Objective: To explore the therapeutic effects of scalp acupuncture on sleep disorder induced by preexamination anxiety in the undergraduates.Methods: A total of 60 undergraduates with sleep disorder induced by the f...Objective: To explore the therapeutic effects of scalp acupuncture on sleep disorder induced by preexamination anxiety in the undergraduates.Methods: A total of 60 undergraduates with sleep disorder induced by the final examination anxiety were randomized into three groups, named a control group(20 cases), a traditional acupuncture group(20 cases) and a scalp acupuncture group(20 cases). In the control group, no any treatment was given. In the traditional acupuncture group, acupuncture was given at Sìshéncōng(四神聪EX-HN1), bilateral Shénmén(神门HT 7) and bilateral Sānyīnjiāo(三阴交SP 6). The needles were manipulated with the even-needling technique and retained for 30 min. In the scalp acupuncture group, acupuncture was applied to uppermiddle line of occiput(枕上正中线MS 12), middle line of vertex(顶中线MS 5) and middle line of forehead(额中线MS 1). The needles were manipulated with the even-needling technique and retained for 30 min.The treatment was given once a day and 5 treatments made one course. There were 2 days at interval among the courses. The therapeutic effects were analyzed statistically after 4 courses of treatment. Before and after treatment, the Hamilton anxiety scale(HAMA) and the Pittsburgh sleep quality index(PSQI)were adopted to evaluate the conditions of pre-examination anxiety and sleep in the patients.Results: In comparison of PSQI score, compared with those before treatment, the score in the scalp acupuncture group(12.95 ± 1.76 vs 15.95 ± 1.82) and in the traditional acupuncture group(13.75 ± 1.62 vs15.75±1.86) after 1-week of treatment were reduced(both P0.05). Compared with control group, the score in the scalp acupuncture group(12.95 ± 1.76 vs15.78 ± 2.02) and in the traditional acupuncture group(13.75± 1.62 vs 15.78 ± 2.02) were better(both P〈0.05). The difference was not significant between the scalp acupuncture group and the traditional acupuncture group(P0.05). In 2 and 4 weeks of treatment, as well as 1 week after treatment termination, compared with the control group at the same time point, the scores in the scalp acupuncture group(in 2-week treatment: 8.95 ± 1.88 vs 15.94 ± 1.89, in4-week treatment: 5.95 ± 1.05 vs 16.5 ± 1.95, 1 week after treatment termination: 4.7 ± 0.77 vs 9.78 ± 2.10)and the traditional acupuncture group(in 2-week treatment: 11.15 ± 1.31 vs 15.94 ± 1.89, in 4-week treatment: 8.05 ± 0.89 vs 16.5 ±1.95, 1 week after treatment termination: 6.25 ± 0.85 vs 9.78 ±2.10) were all lower(all P0.05) separately. The scores in the scalp acupuncture group were superior to the traditional acupuncture group(all P0.05). In comparison of HAMD score, compared with those before treatment, the score in the scalp acupuncture group(22.4 ± 5.31 vs 25.2 ± 6.18) and in the traditional acupuncture group(22.4 ± 5.31 vs 25 ±5.97) after 1-week of treatment were reduced(both P〈0.05).Compared with control group, the score in the scalp acupuncture group(22.4± 5.31 vs 23.28 ±5.53)and in the traditional acupuncture group(22.4± 5.31 vs 23.28 ±5.53) were better(both P〈0.05). The difference was not significant between the scalp acupuncture group and the traditional acupuncture group(P0.05). In 2 and 4 weeks of treatment, as well as 1 week after treatment termination, compared with the control group at the same time point, the scores in the scalp acupuncture group(in2-week treatment: 18.5 ±4.56 vs 24.22 ± 5.22, in 4-week treatment: 5.8 ±3.52 vs 21.22 ± 6.7,1 week after treatment termination: 4.55 ± 2.72 vs 11.78 ± 9.36) and the traditional acupuncture group(in 2-week treatment: 17.5 ± 4.59 vs 24.22 ± 5.22, in 4-week treatment: 6.95 ± 3.33 vs 21.22 ± 6.7, 1 week after treatment termination: 5.8 ± 2.76 vs 11.78 ± 9.36) were all lower(all P〈0.05) separately. The scores in the scalp acupuncture group were superior to the traditional acupuncture group(all P〈0.05). In 4-week treatment and 1 week after treatment termination, compared with control group, the total effective rates in the traditional acupuncture group(in 4-week treatment: 95% vs 11%, 1 week after treatment termination: 100% vs 83.33%, both P〈0.05) and the scalp acupuncture group(in 4-week treatment: 95% vs 11%, 1 week after treatment termination: 100% vs 83.33%, both P〈0.05) were better and the difference was not significant between the traditional acupuncture group and the scalp acupuncture group(both P0.05).Conclusion: Both scalp acupuncture and traditional acupuncture therapies are effective on sleep disorder induced by pre-examination anxiety in the undergraduates. The scalp acupuncture therapy achieves the better effects on the instant relief of symptoms.展开更多
OBJECTIVE: To assess the impact of massage versus ear acupuncture on behavior and participation in occupational therapy of dementia patients. METHODS: We performed a controlled, randomized longitudinal trial approved ...OBJECTIVE: To assess the impact of massage versus ear acupuncture on behavior and participation in occupational therapy of dementia patients. METHODS: We performed a controlled, randomized longitudinal trial approved by the Bioethics Commission of the University of Extremadura. One hundred twenty elderly subjects with dementia institutionalized in residential homes in Extremadura (Spain) received treatment based on massage and ear acupuncture over three months. Behavior alterations, sleep disturbance, and participation in rehabilitation and eating were assessed every month during the three months of intervention, and at one and two months of follow-up after the end of treatment. The assessment was performed through a structured questionnaire with closed format ques-tions done by an occupational therapist not involved in the study. RESULTS: There was a statistically significant positive effect of massage and ear acupuncture (P< 0.001) on measured variables in the third month of intervention, which were maintained at two months after completing the treatment (P<0.021), when compared to the control group. CONCLUSION: Massage therapy and ear acupuncture can improve behavior and sleep disturbances, and increase the participation in eating and rehabilitation organized in residential homes, in dementia patients.展开更多
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文摘Objective: To explore the therapeutic effects of scalp acupuncture on sleep disorder induced by preexamination anxiety in the undergraduates.Methods: A total of 60 undergraduates with sleep disorder induced by the final examination anxiety were randomized into three groups, named a control group(20 cases), a traditional acupuncture group(20 cases) and a scalp acupuncture group(20 cases). In the control group, no any treatment was given. In the traditional acupuncture group, acupuncture was given at Sìshéncōng(四神聪EX-HN1), bilateral Shénmén(神门HT 7) and bilateral Sānyīnjiāo(三阴交SP 6). The needles were manipulated with the even-needling technique and retained for 30 min. In the scalp acupuncture group, acupuncture was applied to uppermiddle line of occiput(枕上正中线MS 12), middle line of vertex(顶中线MS 5) and middle line of forehead(额中线MS 1). The needles were manipulated with the even-needling technique and retained for 30 min.The treatment was given once a day and 5 treatments made one course. There were 2 days at interval among the courses. The therapeutic effects were analyzed statistically after 4 courses of treatment. Before and after treatment, the Hamilton anxiety scale(HAMA) and the Pittsburgh sleep quality index(PSQI)were adopted to evaluate the conditions of pre-examination anxiety and sleep in the patients.Results: In comparison of PSQI score, compared with those before treatment, the score in the scalp acupuncture group(12.95 ± 1.76 vs 15.95 ± 1.82) and in the traditional acupuncture group(13.75 ± 1.62 vs15.75±1.86) after 1-week of treatment were reduced(both P0.05). Compared with control group, the score in the scalp acupuncture group(12.95 ± 1.76 vs15.78 ± 2.02) and in the traditional acupuncture group(13.75± 1.62 vs 15.78 ± 2.02) were better(both P〈0.05). The difference was not significant between the scalp acupuncture group and the traditional acupuncture group(P0.05). In 2 and 4 weeks of treatment, as well as 1 week after treatment termination, compared with the control group at the same time point, the scores in the scalp acupuncture group(in 2-week treatment: 8.95 ± 1.88 vs 15.94 ± 1.89, in4-week treatment: 5.95 ± 1.05 vs 16.5 ± 1.95, 1 week after treatment termination: 4.7 ± 0.77 vs 9.78 ± 2.10)and the traditional acupuncture group(in 2-week treatment: 11.15 ± 1.31 vs 15.94 ± 1.89, in 4-week treatment: 8.05 ± 0.89 vs 16.5 ±1.95, 1 week after treatment termination: 6.25 ± 0.85 vs 9.78 ±2.10) were all lower(all P0.05) separately. The scores in the scalp acupuncture group were superior to the traditional acupuncture group(all P0.05). In comparison of HAMD score, compared with those before treatment, the score in the scalp acupuncture group(22.4 ± 5.31 vs 25.2 ± 6.18) and in the traditional acupuncture group(22.4 ± 5.31 vs 25 ±5.97) after 1-week of treatment were reduced(both P〈0.05).Compared with control group, the score in the scalp acupuncture group(22.4± 5.31 vs 23.28 ±5.53)and in the traditional acupuncture group(22.4± 5.31 vs 23.28 ±5.53) were better(both P〈0.05). The difference was not significant between the scalp acupuncture group and the traditional acupuncture group(P0.05). In 2 and 4 weeks of treatment, as well as 1 week after treatment termination, compared with the control group at the same time point, the scores in the scalp acupuncture group(in2-week treatment: 18.5 ±4.56 vs 24.22 ± 5.22, in 4-week treatment: 5.8 ±3.52 vs 21.22 ± 6.7,1 week after treatment termination: 4.55 ± 2.72 vs 11.78 ± 9.36) and the traditional acupuncture group(in 2-week treatment: 17.5 ± 4.59 vs 24.22 ± 5.22, in 4-week treatment: 6.95 ± 3.33 vs 21.22 ± 6.7, 1 week after treatment termination: 5.8 ± 2.76 vs 11.78 ± 9.36) were all lower(all P〈0.05) separately. The scores in the scalp acupuncture group were superior to the traditional acupuncture group(all P〈0.05). In 4-week treatment and 1 week after treatment termination, compared with control group, the total effective rates in the traditional acupuncture group(in 4-week treatment: 95% vs 11%, 1 week after treatment termination: 100% vs 83.33%, both P〈0.05) and the scalp acupuncture group(in 4-week treatment: 95% vs 11%, 1 week after treatment termination: 100% vs 83.33%, both P〈0.05) were better and the difference was not significant between the traditional acupuncture group and the scalp acupuncture group(both P0.05).Conclusion: Both scalp acupuncture and traditional acupuncture therapies are effective on sleep disorder induced by pre-examination anxiety in the undergraduates. The scalp acupuncture therapy achieves the better effects on the instant relief of symptoms.
文摘OBJECTIVE: To assess the impact of massage versus ear acupuncture on behavior and participation in occupational therapy of dementia patients. METHODS: We performed a controlled, randomized longitudinal trial approved by the Bioethics Commission of the University of Extremadura. One hundred twenty elderly subjects with dementia institutionalized in residential homes in Extremadura (Spain) received treatment based on massage and ear acupuncture over three months. Behavior alterations, sleep disturbance, and participation in rehabilitation and eating were assessed every month during the three months of intervention, and at one and two months of follow-up after the end of treatment. The assessment was performed through a structured questionnaire with closed format ques-tions done by an occupational therapist not involved in the study. RESULTS: There was a statistically significant positive effect of massage and ear acupuncture (P< 0.001) on measured variables in the third month of intervention, which were maintained at two months after completing the treatment (P<0.021), when compared to the control group. CONCLUSION: Massage therapy and ear acupuncture can improve behavior and sleep disturbances, and increase the participation in eating and rehabilitation organized in residential homes, in dementia patients.