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Improvement of P ost S troke D ysphagia by I ntermittent T heta B urst S timulation 间歇性T - B - S刺激对P - S卒中D型吞咽障碍的改善作用
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16321477053863
Yuchen Xie, Wen Li, Shan Wang, Ju Yang, Zhengxiong Yang, Qing Wu, Y. Wang
The present study aims to investigate the efficacy ofi ntermittent theta burst stimulation(iTBS) on post stroke dysphagia and its effect on the motor cortical excitability of thesuprahyoid muscle A total of 40 patients with post stroke dysphagia were randomlydivided into the iTBS and the sham stimulation groups, with the conduction of motorcortical iTBS and sham stimulation of the supraglottal muscle on the affected side,respectively . Swallowing function was assessed before (T0), immediately after (T1), andtwo weeks after (T2) cessation of the intervention using the water swallowing test (WST),standard swallowing assessment (SSA), Murray secretion scale (MSS), and PenetrationAspiration Scale ( PAS). The bilateral motor evoked potentials (MEP) of the suprahyoidmuscle were recorded After the intervention, the PAS, WST, SSA, and MSS scores weresignificantly improved in both groups (p < 0.05). The iTBS group showed a greaterchange in the PAS sco re than the sham stimulation group at T1 (p < 0.05) and a greaterchange in the WST and MSS scores at T2 (p < 0.05). The amplitude of the MEP wave ofthe suprahyoid muscle in the affected hemisphere was significantly higher in the iTBSgroup at T1 and in t he healthy hemisphere at T2 (p < 0.05). T he feasibility of applyingiTBS to the affected hemisphere for the treatment of post stroke dysphagia was directlyanalyzed for the first time. ITBS combined with conventional swallowing therapy couldbe adopted as a rehabilitation strategy to improve post stroke dysphagia.
本研究旨在探讨间歇性theta burst刺激(iTBS)对脑卒中后吞咽困难的疗效及其对舌骨上肌运动皮质兴奋性的影响。将40例脑卒中后吞咽困难患者随机分为iTBS组和假刺激组,分别对患侧声门上肌进行运动皮质iTBS和假刺激。采用水吞咽试验(WST)、标准吞咽评估(SSA)、Murray分泌量表(MSS)和渗透吸入量表(PAS)在干预结束前(T0)、干预结束后(T1)和干预结束后两周(T2)评估吞咽功能。记录双侧舌骨上肌运动诱发电位(MEP)。干预后,两组患者PAS、WST、SSA、MSS评分均显著提高(p < 0.05)。iTBS组在T1时PAS评分变化大于假刺激组(p < 0.05),在T2时WST和MSS评分变化大于假刺激组(p < 0.05)。在T1时,itbs组患半球舌骨上肌MEP波幅值显著高于T2时健康半球MEP波幅值(p < 0.05)。首次直接分析了脑卒中后吞咽困难在患脑半球应用itbs治疗的可行性。ITBS联合常规吞咽治疗可作为改善脑卒中后吞咽困难的康复策略。
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引用次数: 1
Acupuncture for Cancer-Related Constipation: A Protocol for Systematic Review and Meta-Analysis 针灸治疗癌症相关便秘:一项系统评价和荟萃分析方案
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16237619666049
Jing-nan Xu, Yupei Chen, Yu Bai, Jie Chen, Li Zhang, Zejun Huo, Tong Liu
Objective: By evaluating the clinical effectiveness and safety, we can better understand the role of acupuncture for cancer-related constipation treatment and provide guidance for clinicians. Methods: We searched some academic databases (PubMed, MEDLINE, EMBASE, the Cochrane Library, Elsevier SD journal, Springer journal, Chinese Biomedicine, China National Knowledge Infrastructure, Chinese Wanfang Data, Chinese VIP Data, etc.). All documents were loaded into Endnote X8 for classification management. After extracting the data, two reviewers assessed the risk bias of each original study using the tool Cochrane manual v.5.1.0. Cochrane Review Manager 5.3 will be used to conduct this meta-analysis. Results: With the data, we can better evaluate the clinical effectiveness and safety of acupuncture for cancer-related constipation treatment. Conclusion: This study aimed to identify the best acupuncture therapy for cancer-related constipation to guide clinicians and patients.
目的:通过临床疗效和安全性评价,更好地了解针灸在癌症相关便秘治疗中的作用,为临床医生提供指导。方法:检索PubMed、MEDLINE、EMBASE、Cochrane图书馆、Elsevier SD期刊、施普林格期刊、中国生物医学、中国国家知识基础设施、中国万方数据、中国VIP数据等学术数据库。所有文档都加载到Endnote X8中进行分类管理。提取数据后,两位审稿人使用Cochrane manual v.5.1.0工具评估每个原始研究的风险偏倚。采用Cochrane Review Manager 5.3进行meta分析。结果:可以更好地评价针刺治疗癌症相关性便秘的临床疗效和安全性。结论:本研究旨在寻找治疗癌症相关性便秘的最佳针灸疗法,以指导临床医生和患者。
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引用次数: 0
Clinical Characteristics and Laboratory Testing of Patients With COVID19: A Retrospective Analysis 新冠肺炎患者临床特征及实验室检测回顾性分析
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16287835103471
Jun Liu, Shu-Rui Li, Haiyun Zhou, Cheng-Dong Hu, Z. Yue, Guang-Bo Lv
Objective: To explore the early warning signs of deterioration of patients with COVID-19. Methods: The data of thirty-six patients who were admitted to Handan Infectious Disease Hospital was collected. The clinical features and laboratory testing were analyzed retrospectively. The initial laboratory testing included blood chemistries, blood routine, D-dimer, coagulation function, etc. The patients were divided into mild/common group and severe/critical group. Results: The lymphocyte count, monocyte count, hemoglobin, and albumin levels in severe/critical group were lower compared with those in mild/common group, while the fibrinogen was higher. The lymphocyte count were positively correlated with hemoglobin, pre-albumin respectively. Conclusion: In conclusion, patients with lower initial prealbumin and hemoglobin level were more likely to progress into severe conditions. Decreased prealbumin and hemoglobin, combined with lymphocyte count and monocyte count, could be the early warning signs of deterioration of patients with COVID-19.
目的:探讨新型冠状病毒肺炎患者病情恶化的早期预警信号。方法:收集邯郸市传染病医院收治的36例患者的资料。回顾性分析其临床特点及实验室检查结果。初步实验室检测包括血化学、血常规、d -二聚体、凝血功能等。患者分为轻/普通组和重/危重组。结果:重症/危重组淋巴细胞计数、单核细胞计数、血红蛋白、白蛋白水平均低于轻症/普通组,纤维蛋白原水平高于轻症/普通组。淋巴细胞计数分别与血红蛋白、前白蛋白呈正相关。结论:初始白蛋白和血红蛋白水平较低的患者更容易发展为重症。前白蛋白和血红蛋白下降,结合淋巴细胞计数和单核细胞计数,可能是COVID-19患者病情恶化的早期预警信号。
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引用次数: 0
Design and Development of Intelligent Home Rehab Device for Post Stroke Therapy with Electro-Hydraulic Interventions 脑卒中后电液干预智能家庭康复装置的设计与开发
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16298112109448
K. Arumugam, L.Ashok Kumar
Today, brain attack disorders are one of the most life-threatening areas in the medical era, which mankind is facing nowadays. Globally, more than 10,000,000 people are subjected to brain attack disorders like hemiplegia and tremor, every year, where two-thirds of them survive. Among the survival community, more than 80 per cent of them are subjected to long-term impairment of their upper extremity. In order to treat the impairment, the survival group is subjected to medications and rehabilitation in order to improve their daily living. But the facilities are very limited in fast-developing countries like India when compared to western standards. The rehabilitation given corresponding with medications during the treatment period in hospitals does not give a complete recovery from disability. People from rural background could not meet their rehabilitation requirements even in the hospital during treatment and also when they are discharged to home after treatment from hospitals due to financial constraints and reachability. In order to motivate the survival group to fulfill their daily living and improve their lifestyle, this paper is focused on intelligent home-based rehabilitation system at low cost, reliability, and affordability. One major movement disorder namely Upper Arm Hemiplegia was taken into account and visited few major hospitals around Coimbatore and Chennai for literature and case study. The facilities available in various hospitals and their drawbacks were analyzed.Acupuncture & Electro-therapeutics Research E-pubBased on the studies conducted at hospitals and taking advice from therapists, an innovative low-cost home-based rehabilitation device using Electro-Hydraulic systems has been developed to support patients who were used to impaired living even after treatments. To support Upper Arm Hemiplegia patients, the devices which were developed and experimented to hold different functionalities are discussed in this paper.
脑梗塞是当今人类面临的医学时代最危及生命的领域之一。在全球范围内,每年有超过1000万人遭受偏瘫和震颤等脑攻击疾病的折磨,其中三分之二的人存活下来。在幸存者群体中,80%以上的人上肢长期受损。为了治疗损伤,生存组接受药物治疗和康复治疗,以改善他们的日常生活。但与西方标准相比,印度等快速发展国家的医疗设施非常有限。在医院治疗期间,通过相应的药物治疗给予的康复并不能使残疾完全康复。农村背景的人即使在医院接受治疗期间也无法满足康复要求,而且在从医院接受治疗后出院回家时也无法满足康复要求,这是由于财政限制和可及性。为了激励生存群体完成他们的日常生活,改善他们的生活方式,本文将重点研究低成本、可靠、可负担的智能家庭康复系统。考虑到一种主要的运动障碍,即上臂偏瘫,并访问了哥印拜陀和金奈周围的几家主要医院进行文献和案例研究。分析了各医院现有的医疗设备及存在的问题。基于在医院进行的研究并听取治疗师的建议,一种使用电液系统的创新的低成本家庭康复设备已经开发出来,以支持即使在治疗后也习惯了受损生活的患者。为了支持上臂偏瘫患者,本文讨论了开发和实验的具有不同功能的装置。
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引用次数: 1
Management of the Pre-hospital Emergency Transport Strategy During the Novel Coronavirus Pneumonia Epidemicin Zhuzhou City, China 新型冠状病毒肺炎疫情期间株洲市院前应急运输策略管理
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16298112109475
Y. Tao, Mingrui Tan, Xin-sheng Zheng, Yin Chen, Jing Zhou, Min Wu, Yi He, Ri-hong Bin
Objective:Summarize the experience of transporting patients in the pre-hospital emergency center of our hospital from January 20, 2020 to May 2020 during the outbreak of novel coronavirus pneumonia in Zhuzhou City, and formulate a series of transport strategies.Methods:During the novel coronavirus pneumonia epidemic, review the relevant experience of the medical staff and drivers in the pre-hospital emergency center of Zhuzhou Central Hospital to improve the procedures for the transfer of patients during the epidemic. Results:As of the time when patients with novel coronavirus pneumonia in our city are cleared, none of the medical staff in the pre-hospital emergency center of Zhuzhou Central Hospital has been infected, and the city’s patients in need of pre-hospital emergency treatment have been treated in an orderly manner. In conjunction with our hospital’s epidemic prevention and control expert team, combined with the actual situation in the region, we jointly formulated a series of transfer procedures for Zhuzhou Central Hospital to comply with the region during the epidemic.Conclusion:During the novel coronavirus pneumonia epidemic, all patients received by the pre-hospital emergency center of our hospital were transferred in a timely and safe manner, and a series of transfer procedures were developed.
目的:总结2020年1月20日至2020年5月株洲市新型冠状病毒肺炎疫情暴发期间,我院院前急救中心运送患者的经验,制定一系列运送策略。方法:回顾株洲市中心医院院前急救中心医护人员和司机在新型冠状病毒肺炎疫情期间的相关经验,完善疫情期间患者转运流程。结果:截至我市新型冠状病毒肺炎患者清场时,株洲中心医院院前急救中心医护人员无一例感染,全市需要院前急救的患者得到有序救治。我们联合我院疫情防控专家组,结合本地区实际情况,共同制定了株洲中心医院在疫情期间遵守本地区的一系列转院程序。结论:新型冠状病毒肺炎疫情期间,我院院前急救中心收治的所有患者均得到了及时、安全的转诊,并制定了一系列转诊流程。
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引用次数: 0
Digitalization and Tele-Health Care Concept of Complementary of Traditional Medical practices by Using BIOCERAMIC Technique 利用生物陶瓷技术补充传统医疗实践的数字化和远程医疗理念
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16304136917618
T. Leung, M. Lin, Shu-Chen Lin
Objective: Tele-health care service of alternative practice for chronic pain disease is worthwhile of developing, especially in the period of COVID-19 pandemic. Targeting on myofascial trigger points, this study was performed to assess the possible short-term pain relief and functional improvement in patients by applying the device of BIOCERAMIC material enhanced by frequencies of tempo sound and visible light spectrum (BioS&L).Methods: Fourteen patients who participated in the procedure for the selection of trigger points for the BioS&L treatment, assessment of pain levels using a visual analog scale (VAS) analysis, and detection of abnormal resonance of 12 harmonic frequencies using a quantum resonance spectrometer (QRS).Results: Comparing the pre-and post-treatment of BioS&L on pain score of 12 HFs(V1-V12) as measured by VAS estimated by mixed model showed 91.7% (11/12) improvement with statistically significant results. The distribution of differences in the QRS score estimated by the mixed model among participants with pre-test QRS level ≥ 2 showed 83.3% (15/16) of HFs with statistically significant results.Conclusion: Treatment of BioS&L at trigger points providing pain relief is explained by the hypothesis of microvascular physiology and physics of wave propagation. This study provides a workshop with a concept of digitalization of complementarity and traditional medical service and tele-health care, which fulfils distant data connection and remote practice. In the period of epidemic spread, it helps to decrease close contact on both health care providers and patients.
目的:在新冠肺炎大流行时期,开展慢性疼痛疾病替代实践的远程医疗服务是值得发展的。本研究以肌筋膜触发点为靶点,通过应用节奏声和可见光光谱(BioS&L)频率增强的BIOCERAMIC材料装置,评估患者可能的短期疼痛缓解和功能改善。方法:14例患者参与了BioS&L治疗触发点的选择,使用视觉模拟量表(VAS)分析评估疼痛水平,并使用量子共振光谱仪(QRS)检测12个谐波频率的异常共振。结果:BioS&L治疗前后对12例HFs(V1-V12)疼痛评分进行比较,混合模型估计VAS评分改善91.7%(11/12),结果有统计学意义。经混合模型估计的QRS评分差异分布在前测QRS水平≥2的受试者中,HFs占83.3%(15/16),结果具有统计学意义。结论:微血管生理学和波传播物理学假说解释了在触发点使用BioS&L治疗疼痛的作用。本研究提出一种互补与传统医疗服务与远程医疗的数位化概念,以实现远端资料连线与远端实务。在疫情传播期间,有助于减少医护人员和患者的密切接触。
{"title":"Digitalization and Tele-Health Care Concept of Complementary of Traditional Medical practices by Using BIOCERAMIC Technique","authors":"T. Leung, M. Lin, Shu-Chen Lin","doi":"10.3727/036012921x16304136917618","DOIUrl":"https://doi.org/10.3727/036012921x16304136917618","url":null,"abstract":"Objective: Tele-health care service of alternative practice for chronic pain disease is worthwhile of developing, especially in the period of COVID-19 pandemic. Targeting on myofascial trigger points, this study was performed to assess the possible short-term pain relief and functional improvement in patients by applying the device of BIOCERAMIC material enhanced by frequencies of tempo sound and visible light spectrum (BioS&L).Methods: Fourteen patients who participated in the procedure for the selection of trigger points for the BioS&L treatment, assessment of pain levels using a visual analog scale (VAS) analysis, and detection of abnormal resonance of 12 harmonic frequencies using a quantum resonance spectrometer (QRS).Results: Comparing the pre-and post-treatment of BioS&L on pain score of 12 HFs(V1-V12) as measured by VAS estimated by mixed model showed 91.7% (11/12) improvement with statistically significant results. The distribution of differences in the QRS score estimated by the mixed model among participants with pre-test QRS level ≥ 2 showed 83.3% (15/16) of HFs with statistically significant results.Conclusion: Treatment of BioS&L at trigger points providing pain relief is explained by the hypothesis of microvascular physiology and physics of wave propagation. This study provides a workshop with a concept of digitalization of complementarity and traditional medical service and tele-health care, which fulfils distant data connection and remote practice. In the period of epidemic spread, it helps to decrease close contact on both health care providers and patients.","PeriodicalId":50881,"journal":{"name":"Acupuncture & Electro-Therapeutics Research","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69699902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes In Serum Leptin And Nesfatin-1 Levels Measured Before And After Acupuncture In Overweight/obese Patients: A Randomized Controlled Trial 超重/肥胖患者针灸前后血清瘦素和Nesfatin-1水平的变化:一项随机对照试验
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16321477053953
Tevhid Aydin, R. Kutlu, H. Alp, I. Kilinç
Obesity has become a global epidemic and public health crisis in our country as well as all over the world.We aimed to investigate the changes in serum leptin and nesfatin-1 levels measured before and after acupuncture in overweight/obese patients. This randomized controlled study was carried out on 90 overweight/obese patients. Participants were divided into three groups: Group 1 (Acupuncture), Group 2 (Diet), and Group 3 (Control). Serum leptin and nesfatin-1 levels were measured before and after the intervention. The 30 days leptin values were significantly decreased in the acupuncture group (p=0.040) while they were significantly increased in the control group (p=0.039). It was detected that the nesfatin-1 values were significantly increased in both acupuncture (p=0.032) and diet groups (p=0.017). Also, body weights significantly decreased both in acupuncture (p=0.032) and diet groups (p<0.001). In the present study, auricular acupuncture was found to be more effective than body acupuncture in reducing body weight. Our results support the effects of acupuncture treatment on appetite hormones. Further research on the mechanisms of endogenous and exogenous actions of the recently discovered hormones leptin and nesfatin-1 isneeded.
肥胖已成为一种全球性的流行病和公共卫生危机,在我国乃至全世界都是如此。我们的目的是研究超重/肥胖患者针灸前后血清瘦素和nesfatin-1水平的变化。本研究对90例超重/肥胖患者进行了随机对照研究。参与者被分为三组:1组(针灸),2组(饮食)和3组(对照组)。测定干预前后血清瘦素和nesfatin-1水平。针刺组30天瘦素值显著降低(p=0.040),对照组30天瘦素值显著升高(p=0.039)。针刺组(p=0.032)和饮食组(p=0.017)的nesfat -1值均显著升高。此外,针灸组(p=0.032)和饮食组(p<0.001)体重均显著降低。在本研究中,耳针在减轻体重方面比体针更有效。我们的研究结果支持针灸治疗对食欲激素的影响。新近发现的激素瘦素和nesfatin-1的内源性和外源性作用机制有待进一步研究。
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引用次数: 0
The Affection of Temporal Factors on Acupuncture for Insomnia after Stroke: A Systematic Review and Meta-Analysis 时间因素对针刺治疗脑卒中后失眠的影响:一项系统回顾和荟萃分析
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16237619666021
Chao-Qin Gou, Ling Guo, Chong Zhang, Lili Xie, Xiao-Xia Li, Li-Han Sun
Objective The aim of this systematic review and meta-analysis was to analyze the affection of temporal factors on acupuncture for insomnia after stroke. Methods Eight databases were searched from inception through September 2019 without language restrictions. Randomized controlled trials (RCTs) were included if pure acupuncture was compared to Western medicine for the treatment of insomnia after stroke. Results Thirty-two studies involving a total of 2347 participants were included. Comparing to Western medicine, the subgroup analysis showed there was no statistical significance among 9-12 am, 3-6 pm, and 2 hours before sleep to start the acupuncture for post-stroke insomnia on improving the effective rate (P=0.66) or the sleep quality (P=0.95). The cumulative meta-analysis showed that with the amount of treatment increased, the confidence interval was narrowed and the accuracy of the effect value was improved gradually. Conclusions The results of this study showed that acupuncture therapy was performed 2 hours before sleep, the insomnia could be improved by calming the mind and inducing the Yang into the Yin based on the theory of midnight-midday ebb flow. The most commonly used needle retention time of 30 minutes was effective in clinical, and with the amount of stimulation increases, the therapeutic effect of acupuncture could be sustained and stable. Since the overall risk of bias was evaluated as unclear, application of these conclusions needs to be cautious.
目的通过系统回顾和荟萃分析,分析颞叶因素对针刺治疗脑卒中后失眠的影响。方法检索自成立以来至2019年9月的8个数据库,无语言限制。将单纯针灸与西医治疗中风后失眠进行比较,纳入随机对照试验(RCTs)。结果纳入32项研究,共2347名受试者。与西医比较,亚组分析显示,上午9-12点、下午3-6点、睡前2小时开始针灸治疗脑卒中后失眠在提高有效率(P=0.66)和睡眠质量(P=0.95)方面均无统计学意义。累积荟萃分析显示,随着治疗量的增加,置信区间逐渐缩小,效应值的准确性逐渐提高。结论在睡前2小时进行针灸治疗,根据午夜-正午潮落理论,可以通过安神引阳入阴来改善失眠。临床上最常用的留针时间为30分钟有效,随着刺激量的增加,针刺的治疗效果可以持续稳定。由于偏倚的总体风险评估为不明确,因此这些结论的应用需要谨慎。
{"title":"The Affection of Temporal Factors on Acupuncture for Insomnia after Stroke: A Systematic Review and Meta-Analysis","authors":"Chao-Qin Gou, Ling Guo, Chong Zhang, Lili Xie, Xiao-Xia Li, Li-Han Sun","doi":"10.3727/036012921x16237619666021","DOIUrl":"https://doi.org/10.3727/036012921x16237619666021","url":null,"abstract":"Objective The aim of this systematic review and meta-analysis was to analyze the affection of temporal factors on acupuncture for insomnia after stroke. Methods Eight databases were searched from inception through September 2019 without language restrictions. Randomized controlled trials (RCTs) were included if pure acupuncture was compared to Western medicine for the treatment of insomnia after stroke. Results Thirty-two studies involving a total of 2347 participants were included. Comparing to Western medicine, the subgroup analysis showed there was no statistical significance among 9-12 am, 3-6 pm, and 2 hours before sleep to start the acupuncture for post-stroke insomnia on improving the effective rate (P=0.66) or the sleep quality (P=0.95). The cumulative meta-analysis showed that with the amount of treatment increased, the confidence interval was narrowed and the accuracy of the effect value was improved gradually. Conclusions The results of this study showed that acupuncture therapy was performed 2 hours before sleep, the insomnia could be improved by calming the mind and inducing the Yang into the Yin based on the theory of midnight-midday ebb flow. The most commonly used needle retention time of 30 minutes was effective in clinical, and with the amount of stimulation increases, the therapeutic effect of acupuncture could be sustained and stable. Since the overall risk of bias was evaluated as unclear, application of these conclusions needs to be cautious.","PeriodicalId":50881,"journal":{"name":"Acupuncture & Electro-Therapeutics Research","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69698446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Acupuncture and NSAID Efficacy in Patients with Chronic Pelvic Pain Using Pain Disability Index and Visual Analogue Scale 用疼痛失能指数和视觉模拟量表比较针刺和非甾体抗炎药治疗慢性盆腔疼痛的疗效
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16237619666102
Raziye Desdicioğlu, D. Öztaş, F. Koroglu, S. Mollahaliloğlu, M. Uğurlu, A. Yavuz
Chronic pelvic pain (CPP) is continuous, noncyclical, and present for more than six months. Nonsteroidal anti-inflammatory drugs (NSAID) are widely used. Complementary medicine is considered when pain treatment is insufficient. There are studies available investigating the effect of acupuncture. In this study, we aimed to compare the effectiveness of acupuncture with NSAIDs. Patients admitted to Ankara Atatürk Research Hospital in a one-year period and diagnosed with CPP were included. Patients with organic pathology were excluded. Acupuncture was applied to 38 patients and 30 patients received NSAIDs according to their choice. Visual Analog Scale (VAS) and Pain Disability Index (PDI) were applied. Pre-treatment PDI in the acupuncture group was 47.15±11.84 and it was 24.95±14.16 after treatment. Pre-treatment VAS score in the acupuncture group was 6.89±1.57 and it was 3.78±1.91 after treatment. Pre-treatment PDI in the NSAID group was 25.7 and it was 15.5 after treatment. VAS in the NSAID group pre-treatment was 4.40±2.44 and it was 2.63±2.20 after treatment. Both of the groups had significant decreases in their scores. The pre-treatment scores in the acupuncture group were higher than the NSAID group. This finding may indicate that patients in the acupuncture group were NSAID resistant. Hence, acupuncture could be a choice for NSAID resistant patients.
慢性盆腔疼痛(CPP)是连续的,非周期性的,并且存在超过6个月。非甾体抗炎药(NSAID)被广泛使用。当疼痛治疗不足时,考虑使用补充药物。有一些研究调查了针灸的效果。在这项研究中,我们的目的是比较针灸与非甾体抗炎药的有效性。纳入了在一年内入住安卡拉atatatrk研究医院并被诊断为CPP的患者。排除器质性病变患者。38例采用针刺治疗,30例采用非甾体抗炎药治疗。采用视觉模拟量表(VAS)和疼痛失能指数(PDI)。针刺组治疗前PDI为47.15±11.84,治疗后PDI为24.95±14.16。针刺组治疗前VAS评分为6.89±1.57,治疗后VAS评分为3.78±1.91。NSAID组治疗前PDI为25.7,治疗后PDI为15.5。NSAID组治疗前VAS为4.40±2.44,治疗后VAS为2.63±2.20。两组的得分都显著下降。针刺组治疗前评分高于非甾体抗炎药组。这一发现可能表明针灸组的患者对非甾体抗炎药有抵抗性。因此,针灸可能是抗甾体抗炎药耐药患者的一种选择。
{"title":"Comparison of Acupuncture and NSAID Efficacy in Patients with Chronic Pelvic Pain Using Pain Disability Index and Visual Analogue Scale","authors":"Raziye Desdicioğlu, D. Öztaş, F. Koroglu, S. Mollahaliloğlu, M. Uğurlu, A. Yavuz","doi":"10.3727/036012921x16237619666102","DOIUrl":"https://doi.org/10.3727/036012921x16237619666102","url":null,"abstract":"Chronic pelvic pain (CPP) is continuous, noncyclical, and present for more than six months. Nonsteroidal anti-inflammatory drugs (NSAID) are widely used. Complementary medicine is considered when pain treatment is insufficient. There are studies available investigating the effect of acupuncture. In this study, we aimed to compare the effectiveness of acupuncture with NSAIDs. Patients admitted to Ankara Atatürk Research Hospital in a one-year period and diagnosed with CPP were included. Patients with organic pathology were excluded. Acupuncture was applied to 38 patients and 30 patients received NSAIDs according to their choice. Visual Analog Scale (VAS) and Pain Disability Index (PDI) were applied. Pre-treatment PDI in the acupuncture group was 47.15±11.84 and it was 24.95±14.16 after treatment. Pre-treatment VAS score in the acupuncture group was 6.89±1.57 and it was 3.78±1.91 after treatment. Pre-treatment PDI in the NSAID group was 25.7 and it was 15.5 after treatment. VAS in the NSAID group pre-treatment was 4.40±2.44 and it was 2.63±2.20 after treatment. Both of the groups had significant decreases in their scores. The pre-treatment scores in the acupuncture group were higher than the NSAID group. This finding may indicate that patients in the acupuncture group were NSAID resistant. Hence, acupuncture could be a choice for NSAID resistant patients.","PeriodicalId":50881,"journal":{"name":"Acupuncture & Electro-Therapeutics Research","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69698837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Electroacupuncture Stimulation at Acupoints of the Heart Meridian on Cognitive Function in Vascular Dementia Patients 电针心经穴刺激对血管性痴呆患者认知功能的影响
IF 0.3 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2021-01-01 DOI: 10.3727/036012921x16273277361786
Jumc Sun, Jianglong Shi, Chunjing Guo, Jinyi Hou, Guanghui Qi, Xueli Heng, Wei-Song Ban, Qian Shi, Zhen Li, Guang-Hui Ji, Jia-Yu Duan
Background: This study aims to investigate the therapeutic effect of electroacupuncture stimulation at acupoints of the heart meridian on vascular dementia (VD). Methods: A total of 120 VD patients were enrolled and randomly divided into two groups: observation group, the patients were treated with electroacupuncture stimulation; control group, the patients were treated with oral medicine. Cognitive function was assessed using the Mini-mental State Examination (MMSE), Activity of Daily Living (ADL) and functional activities questionnaire (FAQ). Results: The total effective rate was 75% in the observation group and 73.33% in the control group, and the difference between these two groups was not statistically significant (P>0.05). After treatment, the MMSE, ADL and FAQ scores in these two groups significantly improved, when compared to scores before treatment (P<0.01). After treatment, the differences in MMSE, ADL and FAQ scores between these two groups were not statistically significant (P>0.05). Conclusion: Electroacupuncture stimulation at acupoints of the heart meridian has a definite effect in improving the cognitive function of VD patients.
背景:本研究旨在探讨电针刺激心经穴对血管性痴呆(VD)的治疗作用。方法:将120例VD患者随机分为两组:观察组患者采用电针刺激治疗;对照组患者给予口服药物治疗。采用简易精神状态检查(MMSE)、日常生活活动(ADL)和功能活动问卷(FAQ)评估认知功能。结果:观察组总有效率为75%,对照组总有效率为73.33%,两组比较差异无统计学意义(P < 0.05)。治疗后,两组患者MMSE、ADL、FAQ评分均较治疗前显著提高(P0.05)。结论:电针刺激心经穴对改善VD患者认知功能有一定的作用。
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引用次数: 0
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