目的观察电针治疗尼古丁依赖的临床疗效。方法将60例尼古丁依赖者用随机数字表法分为电针组和对照组,每组30例。对照组采用口服酒石酸伐尼克兰片治疗,电针组予电针治疗。分别于治疗前以及治疗第3天、治疗第1周、治疗第2周、治疗第3周、...目的观察电针治疗尼古丁依赖的临床疗效。方法将60例尼古丁依赖者用随机数字表法分为电针组和对照组,每组30例。对照组采用口服酒石酸伐尼克兰片治疗,电针组予电针治疗。分别于治疗前以及治疗第3天、治疗第1周、治疗第2周、治疗第3周、治疗第4周和第16周随访时,观察两组吸烟量、烟草依赖评估量表(fagerstorm test for nicotine dependence,FTND)、吸烟严重度指数(heaviness of smoking index,HSI)、吸烟渴求简短问卷(brief questionnaire of smoking urges,QSU-Brief)和明尼苏达尼古丁戒断症状量表(Minnesota nicotine withdrawal scale,MNWS)评分的变化。结果治疗第4周及第16周随访时,两组吸烟量、FTND、HSI、QSU-Brief和MNWS的评分均较治疗前降低(P<0.05)。治疗第3天以及治疗第1、第2和第3周,电针组吸烟量评分低于对照组(P<0.05);治疗第4周,两组吸烟量评分比较,差异无统计学意义(P>0.05)。治疗第3天以及治疗第1、第2和第3周,电针组QSU-Brief评分低于对照组(P<0.05);治疗第4周及第16周随访时,两组QSU-Brief评分比较,差异无统计学意义(P>0.05)。结论电针可改善尼古丁依赖者的戒断症状,临床疗效优于口服酒石酸伐尼克兰片,电针疗效的累积效应与时间呈正相关。展开更多
Obstructive pulmonary diseases(OPDs)are the leading causes of mortality and disability worldwide.The International Classification of Functioning,Disability and Health(ICF)provides a framework for systemat-ically asses...Obstructive pulmonary diseases(OPDs)are the leading causes of mortality and disability worldwide.The International Classification of Functioning,Disability and Health(ICF)provides a framework for systemat-ically assessing functioning and disability in patients with chronic diseases.To date,the ICF core sets for OPDs have not been validated by respiratory physicians in China’s mainland.This study was aimed at validating the brief ICF core set for OPDs from the perspective of Chinese respiratory physicians.A three-round,consensus-building survey was conducted with Chinese respiratory physicians from Shanghai,Jiangsu,and Zhejiang from December 2 to December 16,2017,using the Delphi technique.Their answers were analyzed for consensus degree.In this study,52 experts(about 67.3%men)with a mean working experience of(19.3±6.3)years completed the consensus process.After 3 rounds,the following 13 ICF categories were considered crucial for the assessment of OPDs,with an agreement of over 70%:4 in body functions(b410-heart functions,b440-respiratory functions,b455-exercise tolerance functions,and b460-sensations associated with cardiovascular and respiratory functions),2 in body structures(s410-structure of cardiovascular system,and s430-structure of respiratory system),4 in activities and participation(d230-carrying out daily routine,d450-walking,d455-moving around,and d640-doing housework),and 3 in environmental factors(e110-products or substances for personal consumption,e225-climate,and e260-air quality).Twelve(70.6%)categories in the current brief ICF core set were validated,and one additional category,b410-heart functions,was added.In conclusion,Chinese respiratory physicians largely supported the current brief ICF core set for OPDs.However,the newly added and unconfirmed categories need further investigation.展开更多
文摘目的观察电针治疗尼古丁依赖的临床疗效。方法将60例尼古丁依赖者用随机数字表法分为电针组和对照组,每组30例。对照组采用口服酒石酸伐尼克兰片治疗,电针组予电针治疗。分别于治疗前以及治疗第3天、治疗第1周、治疗第2周、治疗第3周、治疗第4周和第16周随访时,观察两组吸烟量、烟草依赖评估量表(fagerstorm test for nicotine dependence,FTND)、吸烟严重度指数(heaviness of smoking index,HSI)、吸烟渴求简短问卷(brief questionnaire of smoking urges,QSU-Brief)和明尼苏达尼古丁戒断症状量表(Minnesota nicotine withdrawal scale,MNWS)评分的变化。结果治疗第4周及第16周随访时,两组吸烟量、FTND、HSI、QSU-Brief和MNWS的评分均较治疗前降低(P<0.05)。治疗第3天以及治疗第1、第2和第3周,电针组吸烟量评分低于对照组(P<0.05);治疗第4周,两组吸烟量评分比较,差异无统计学意义(P>0.05)。治疗第3天以及治疗第1、第2和第3周,电针组QSU-Brief评分低于对照组(P<0.05);治疗第4周及第16周随访时,两组QSU-Brief评分比较,差异无统计学意义(P>0.05)。结论电针可改善尼古丁依赖者的戒断症状,临床疗效优于口服酒石酸伐尼克兰片,电针疗效的累积效应与时间呈正相关。
基金the Shanghai Jiao Tong University“Medicine-Engineering Interdisciplinary”Project,and the Project of Shanghai Municipal Commission of Health and Family Planning(No.201740032)。
文摘Obstructive pulmonary diseases(OPDs)are the leading causes of mortality and disability worldwide.The International Classification of Functioning,Disability and Health(ICF)provides a framework for systemat-ically assessing functioning and disability in patients with chronic diseases.To date,the ICF core sets for OPDs have not been validated by respiratory physicians in China’s mainland.This study was aimed at validating the brief ICF core set for OPDs from the perspective of Chinese respiratory physicians.A three-round,consensus-building survey was conducted with Chinese respiratory physicians from Shanghai,Jiangsu,and Zhejiang from December 2 to December 16,2017,using the Delphi technique.Their answers were analyzed for consensus degree.In this study,52 experts(about 67.3%men)with a mean working experience of(19.3±6.3)years completed the consensus process.After 3 rounds,the following 13 ICF categories were considered crucial for the assessment of OPDs,with an agreement of over 70%:4 in body functions(b410-heart functions,b440-respiratory functions,b455-exercise tolerance functions,and b460-sensations associated with cardiovascular and respiratory functions),2 in body structures(s410-structure of cardiovascular system,and s430-structure of respiratory system),4 in activities and participation(d230-carrying out daily routine,d450-walking,d455-moving around,and d640-doing housework),and 3 in environmental factors(e110-products or substances for personal consumption,e225-climate,and e260-air quality).Twelve(70.6%)categories in the current brief ICF core set were validated,and one additional category,b410-heart functions,was added.In conclusion,Chinese respiratory physicians largely supported the current brief ICF core set for OPDs.However,the newly added and unconfirmed categories need further investigation.
