首页 > 最新文献

World Journal of Acupuncture-Moxibustion最新文献

英文 中文
Research progress on the mechanism of acupuncture in the treatment of secondary brain injury after intracerebral hemorrhage 针刺治疗脑出血后继发性脑损伤的机制研究进展
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.001
Jing-wen TIAN (田静文) , Bo SUN (孙波) , Xiao-xiao ZHANG (张晓晓) , Ying KONG (孔莹)
Intracerebral hemorrhage is a major cause of death in humans, with high morbidity, mortality, and disability rates. Secondary brain injury after intracerebral hemorrhage is a consequence of brain edema and neurological dysfunction. Acupuncture is markedly effective against secondary brain injury, and various mechanisms are involved in its action, such as inhibition of inflammatory cascades, inhibition of oxidative stress, attenuation of brain edema, inhibition of nerve cell death, and regulation of neural plasticity. This paper summarizes the mechanism underlying the effects of acupuncture on secondary brain injury after intracerebral hemorrhage in recent years to provide new ideas for subsequent research.
脑出血是人类死亡的主要原因之一,具有很高的发病率、死亡率和致残率。脑出血后继发性脑损伤是脑水肿和神经功能障碍的结果。针刺对继发性脑损伤有显著疗效,其作用机制涉及多种机制,如抑制炎症级联反应、抑制氧化应激、减轻脑水肿、抑制神经细胞死亡、调节神经可塑性等。本文综述了近年来针刺对脑出血后继发性脑损伤影响的机制,为后续研究提供新的思路。
{"title":"Research progress on the mechanism of acupuncture in the treatment of secondary brain injury after intracerebral hemorrhage","authors":"Jing-wen TIAN (田静文) ,&nbsp;Bo SUN (孙波) ,&nbsp;Xiao-xiao ZHANG (张晓晓) ,&nbsp;Ying KONG (孔莹)","doi":"10.1016/j.wjam.2024.09.001","DOIUrl":"10.1016/j.wjam.2024.09.001","url":null,"abstract":"<div><div>Intracerebral hemorrhage is a major cause of death in humans, with high morbidity, mortality, and disability rates. Secondary brain injury after intracerebral hemorrhage is a consequence of brain edema and neurological dysfunction. Acupuncture is markedly effective against secondary brain injury, and various mechanisms are involved in its action, such as inhibition of inflammatory cascades, inhibition of oxidative stress, attenuation of brain edema, inhibition of nerve cell death, and regulation of neural plasticity. This paper summarizes the mechanism underlying the effects of acupuncture on secondary brain injury after intracerebral hemorrhage in recent years to provide new ideas for subsequent research.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 277-281"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157676","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
Research progress on the mechanism of acupuncture treatment for vascular dementia 针刺治疗血管性痴呆的机制研究进展
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.06.001
Wei SUN (孙玮) , Ying-hua CHEN (陈英华) , Tong-yan LIU (刘同岩) , Xiao-qing SU (苏晓庆) , Rui-qi QIN (秦瑞琦)
Acupuncture can intervene with and treat vascular dementia (VD) through multiple targets and pathways. The mechanisms of its action involve inhibiting central inflammatory responses, regulating neuronal synaptic plasticity, modulating oxidative stress, reducing neuronal apoptosis, and adjusting cellular autophagy. This paper summarizes researches on the mechanisms of acupuncture treatment for VD over the past decade, aiming to provide theoretical support for the clinical application of acupuncture in treating VD and offer a reference for future in-depth research in this field.
针刺可通过多靶点、多途径干预和治疗血管性痴呆。其作用机制包括抑制中枢炎症反应、调节神经元突触可塑性、调节氧化应激、减少神经元凋亡、调节细胞自噬等。本文对近十年来针灸治疗VD的机制研究进行综述,旨在为针灸治疗VD的临床应用提供理论支持,并为今后该领域的深入研究提供参考。
{"title":"Research progress on the mechanism of acupuncture treatment for vascular dementia","authors":"Wei SUN (孙玮) ,&nbsp;Ying-hua CHEN (陈英华) ,&nbsp;Tong-yan LIU (刘同岩) ,&nbsp;Xiao-qing SU (苏晓庆) ,&nbsp;Rui-qi QIN (秦瑞琦)","doi":"10.1016/j.wjam.2024.06.001","DOIUrl":"10.1016/j.wjam.2024.06.001","url":null,"abstract":"<div><div>Acupuncture can intervene with and treat vascular dementia (VD) through multiple targets and pathways. The mechanisms of its action involve inhibiting central inflammatory responses, regulating neuronal synaptic plasticity, modulating oxidative stress, reducing neuronal apoptosis, and adjusting cellular autophagy. This paper summarizes researches on the mechanisms of acupuncture treatment for VD over the past decade, aiming to provide theoretical support for the clinical application of acupuncture in treating VD and offer a reference for future in-depth research in this field.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 270-276"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157677","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
“Scapular heat penetration” technique of acupuncture in treatment of scapulohumeral periarthritis: An exploratory research 针刺“肩胛骨热透”技术治疗肩周炎的探索性研究
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.004
Shuo-quan RUAN (阮铄荃), Shu-ren MING (明树人), Chao-nan LI (李超楠), Jin-chuan RAN (冉津川), Bing-li CHEN (陈炳力), Wen SHU (舒文), Ting-ting DUAN (段婷婷), Wen-guang HOU (侯文光)

Objective

To observe the clinical effect of “scapular heat penetration” technique of acupuncture in treatment of scapulohumeral periarthritis.

Design

It was a single-central randomized controlled trial, the participants, outcome assessors and statisticians were blinded.

Setting

The trial was undertaken in Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, from June 2021 to January 2022.

Participants

Sixty-seven patients with scalpulohumeral periarthritis were participated.

Interventions

In the control group, the routine acupuncture was given, while in the trial group, the “scapular heat penetration” technique of acupuncture was adopted. The intervention was delivered once every two days, 3 treatments a week; and one course included 9 treatments. Before the 1st treatment and after the 9th treatment, the symptoms and physical signs were observed and recorded in each group.

Outcomes

Primary outcome: the score of visual analogy scale (VAS) before treatment and after treatment completion. Secondary outcomes: the range of movement (ROM) of shoulder joint, the score of Japanese Orthopaedic Association (JOA) of shoulder joint and the infrared thermal imaging temperature around the shoulder.

Results

A total of 102 cases were collected, 72 cases of them were eligible and 5 cases were withdrawn. Sixty-seven cases were included in analysis. In the within-group comparison, VAS score, ROM and JOA score as well as the shoulder temperature were all ameliorated after 9 treatments in either the trial group or the control group, compared with those before treatment (P < 0.05). In the comparison between two groups, after 9 treatments, VAS score in the trial group was lower than that of the control group (P < 0.05); and the improvements in ROM and shoulder temperature in the trial group were better than those of the control group (P < 0.05). No adverse reactions were found in the two groups.

Conclusion

Both the “scapular heat penetration” technique of acupuncture and the conventional acupuncture are effective on scapulohumeral periarthritis. But, regarding the improvements in pain, ROM of shoulder joint, the activity of daily life and shoulder temperature, the “scapular heat penetration” technique of acupuncture is superior to the conventional acupuncture.

Registration number

ChiCTR1900025505
目的观察针刺“肩胛骨热透法”治疗肩周炎的临床疗效。这是一项单中心随机对照试验,受试者、结果评估者和统计学家采用盲法。试验于2021年6月至2022年1月在上海中医药大学岳阳中西医结合医院针灸科进行。研究对象:67例肩周炎患者。干预措施对照组采用常规针刺,试验组采用针刺“肩胛骨热透”技术。干预每2天1次,每周3次;一个疗程包括9次治疗。第1次治疗前和第9次治疗后,观察并记录各组患者的症状和体征。主要观察指标:治疗前和治疗结束后视觉类比量表(VAS)评分。次要观察指标:肩关节活动度(ROM)、肩关节日本骨科协会(JOA)评分、肩关节周围红外热成像温度。结果共收集病例102例,合格病例72例,撤回病例5例。67例纳入分析。组内比较,试验组和对照组治疗9次后VAS评分、ROM、JOA评分及肩关节温度均较治疗前改善(P <;0.05)。两组比较,治疗9次后,试验组VAS评分低于对照组(P <;0.05);在关节活动度和肩关节温度的改善方面,试验组优于对照组(P <;0.05)。两组患者均未见不良反应。结论针刺“肩周炎热透法”与常规针刺治疗肩周炎均有较好的疗效。但在缓解疼痛、改善肩关节活动度、改善日常生活活动、改善肩关节温度等方面,针刺“肩胛骨热透”技术优于常规针刺。登记numberChiCTR1900025505
{"title":"“Scapular heat penetration” technique of acupuncture in treatment of scapulohumeral periarthritis: An exploratory research","authors":"Shuo-quan RUAN (阮铄荃),&nbsp;Shu-ren MING (明树人),&nbsp;Chao-nan LI (李超楠),&nbsp;Jin-chuan RAN (冉津川),&nbsp;Bing-li CHEN (陈炳力),&nbsp;Wen SHU (舒文),&nbsp;Ting-ting DUAN (段婷婷),&nbsp;Wen-guang HOU (侯文光)","doi":"10.1016/j.wjam.2024.09.004","DOIUrl":"10.1016/j.wjam.2024.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>To observe the clinical effect of “scapular heat penetration” technique of acupuncture in treatment of scapulohumeral periarthritis.</div></div><div><h3>Design</h3><div>It was a single-central randomized controlled trial, the participants, outcome assessors and statisticians were blinded.</div></div><div><h3>Setting</h3><div>The trial was undertaken in Department of Acupuncture and Moxibustion, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, from June 2021 to January 2022.</div></div><div><h3>Participants</h3><div>Sixty-seven patients with scalpulohumeral periarthritis were participated.</div></div><div><h3>Interventions</h3><div>In the control group, the routine acupuncture was given, while in the trial group, the “scapular heat penetration” technique of acupuncture was adopted. The intervention was delivered once every two days, 3 treatments a week; and one course included 9 treatments. Before the 1st treatment and after the 9th treatment, the symptoms and physical signs were observed and recorded in each group.</div></div><div><h3>Outcomes</h3><div>Primary outcome: the score of visual analogy scale (VAS) before treatment and after treatment completion. Secondary outcomes: the range of movement (ROM) of shoulder joint, the score of Japanese Orthopaedic Association (JOA) of shoulder joint and the infrared thermal imaging temperature around the shoulder.</div></div><div><h3>Results</h3><div>A total of 102 cases were collected, 72 cases of them were eligible and 5 cases were withdrawn. Sixty-seven cases were included in analysis. In the within-group comparison, VAS score, ROM and JOA score as well as the shoulder temperature were all ameliorated after 9 treatments in either the trial group or the control group, compared with those before treatment (<em>P</em> &lt; 0.05). In the comparison between two groups, after 9 treatments, VAS score in the trial group was lower than that of the control group (<em>P</em> &lt; 0.05); and the improvements in ROM and shoulder temperature in the trial group were better than those of the control group (<em>P</em> &lt; 0.05). No adverse reactions were found in the two groups.</div></div><div><h3>Conclusion</h3><div>Both the “scapular heat penetration” technique of acupuncture and the conventional acupuncture are effective on scapulohumeral periarthritis. But, regarding the improvements in pain, ROM of shoulder joint, the activity of daily life and shoulder temperature, the “scapular heat penetration” technique of acupuncture is superior to the conventional acupuncture.</div></div><div><h3>Registration number</h3><div>ChiCTR1900025505</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 306-311"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157672","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
Acupuncture for chronic nonspecific low back pain in middle-aged and older patients: A randomized controlled trial 针灸治疗中老年慢性非特异性腰痛:一项随机对照试验
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.007
Fei XU (徐飞) , Kai-qiong JIAO (矫楷琼) , Lin-peng WANG (王麟鹏) , Fan ZHANG (张帆)

Objective

To observe the specific effects of acupuncture in middle-aged and older patients with chronic nonspecific low back pain (CNSLBP).

Methods

Sixty-six patients with CNSLBP were randomized into the acupuncture or sham acupuncture groups (n = 33). In the acupuncture group, penetrating acupuncture with a long needle was delivered at Ashi points (painful/sensitive points), and the needles were manipulated by rotating technique after deqi till patients felt distending pain. The needles were retained in place for 30 min. Acupuncture was given three times per week for 4 weeks. In the sham acupuncture group, shallow needling was performed at non-meridian, non-acupoint, non-painful, and non-sensitive points. The needle retention and duration of treatment were the same as those of the acupuncture group before treatment, after the first intervention, after the whole treatment, and in follow-up visit (4 weeks after the whole treatment). The scores of the visual analog scale(VAS) for pain, range of movement (ROM) of the spine, and simplified Oswestry Dysfunction Index (ODI) were observed separately.

Results

Compared to the outcomes before treatment, the VAS score, spinal ROM, and simplified ODI score were lower after the first intervention, after treatment, and in follow-up visits in the acupuncture group, indicating the statistical significance (P < 0.05). When compared with the sham acupuncture group, the VAS score, spinal ROM, and simplified ODI score were significantly lower in the acupuncture group after the first intervention, after treatment, and in follow-up visit (P < 0.05). The total effective rate was 90.9% in the acupuncture group, which was significantly higher than that (75.76 %) in the sham acupuncture group (P < 0.05).

Conclusion

Acupuncture has a specific effect on CNSLBP in middle-aged and older patients and a superior effect on immediate analgesia.
目的观察针刺治疗中老年慢性非特异性腰痛(CNSLBP)的特异性疗效。方法66例CNSLBP患者随机分为针刺组和假针组(n = 33)。针刺组用长针刺入阿石穴(痛点/敏感点),得气后用旋转手法操作,直至患者感到胀痛。针固定30分钟,每周针灸3次,连续4周。假针组在非经络、非穴位、非痛点、非敏感点进行浅刺。治疗前、第一次干预后、全程治疗后、全程随访(全程治疗后4周)的留针量和治疗时间与针刺组相同。分别观察疼痛视觉模拟评分(VAS)、脊柱活动度(ROM)和简化Oswestry功能障碍指数(ODI)评分。结果与治疗前比较,针灸组患者首次干预后、治疗后、随访时的VAS评分、脊柱ROM、简化ODI评分均低于治疗前,差异均有统计学意义(P <;0.05)。与假针组比较,针灸组首次干预后、治疗后、随访时的VAS评分、脊柱ROM、简化ODI评分均显著低于假针组(P <;0.05)。针刺组总有效率为90.9%,显著高于假针组(75.76%)(P <;0.05)。结论针刺对中老年CNSLBP患者有特异性疗效,对即刻镇痛效果更佳。
{"title":"Acupuncture for chronic nonspecific low back pain in middle-aged and older patients: A randomized controlled trial","authors":"Fei XU (徐飞) ,&nbsp;Kai-qiong JIAO (矫楷琼) ,&nbsp;Lin-peng WANG (王麟鹏) ,&nbsp;Fan ZHANG (张帆)","doi":"10.1016/j.wjam.2024.09.007","DOIUrl":"10.1016/j.wjam.2024.09.007","url":null,"abstract":"<div><h3>Objective</h3><div>To observe the specific effects of acupuncture in middle-aged and older patients with chronic nonspecific low back pain (CNSLBP).</div></div><div><h3>Methods</h3><div>Sixty-six patients with CNSLBP were randomized into the acupuncture or sham acupuncture groups (n = 33). In the acupuncture group, penetrating acupuncture with a long needle was delivered at <em>Ashi</em> points (painful/sensitive points), and the needles were manipulated by rotating technique after <em>deqi</em> till patients felt distending pain. The needles were retained in place for 30 min. Acupuncture was given three times per week for 4 weeks. In the sham acupuncture group, shallow needling was performed at non-meridian, non-acupoint, non-painful, and non-sensitive points. The needle retention and duration of treatment were the same as those of the acupuncture group before treatment, after the first intervention, after the whole treatment, and in follow-up visit (4 weeks after the whole treatment). The scores of the visual analog scale(VAS) for pain, range of movement (ROM) of the spine, and simplified Oswestry Dysfunction Index (ODI) were observed separately.</div></div><div><h3>Results</h3><div>Compared to the outcomes before treatment, the VAS score, spinal ROM, and simplified ODI score were lower after the first intervention, after treatment, and in follow-up visits in the acupuncture group, indicating the statistical significance (<em>P</em> &lt; 0.05). When compared with the sham acupuncture group, the VAS score, spinal ROM, and simplified ODI score were significantly lower in the acupuncture group after the first intervention, after treatment, and in follow-up visit (<em>P</em> &lt; 0.05). The total effective rate was 90.9% in the acupuncture group, which was significantly higher than that (75.76 %) in the sham acupuncture group (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Acupuncture has a specific effect on CNSLBP in middle-aged and older patients and a superior effect on immediate analgesia.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 300-305"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157673","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
Effects of acupuncture on iron metabolism in the hippocampus of the rats with cerebral ischemia-reperfusion injury based on the imbalance of iron homeostasis 基于铁稳态失衡针刺对脑缺血再灌注损伤大鼠海马铁代谢的影响
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.003
Hong-Juan WANG (汪红娟), Hong TANG (唐红), Shan-Shan JIANG (江姗姗), Zhan-Fu LI (李展富), Hao-mei TIAN (田浩梅), Chu-Tao CHEN (陈楚淘)
<div><h3>Objective</h3><div>This study aimed to observe the effects of acupuncture on iron metabolism in the hippocampus of rats with cerebral ischemia-reperfusion injury (CIRI) and to explore the mechanism of acupuncture on neural repair in CIRI rats.</div></div><div><h3>Methods</h3><div>After general feeding for 3 days, 16 of 48 healthy Sprague–Dawley rats were selected according to a random number table to form a sham-occlusion group, and the models were prepared in the remaining rats. After successful modeling, the rats were randomized into model and acupuncture groups, with 16 rats in each group. The CIRI models were prepared using the modified Zea Longa suture-occlusion method. In the acupuncture group, the rats were fixed and acupuncture was delivered at “Shuigou” (GV26), “Dazhui” (GV14), and “Baihui” (GV20), and the needles were manipulated once every 15 min. In the sham-occlusion and model groups, rats were fixed without acupuncture. The intervention was performed for 30 min in each group, once every 12 h, seven times. The degree of neurological impairment was assessed by using the modified Garcia score. Cerebral blood flow (CBF) was monitored using a laser speckle blood flow imaging system. The cerebral infarction area ratio was measured using triphenyltetrazolium chloride staining. Ferric ion aggregation in brain tissue was noted using Prussian blue staining. The ferric ion and glutathione (GSH) contents of the hippocampal tissue on the ischemic side were detected using ferric ion and GSH kits. The protein expression of transferrin receptor 1 (TFR1), iron regulatory protein 2 (IRP2), and ferroportin (FPN) was detected via western blotting.</div></div><div><h3>Results</h3><div>(1) Before intervention, compared with the sham-occlusion group, the Garcia neurological score was significantly reduced in the model and acupuncture groups (both <em>P <</em> 0.01). After the intervention, compared with the sham-occlusion group, the Garcia neurological score in the model group decreased significantly (<em>P <</em> 0.01), and the score in the acupuncture group was elevated compared with the model group (<em>P <</em> 0.05). Compared to before the intervention, the Garcia neurological score increased after the intervention in the acupuncture group (<em>P <</em> 0.05). (2) Compared with the sham-occlusion group, in the model group, CBF was reduced, the infarct area was significantly enlarged, ferric ion aggregation increased in the hippocampus, the content of ferric ion increased, and that of GSH decreased significantly (both <em>P <</em> 0.01), while the protein expression of TFR1 and IRP2 was upregulated and that of FPN was downregulated (both <em>P <</em> 0.05). When compared with the model group, in the acupuncture group, CBF was increased, the infarct area was reduced (<em>P <</em> 0.01), the ferric ion aggregation was reduced in the hippocampus, the content of ferric ion decreased, and that of GSH increased significantly (<
目的观察针刺对脑缺血再灌注损伤大鼠海马铁代谢的影响,探讨针刺对脑缺血再灌注损伤大鼠神经修复的作用机制。方法正常饲养3 d后,按随机数字表法从48只健康大鼠中选择16只组成假牙合组,其余大鼠制备模型。造模成功后,将大鼠随机分为模型组和针刺组,每组16只。采用改良的Zea - Longa缝合-闭塞法制备CIRI模型。针刺组固定大鼠,在“水沟”(GV26)、“大椎”(GV14)、“百会”(GV20)处针刺,每15 min操作1次。假牙合组和模型组固定大鼠,不针刺。每组干预30 min,每12 h干预1次,共7次。采用改良的加西亚评分法评估神经损伤程度。采用激光散斑血流成像系统监测脑血流(CBF)。采用氯化三苯四唑染色法测定脑梗死面积比。普鲁士蓝染色观察脑组织铁离子聚集。采用铁离子和谷胱甘肽试剂盒检测缺血侧海马组织铁离子和谷胱甘肽(GSH)含量。western blotting检测转铁蛋白受体1 (TFR1)、铁调节蛋白2 (IRP2)、运铁蛋白(FPN)蛋白表达。结果(1)干预前,与假牙阻断组比较,模型组和针刺组的Garcia神经评分均显著降低(P <;0.01)。干预后,与假牙组比较,模型组的Garcia神经学评分明显降低(P <;0.01),针刺组与模型组比较评分升高(P <;0.05)。与干预前比较,针刺组干预后加西亚神经学评分增高(P <;0.05)。(2)与假牙闭塞组比较,模型组大鼠脑血流减少,梗死面积明显增大,海马铁离子聚集增加,铁离子含量增加,GSH含量显著降低(P <;0.01),而TFR1和IRP2蛋白表达上调,FPN蛋白表达下调(P <;0.05)。与模型组比较,针刺组脑血流增大,梗死面积减小(P <;0.01),海马铁离子聚集减少,铁离子含量降低,谷胱甘肽含量显著升高(P <;0.05, P <;0.01);TFR1和IRP2蛋白表达下调,FPN蛋白表达上调(P <;0.05)。结论针刺可减轻CIRI,其机制可能与调节海马铁稳态相关转铁蛋白、减弱海马组织铁离子聚集、减少脂质过氧化、抑制铁下垂有关。
{"title":"Effects of acupuncture on iron metabolism in the hippocampus of the rats with cerebral ischemia-reperfusion injury based on the imbalance of iron homeostasis","authors":"Hong-Juan WANG (汪红娟),&nbsp;Hong TANG (唐红),&nbsp;Shan-Shan JIANG (江姗姗),&nbsp;Zhan-Fu LI (李展富),&nbsp;Hao-mei TIAN (田浩梅),&nbsp;Chu-Tao CHEN (陈楚淘)","doi":"10.1016/j.wjam.2024.09.003","DOIUrl":"10.1016/j.wjam.2024.09.003","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aimed to observe the effects of acupuncture on iron metabolism in the hippocampus of rats with cerebral ischemia-reperfusion injury (CIRI) and to explore the mechanism of acupuncture on neural repair in CIRI rats.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;After general feeding for 3 days, 16 of 48 healthy Sprague–Dawley rats were selected according to a random number table to form a sham-occlusion group, and the models were prepared in the remaining rats. After successful modeling, the rats were randomized into model and acupuncture groups, with 16 rats in each group. The CIRI models were prepared using the modified Zea Longa suture-occlusion method. In the acupuncture group, the rats were fixed and acupuncture was delivered at “Shuigou” (GV26), “Dazhui” (GV14), and “Baihui” (GV20), and the needles were manipulated once every 15 min. In the sham-occlusion and model groups, rats were fixed without acupuncture. The intervention was performed for 30 min in each group, once every 12 h, seven times. The degree of neurological impairment was assessed by using the modified Garcia score. Cerebral blood flow (CBF) was monitored using a laser speckle blood flow imaging system. The cerebral infarction area ratio was measured using triphenyltetrazolium chloride staining. Ferric ion aggregation in brain tissue was noted using Prussian blue staining. The ferric ion and glutathione (GSH) contents of the hippocampal tissue on the ischemic side were detected using ferric ion and GSH kits. The protein expression of transferrin receptor 1 (TFR1), iron regulatory protein 2 (IRP2), and ferroportin (FPN) was detected via western blotting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;(1) Before intervention, compared with the sham-occlusion group, the Garcia neurological score was significantly reduced in the model and acupuncture groups (both &lt;em&gt;P &lt;&lt;/em&gt; 0.01). After the intervention, compared with the sham-occlusion group, the Garcia neurological score in the model group decreased significantly (&lt;em&gt;P &lt;&lt;/em&gt; 0.01), and the score in the acupuncture group was elevated compared with the model group (&lt;em&gt;P &lt;&lt;/em&gt; 0.05). Compared to before the intervention, the Garcia neurological score increased after the intervention in the acupuncture group (&lt;em&gt;P &lt;&lt;/em&gt; 0.05). (2) Compared with the sham-occlusion group, in the model group, CBF was reduced, the infarct area was significantly enlarged, ferric ion aggregation increased in the hippocampus, the content of ferric ion increased, and that of GSH decreased significantly (both &lt;em&gt;P &lt;&lt;/em&gt; 0.01), while the protein expression of TFR1 and IRP2 was upregulated and that of FPN was downregulated (both &lt;em&gt;P &lt;&lt;/em&gt; 0.05). When compared with the model group, in the acupuncture group, CBF was increased, the infarct area was reduced (&lt;em&gt;P &lt;&lt;/em&gt; 0.01), the ferric ion aggregation was reduced in the hippocampus, the content of ferric ion decreased, and that of GSH increased significantly (&lt;","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 292-299"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157675","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
Professor Wei-bin GAO's experience in treatment of voiding dysfunction with electroacupuncture 高伟斌教授电针治疗排尿功能障碍的经验
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.009
Shao-peng LIU (刘少鹏) , Ming-yuan HAN (韩名媛) , Xin-yuan CAO (曹馨元) , Ying-ying ZHU (祝莹莹) , Jian-tao YIN (殷建涛) , Zhong-ren SUN (孙忠人) , Wei-bin GAO (高维滨) , Hong-na YIN (尹洪娜)
As a common clinical syndrome, voiding dysfunction is complicated in etiology, involved in a variety of diseases and associated with multi-disciplines of medicine. Either medication or surgery has not obtained the favorable effect on it. Integrated the theories of traditional Chinese medicine and Western medicine and based on the pathogenesis of the disease, the acupoint specificity and neuromodulatory effects, Professor Wei-bin GAO suggested “selecting the acupoints along the affected areas”. The acupoints located near to the lumbar, sacral and abdominal regions are dominated and stimulated with electroacupuncture at different electric waves. In treatment, electric stimulation with disperse and dense waves was adopted. The bone conduction theory of dense-wave electric field was proposed. The same neuromodulation is presented in different diseases such as neurogenic bladder, pediatric enuresis, senile nocturia, benign prostatic hyerplasia, and postpartum of postoperative urination disorders. Hence, the same therapeutic method is adoptable to different diseases with the basic acupoint composition modified.
排尿功能障碍是一种常见的临床综合征,病因复杂,涉及多种疾病,涉及多学科。无论是药物治疗还是手术治疗都没有取得良好的效果。高伟斌教授结合中西医理论,根据疾病的发病机理、穴位特异性和神经调节作用,提出“沿患处取穴”。以腰椎、骶部和腹部附近的穴位为主,以不同的电波刺激。治疗方法采用散波、密波电刺激。提出了密波电场的骨传导理论。相同的神经调节存在于不同的疾病,如神经性膀胱、小儿遗尿、老年性夜尿、良性前列腺增生和产后术后排尿障碍。因此,相同的治疗方法可以通过改变基本穴位组成来适用于不同的疾病。
{"title":"Professor Wei-bin GAO's experience in treatment of voiding dysfunction with electroacupuncture","authors":"Shao-peng LIU (刘少鹏) ,&nbsp;Ming-yuan HAN (韩名媛) ,&nbsp;Xin-yuan CAO (曹馨元) ,&nbsp;Ying-ying ZHU (祝莹莹) ,&nbsp;Jian-tao YIN (殷建涛) ,&nbsp;Zhong-ren SUN (孙忠人) ,&nbsp;Wei-bin GAO (高维滨) ,&nbsp;Hong-na YIN (尹洪娜)","doi":"10.1016/j.wjam.2024.09.009","DOIUrl":"10.1016/j.wjam.2024.09.009","url":null,"abstract":"<div><div>As a common clinical syndrome, voiding dysfunction is complicated in etiology, involved in a variety of diseases and associated with multi-disciplines of medicine. Either medication or surgery has not obtained the favorable effect on it. Integrated the theories of traditional Chinese medicine and Western medicine and based on the pathogenesis of the disease, the acupoint specificity and neuromodulatory effects, Professor Wei-bin GAO suggested “selecting the acupoints along the affected areas”. The acupoints located near to the lumbar, sacral and abdominal regions are dominated and stimulated with electroacupuncture at different electric waves. In treatment, electric stimulation with disperse and dense waves was adopted. The bone conduction theory of dense-wave electric field was proposed. The same neuromodulation is presented in different diseases such as neurogenic bladder, pediatric enuresis, senile nocturia, benign prostatic hyerplasia, and postpartum of postoperative urination disorders. Hence, the same therapeutic method is adoptable to different diseases with the basic acupoint composition modified.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 325-331"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157689","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
Blinding effect of sham Fu's subcutaneous needling in a healthy population 假复针对健康人群的致盲作用
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.010
Hui-yi HUANG (黄慧仪) , Yan-yan CAI (蔡演演) , Qing-song ZHANG (张清松) , Yi-ping HUANG (黄毅平) , Zhong-hua FU (符仲华)

Objective

Fu's subcutaneous needling (FSN) has been shown potential positive effectiveness in clinical practice. However, its specific effects are still not clear. This study aims to evaluate the blinding effect of a non-penetrating sham FSN needle, developed for the first time by the authors' research team in healthy participants. Furthermore, to provide a reliable control tool to assess the specific effects of FSN.

Methods

We conducted a randomized, sham-controlled trial in 60 healthy participants divided into FSN group and sham FSN group in a 1:1 ratio. The participants were assessed according to blinding index (BI), pain intensity, sensation type and acceptability of needling.

Results

The James' BI was (0.56, 95 %CI [0.45, 0.67]) for two groups. The Bang's BI was (0.50, 95 % CI [0.24, 0.76]) in the FSN group and (−0.36, 95 % CI [−0.67, −0.07]) in the sham FSN group. There was no significant difference between needling pain intensity (P > 0.05) and type of needling sensation. A total of 96.6 % participants who received sham FSN and 86.6 % participants who received FSN considered the needling acceptable or better.

Conclusion

This study confirmed the effective blinding capability of the sham FSN needles in healthy participants, indicating that the novel non-penetrating sham FSN needle can be served as eligible control to evaluate the specific effects of FSN.
目的fu皮下针刺法在临床应用中显示出潜在的积极疗效。然而,其具体效果尚不清楚。本研究旨在评估非穿透性假FSN针在健康参与者中的致盲效果,该针是作者研究小组首次开发的。此外,提供一种可靠的控制工具来评估FSN的具体效果。方法采用随机、假对照试验,将60名健康受试者按1:1的比例分为FSN组和假FSN组。根据盲指数(BI)、疼痛强度、感觉类型和针刺可接受性对受试者进行评估。结果两组患者的James' BI分别为(0.56,95% CI[0.45, 0.67])。FSN组Bang’s BI为(0.50,95% CI[0.24, 0.76]),假FSN组Bang’s BI为(- 0.36,95% CI[- 0.67, - 0.07])。针刺疼痛强度(P >;0.05)和针刺感觉类型。接受假FSN的96.6%的参与者和接受FSN的86.6%的参与者认为针刺可以接受或更好。结论本研究证实了假FSN针对健康受试者的有效致盲能力,表明新型非穿透性假FSN针可作为评价假FSN特异性效果的合格对照。
{"title":"Blinding effect of sham Fu's subcutaneous needling in a healthy population","authors":"Hui-yi HUANG (黄慧仪) ,&nbsp;Yan-yan CAI (蔡演演) ,&nbsp;Qing-song ZHANG (张清松) ,&nbsp;Yi-ping HUANG (黄毅平) ,&nbsp;Zhong-hua FU (符仲华)","doi":"10.1016/j.wjam.2024.09.010","DOIUrl":"10.1016/j.wjam.2024.09.010","url":null,"abstract":"<div><h3>Objective</h3><div><em>Fu's</em> subcutaneous needling (FSN) has been shown potential positive effectiveness in clinical practice. However, its specific effects are still not clear. This study aims to evaluate the blinding effect of a non-penetrating sham FSN needle, developed for the first time by the authors' research team in healthy participants. Furthermore, to provide a reliable control tool to assess the specific effects of FSN.</div></div><div><h3>Methods</h3><div>We conducted a randomized, sham-controlled trial in 60 healthy participants divided into FSN group and sham FSN group in a 1:1 ratio. The participants were assessed according to blinding index (BI), pain intensity, sensation type and acceptability of needling.</div></div><div><h3>Results</h3><div>The James' BI was (0.56, 95 %CI [0.45, 0.67]) for two groups. The Bang's BI was (0.50, 95 % CI [0.24, 0.76]) in the FSN group and (−0.36, 95 % CI [−0.67, −0.07]) in the sham FSN group. There was no significant difference between needling pain intensity (<em>P</em> &gt; 0.05) and type of needling sensation. A total of 96.6 % participants who received sham FSN and 86.6 % participants who received FSN considered the needling acceptable or better.</div></div><div><h3>Conclusion</h3><div>This study confirmed the effective blinding capability of the sham FSN needles in healthy participants, indicating that the novel non-penetrating sham FSN needle can be served as eligible control to evaluate the specific effects of FSN.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 312-317"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143158926","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
Moxibustion versus non-moxibustion for immune reconstitution inflammatory syndrome in patients with HIV: A 48-week prospective cohort study 艾灸与非艾灸治疗HIV患者免疫重建炎症综合征:一项为期48周的前瞻性队列研究
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.008
Guo-jian GAO (高国建) , Hui-jun GUO (郭会军) , Xin LI (李鑫) , Yao-kai CHEN (陈耀凯) , Xing-hua TAN (谭行华) , Yu-qi YANG (杨玉琪) , Jian-ping MA (马建萍) , Shui-qing LIU (刘水青) , Quan-sheng FENG (冯全生) , Wen ZOU (邹雯) , Ji-peng DONG (董继鹏) , Jian WANG (王健) , Ying LIU (刘颖)

Objective

To assess the effects of moxibustion on immune reconstitution inflammatory syndrome (IRIS) in patients with acquired immune deficiency syndrome (AIDS) by tracking T-cell subsets over a 48-week prospective cohort study.

Methods

Patients with AIDS who had low viral loads and weakened immune systems were divided into a moxibustion group and a non-moxibustion group. The non-moxibustion group received standard western treatment, including 48 weeks of antiretroviral therapy (ART). The moxibustion group received ART combined with moxibusion therapy, administered three times weekly. Each treatment lasted 10 weeks, with four courses completed over 48 weeks, separated by 2-week breaks. At different time points, plasma levels of CD4+, CD8+, CD45RA+, CD45RO+, CD4+CD28+, CD8+CD38+, and CD4+CD38+ were compared between the two groups.

Results

A total of 200 eligible patients were included and divided into two groups, with 100 in the non-moxibustion group and 100 in the moxibustion group. At Week 24, the CD4+T cell count was (180.71 ± 79.62) cells/μL in the non-moxibustion group and (218.22 ± 82.02) cells/μL in the moxibustion group. By Week 36, the counts were (204.83 ± 96.78) cells/μL and (239.35±81.90) cells/μL, respectively. At Weeks 24 and 48, the CD8+ T cell and CD45RO+ counts were higher in the moxibustion group than in the non-moxibustion group (P < 0.05). By Week 48, the CD45RA+ count was also higher in the moxibustion group (P < 0.05). At Week 24, the CD4+CD25+ count was lower in the moxibustion group than in the non-moxibustion group (P < 0.05).

Conclusion

Moxibustion enhances immune function in patients with AIDS and IRIS by regulating T-HIVcell subsets and increasing CD4+ and CD8+ T lymphocyte counts.
目的通过对获得性免疫缺陷综合征(AIDS)患者的t细胞亚群进行为期48周的前瞻性队列研究,评估艾灸对免疫重建炎症综合征(IRIS)的影响。方法将病毒载量低、免疫系统较弱的艾滋病患者分为艾灸组和不艾灸组。非艾灸组接受标准西药治疗,包括48周抗逆转录病毒治疗(ART)。艾灸组采用抗逆转录病毒治疗联合艾灸治疗,每周3次。每次治疗持续10周,4个疗程在48周内完成,中间间隔2周。比较两组患者在不同时间点的血浆CD4+、CD8+、CD45RA+、CD45RO+、CD4+CD28+、CD8+CD38+、CD4+CD38+水平。结果共纳入200例符合条件的患者,分为两组,非艾灸组100例,艾灸组100例。第24周,非艾灸组CD4+T细胞计数为(180.71±79.62)个/μL,艾灸组为(218.22±82.02)个/μL。第36周时,细胞计数分别为(204.83±96.78)个/μL和(239.35±81.90)个/μL。在第24周和第48周,艾灸组CD8+ T细胞和CD45RO+计数明显高于非艾灸组(P <;0.05)。到第48周,艾灸组的CD45RA+计数也更高(P <;0.05)。在第24周,艾灸组CD4+CD25+计数明显低于非艾灸组(P <;0.05)。结论艾灸可通过调节T- hiv细胞亚群,增加CD4+和CD8+ T淋巴细胞计数来增强艾滋病和IRIS患者的免疫功能。
{"title":"Moxibustion versus non-moxibustion for immune reconstitution inflammatory syndrome in patients with HIV: A 48-week prospective cohort study","authors":"Guo-jian GAO (高国建) ,&nbsp;Hui-jun GUO (郭会军) ,&nbsp;Xin LI (李鑫) ,&nbsp;Yao-kai CHEN (陈耀凯) ,&nbsp;Xing-hua TAN (谭行华) ,&nbsp;Yu-qi YANG (杨玉琪) ,&nbsp;Jian-ping MA (马建萍) ,&nbsp;Shui-qing LIU (刘水青) ,&nbsp;Quan-sheng FENG (冯全生) ,&nbsp;Wen ZOU (邹雯) ,&nbsp;Ji-peng DONG (董继鹏) ,&nbsp;Jian WANG (王健) ,&nbsp;Ying LIU (刘颖)","doi":"10.1016/j.wjam.2024.09.008","DOIUrl":"10.1016/j.wjam.2024.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the effects of moxibustion on immune reconstitution inflammatory syndrome (IRIS) in patients with acquired immune deficiency syndrome (AIDS) by tracking T-cell subsets over a 48-week prospective cohort study.</div></div><div><h3>Methods</h3><div>Patients with AIDS who had low viral loads and weakened immune systems were divided into a moxibustion group and a non-moxibustion group. The non-moxibustion group received standard western treatment, including 48 weeks of antiretroviral therapy (ART). The moxibustion group received ART combined with moxibusion therapy, administered three times weekly. Each treatment lasted 10 weeks, with four courses completed over 48 weeks, separated by 2-week breaks. At different time points, plasma levels of CD4<sup>+</sup>, CD8<sup>+</sup>, CD45RA<sup>+</sup>, CD45RO<sup>+</sup>, CD4<sup>+</sup>CD28<sup>+</sup>, CD8<sup>+</sup>CD38<sup>+</sup>, and CD4<sup>+</sup>CD38<sup>+</sup> were compared between the two groups.</div></div><div><h3>Results</h3><div>A total of 200 eligible patients were included and divided into two groups, with 100 in the non-moxibustion group and 100 in the moxibustion group. At Week 24, the CD4<sup>+</sup>T cell count was (180.71 ± 79.62) cells/μL in the non-moxibustion group and (218.22 ± 82.02) cells/μL in the moxibustion group. By Week 36, the counts were (204.83 ± 96.78) cells/μL and (239.35±81.90) cells/μL, respectively. At Weeks 24 and 48, the CD8<sup>+</sup> T cell and CD45RO<sup>+</sup> counts were higher in the moxibustion group than in the non-moxibustion group (<em>P</em> &lt; 0.05). By Week 48, the CD45RA<sup>+</sup> count was also higher in the moxibustion group (<em>P</em> &lt; 0.05). At Week 24, the CD4<sup>+</sup>CD25<sup>+</sup> count was lower in the moxibustion group than in the non-moxibustion group (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Moxibustion enhances immune function in patients with AIDS and IRIS by regulating T-HIVcell subsets and increasing CD4<sup>+</sup> and CD8<sup>+</sup> T lymphocyte counts.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 318-324"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157691","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
A global review of acupuncture and moxibustion recommendations in guidelines/expert consensus for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting 针对化疗和/或放疗引起的恶心和/或呕吐的指南/专家共识中针灸建议的全球综述
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-10-01 DOI: 10.1016/j.wjam.2024.09.005
Tian-yu MING (明恬妤), Wei-juan GANG (岗卫娟), Lan-jun SHI (施兰君), Zhen LUO (罗臻), Zi-yu TIAN (田紫煜), Xiao-yi HU (胡晓艺), Huan CHEN (陈欢), Rui-min JIAO (焦睿珉), Wen-cui XIU (修文萃), Xiang-yu HU (胡翔昱), Xiang-hong JING (景向红)

Objective

To summarize and analyze the recommendations of acupuncture and moxibustion in the global guidelines/expert consensus of chemotherapy- and/or radiotherapy-induced nausea and/or vomiting, providing a basis for the development of clinical practice guidelines on acupuncture and moxibustion for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting.

Methods

We systematically searched 7 comprehensive databases, 7 guideline libraries and 4 websites of societies/associations. The retrieval period was from the inception to April 1, 2023. Two researchers independently screened the literature, extracted data, and used the Scientific, Transparent, and Applicable Rankings (STAR) tool to evaluate the quality of guidelines/expert consensus that contained acupuncture and moxibustion recommendations, and analyzed acupuncture and moxibustion recommendations in guidelines/expert consensus and their evidence base.

Results

A total of 56 guidelines/expert consensus related to the prevention and treatment of chemotherapy- and/or radiotherapy-induced nausea and/or vomiting were included, and 22 guidelines/expert consensus contained acupuncture and moxibustion recommendations, with a total of 34 recommendations on acupuncture and moxibustion (27 supports, 4 neutrals, 3 objections). The STAR evaluation (excluding 1 patient version of guideline) showed that none of the guidelines/expert consensus was with high quality, 95.24% (20/21) with medium quality, and 4.76% (1/21) with low quality. Although there were many recommendations of acupuncture and moxibustion in the existing guidelines/expert consensus, there was great heterogeneity among the acupuncture and moxibustion treatment regimens. Moreover, most of the guidelines/expert consensus did not describe the details of acupuncture and moxibustion treatment regimens, such as acupuncture and moxibustion manipulation, acupoint selection, course and timing of treatment, which is difficult to guide the clinical practice of acupuncture and moxibustion.

Conclusion

Developing clinical practice guidelines of acupuncture and moxibustion for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting according to the items of the STAR tool was urgent, so as to clarify the details of acupuncture and moxibustion regimens and provide standardized treatment regimens to guide the clinical practice of acupuncture and moxibustion.
目的总结和分析全球化疗和放疗性恶心呕吐指南/专家共识中对针灸的推荐,为制定针灸治疗化疗和放疗性恶心呕吐的临床实践指南提供依据。方法系统检索7个综合性数据库、7个指南库和4个学会/协会网站。检索期自成立至2023年4月1日。两位研究者独立筛选文献、提取数据,并使用STAR (Scientific, Transparent, and Applicable Rankings)工具对包含针灸推荐的指南/专家共识的质量进行评价,并分析指南/专家共识中的针灸推荐及其证据基础。结果共纳入56份与预防和治疗化疗和放疗引起的恶心和/或呕吐相关的指南/专家共识,22份指南/专家共识包含针灸建议,其中针灸建议共34条(支持27条,中性4条,反对3条)。STAR评价(不包括1份患者版指南)显示,没有一份指南/专家共识为高质量,95.24%(20/21)为中质量,4.76%(1/21)为低质量。虽然在现有的指南/专家共识中有许多关于针灸的建议,但针灸治疗方案之间存在很大的异质性。而且,大多数指南/专家共识没有详细描述针灸治疗方案,如针灸手法、取穴、疗程和治疗时机等,难以指导针灸的临床实践。结论迫切需要根据STAR工具的项目制定针对化疗和/或放疗引起的恶心和/或呕吐的针灸临床实践指南,以明确针灸方案的细节,提供规范的治疗方案,指导针灸的临床实践。
{"title":"A global review of acupuncture and moxibustion recommendations in guidelines/expert consensus for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting","authors":"Tian-yu MING (明恬妤),&nbsp;Wei-juan GANG (岗卫娟),&nbsp;Lan-jun SHI (施兰君),&nbsp;Zhen LUO (罗臻),&nbsp;Zi-yu TIAN (田紫煜),&nbsp;Xiao-yi HU (胡晓艺),&nbsp;Huan CHEN (陈欢),&nbsp;Rui-min JIAO (焦睿珉),&nbsp;Wen-cui XIU (修文萃),&nbsp;Xiang-yu HU (胡翔昱),&nbsp;Xiang-hong JING (景向红)","doi":"10.1016/j.wjam.2024.09.005","DOIUrl":"10.1016/j.wjam.2024.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>To summarize and analyze the recommendations of acupuncture and moxibustion in the global guidelines/expert consensus of chemotherapy- and/or radiotherapy-induced nausea and/or vomiting, providing a basis for the development of clinical practice guidelines on acupuncture and moxibustion for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting.</div></div><div><h3>Methods</h3><div>We systematically searched 7 comprehensive databases, 7 guideline libraries and 4 websites of societies/associations. The retrieval period was from the inception to April 1, 2023. Two researchers independently screened the literature, extracted data, and used the Scientific, Transparent, and Applicable Rankings (STAR) tool to evaluate the quality of guidelines/expert consensus that contained acupuncture and moxibustion recommendations, and analyzed acupuncture and moxibustion recommendations in guidelines/expert consensus and their evidence base.</div></div><div><h3>Results</h3><div>A total of 56 guidelines/expert consensus related to the prevention and treatment of chemotherapy- and/or radiotherapy-induced nausea and/or vomiting were included, and 22 guidelines/expert consensus contained acupuncture and moxibustion recommendations, with a total of 34 recommendations on acupuncture and moxibustion (27 supports, 4 neutrals, 3 objections). The STAR evaluation (excluding 1 patient version of guideline) showed that none of the guidelines/expert consensus was with high quality, 95.24% (20/21) with medium quality, and 4.76% (1/21) with low quality. Although there were many recommendations of acupuncture and moxibustion in the existing guidelines/expert consensus, there was great heterogeneity among the acupuncture and moxibustion treatment regimens. Moreover, most of the guidelines/expert consensus did not describe the details of acupuncture and moxibustion treatment regimens, such as acupuncture and moxibustion manipulation, acupoint selection, course and timing of treatment, which is difficult to guide the clinical practice of acupuncture and moxibustion.</div></div><div><h3>Conclusion</h3><div>Developing clinical practice guidelines of acupuncture and moxibustion for chemotherapy- and/or radiotherapy-induced nausea and/or vomiting according to the items of the STAR tool was urgent, so as to clarify the details of acupuncture and moxibustion regimens and provide standardized treatment regimens to guide the clinical practice of acupuncture and moxibustion.</div></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 4","pages":"Pages 259-269"},"PeriodicalIF":0.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143158925","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
World Federation of Acupuncture–Moxibustion Societies (WFAS) Technical Benchmark of Acupuncture and Moxibustion: Moxibustion 世界针灸学会联合会(WFAS)针灸技术基准:艾灸
IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-01 DOI: 10.1016/j.wjam.2024.07.001
Hao-ran CHU (储浩然) , Wei-hong LIU (刘炜宏) , Jun YANG (杨骏) , Xiao-dong WU (武晓冬) , Xiao-ming WANG (王晓明) , Jing-ji WANG (王婧吉) , Yun LIU (刘云) , Jin HU (胡进)

Technical Benchmark of Acupuncture and Moxibustion: Moxibustion was organized by the World Federation of Acupuncture–Moxibustion Societies and the revision was led by Anhui University of Chinese Medicine. This document was first issued in 2013, known as Moxibustion Manipulation. The technical benchmark of moxibustion include scope, normative reference, terms and definitions, operation and requirement and safety. This article introduces the above contents, explains the difficulties in the revision and give the suggestions for the application and popularization of this standard.

针灸技术基准》:针灸技术基准:灸法》由世界针灸学会联合会组织,安徽中医药大学牵头修订。该文件于2013年首次发布,全称为《灸法》。灸法的技术基准包括范围、规范性引用文件、术语与定义、操作与要求、安全性等。本文对上述内容进行了介绍,对修订中的难点进行了说明,并对该标准的应用和推广提出了建议。
{"title":"World Federation of Acupuncture–Moxibustion Societies (WFAS) Technical Benchmark of Acupuncture and Moxibustion: Moxibustion","authors":"Hao-ran CHU (储浩然) ,&nbsp;Wei-hong LIU (刘炜宏) ,&nbsp;Jun YANG (杨骏) ,&nbsp;Xiao-dong WU (武晓冬) ,&nbsp;Xiao-ming WANG (王晓明) ,&nbsp;Jing-ji WANG (王婧吉) ,&nbsp;Yun LIU (刘云) ,&nbsp;Jin HU (胡进)","doi":"10.1016/j.wjam.2024.07.001","DOIUrl":"10.1016/j.wjam.2024.07.001","url":null,"abstract":"<div><p><em>Technical Benchmark of Acupuncture and Moxibustion: Moxibustion</em> was organized by the World Federation of Acupuncture–Moxibustion Societies and the revision was led by Anhui University of Chinese Medicine. This document was first issued in 2013, known as <em>Moxibustion Manipulation</em>. The technical benchmark of moxibustion include scope, normative reference, terms and definitions, operation and requirement and safety. This article introduces the above contents, explains the difficulties in the revision and give the suggestions for the application and popularization of this standard.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 3","pages":"Pages 237-241"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525724000448/pdfft?md5=a0af299eb7a2672bad2f573b9517e6b6&pid=1-s2.0-S1003525724000448-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697183","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
期刊
World Journal of Acupuncture-Moxibustion
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1