技术在所有研究中均被采用。只有3项研究报告说,没有参与者抱怨在火罐治疗期间或之后的不良事件。在所有的研究中,湿拔罐被报道对减轻心理症状有效。然而,很少有随机对照试验测试e?湿罐在治疗心理健康方面的有效性,且大多质量较差。因此,在确定湿罐治疗精神疾病的有效性之前,需要进行更严格的研究。
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引用次数: 0
Development of an Objective Structured Clinical Examination Checklist and a Post-Education Questionnaire for Musculoskeletal Ultrasound Training Focusing on Volar Wrist and Carpal Tunnel Syndrome 针对掌侧腕和腕管综合征的肌肉骨骼超声训练的客观结构化临床检查清单和教育后问卷的开发
Pub Date : 2022-05-31 DOI: 10.13045/jar.2022.00038
Eunbyul Cho, Young-Min Han, Yeonseok Kang, Jae-Hyo Kim, Minseop Shin, Myungjin Oh, Hyun-Jong Jung, Hyesoo Jeon, N. Cho, Jungtae Leem
Background: The objective structured clinical examination (OSCE) is used in the colleges of Korean Medicine, but few studies have validated the OSCE evaluation criteria or post-education questionnaires. Diagnostic ultrasound is used in Korean medicine treatment including acupuncture, acupotomy, and pharmacopuncture to increase the safety and efficacy of treatment. We aimed to develop and validate a OSCE checklist and questionnaire for diagnostic musculoskeletal ultrasound training.Methods: A OSCE checklist and rubric for diagnostic ultrasound training, and questionnaire was developed using literature research. Eight expert panelists verified each draft item in a single-round survey. Items with a content validity ratio (CVR) < 0.75 were excluded or modified to reflect the experts’ opinions.Results: The OSCE checklist and rubric for diagnostic ultrasound training focusing on volar wrist and carpal tunnel syndrome included: 15 items revised according to CVR and expert opinions, the pre-examination procedure, structures to be identified by ultrasound, scans with 2 diagnostic criteria for carpal tunnel syndrome, an explanation of the exam results, and the post exam procedure. The questionnaire consisted of 15 items, including the overall evaluation of training, the effect of the OSCE, and the perception of the ultrasound. All 6 self-evaluation items were not revised, as they had a CVR of ≥ 0.75.Conclusion: An ultrasound OSCE for scanning the volar wrist and diagnosing carpal tunnel syndrome was developed using 15 validated tasks, 15 survey questions about ultrasound training, and 6 questions for selfevaluation. These results may be used in the future for education in diagnostic ultrasound.
背景:韩国医学院校普遍采用客观结构化临床考核(OSCE),但很少有研究对其评价标准或教育后问卷进行验证。为了提高治疗的安全性和有效性,在针灸、针刀、药物穿刺等韩国医学治疗中使用了超声诊断。我们的目的是开发和验证欧安组织检查表和问卷诊断肌肉骨骼超声训练。方法:采用文献研究法,编制欧安组织超声诊断培训检查表和检查大纲,并编制调查问卷。8名专家小组成员在一轮调查中核实了每个草案项目。排除或修改内容效度比(CVR) < 0.75的条目,以反映专家意见。结果:以掌侧腕腕管综合征为重点的OSCE超声诊断训练核对表和大纲包括:根据CVR和专家意见修订的15个项目、检查前程序、超声识别的结构、腕管综合征2项诊断标准的扫描、检查结果解释、检查后程序。问卷共15个项目,包括培训总体评价、欧安组织效果、超声感知等。6个自评项目均未修改,CVR≥0.75。结论:采用15个验证任务、15个超声训练调查题、6个自我评价题,开发了一套用于掌侧腕关节扫描和诊断腕管综合征的超声OSCE。这些结果可用于将来的超声诊断教育。
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引用次数: 3
期刊
Journal of Acupuncture Research
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