To explore the points selection pattern of acupuncture for sleep apnea syndromes by data mining technique. Methods： Clinical literature about acupuncture therapy for sleep apnea syndromes was derived from China Natio...To explore the points selection pattern of acupuncture for sleep apnea syndromes by data mining technique. Methods： Clinical literature about acupuncture therapy for sleep apnea syndromes was derived from China National Knowledge Infrastructure （CNKI）, Wanfang Academic Journal Full-text Database （Wanfang）, Chongqing VIP Database （CQVIP）, PubMed and Science Direct between the time that databases were created and March 25th,2017. Relevant excel database was established and descriptive studies and association rules were analyzed. Results： The most frequently used point was Lianquan （CV 23） and the most frequently used meridian was the Stomach Meridian. The analysis of association rules showed that the clinical choice of acupuncture points was highly correlated, among which the combination of the highest degree of confidence and the highest degree of support was Shenmen （HT 7） and Sishencong （EX-HN 1）; Lieque （LU 7）, lianquan （CV 23） and Zhaohai （KI 6）. Conclusion： Acupuncture treatment of sleep apnea syndromes has specific selection rules of points, providing certain references for clinical and scientific research.展开更多
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 systematically evaluate the therapeutic efficacy of tuina therapy for primary insomnia. Methods： Nine Chinese and English databases were searched from the inception to May 2017 to identify randomized c...Objective： To systematically evaluate the therapeutic efficacy of tuina therapy for primary insomnia. Methods： Nine Chinese and English databases were searched from the inception to May 2017 to identify randomized controlled trials （RCTs） studying tuina therapy for insomnia. The enrolled articles were all RCTs with tuina as the monotherapy or major therapy in the experiment group, with clear diagnostic criteria for primary insomnia well recognized worldwide or in China, and Pittsburgh sleep quality index （PSQI） as one of the outcome measures. Two researchers evaluated the risk of bias and quality of the enrolled studies by following Cochrane Handbook version 5.1.0. The meta-analysis was performed by RevMan version 5.3. Results： Eleven studies were included with a total of I 076 participants. The Western medication adopted in the control groups were benzodiazepine receptor agonists. The studies were all assessed as high risk of bias for blinding since blinding method was unable to be performed due to the specificity of tuina therapy; no study reported the support of fund or potential interest conflict, so they were all rated unclear for selective reporting. The meta-analysis showed that compared with other traditional Chinese medicine therapies, tuina worked more effectively in reducing the PSQI score （MD=-4.11〈O, 95% confidence interval （CI） -6.01 to -2.22, P〈0.O001）; compared with oral administration of Western medication, tuina showed more significant efficacy in reducing the PSQI score （MD=-3.42〈0, 95%CI -5.19 to -1.66, P〈0.O001）. Subgroup analysis showed that head tuina alone showed no significant difference compared with oral administration of Western medication regarding the change of PSQI score （MD=-4.19〈O, 95%CI -8.87 to 0.50, P〉0.05）; a combination of head and back tuina could more effectively reduce the PSOJ score compared with oral administration of Western medication （MD=-2.08〈O, 95%CI -3.09 to -1.06, P〈0.O001）. Conclusion： Tuina can produce more significant efficacy in treating primary insomnia compared with other traditional Chinese medicine therapies and oral administration of Western medication, especially the combination of head and back tuina.展开更多
基金supported by Hunan Provincial Innovation Foundation for Postgraduate,No.CX2017B427~~
文摘To explore the points selection pattern of acupuncture for sleep apnea syndromes by data mining technique. Methods： Clinical literature about acupuncture therapy for sleep apnea syndromes was derived from China National Knowledge Infrastructure （CNKI）, Wanfang Academic Journal Full-text Database （Wanfang）, Chongqing VIP Database （CQVIP）, PubMed and Science Direct between the time that databases were created and March 25th,2017. Relevant excel database was established and descriptive studies and association rules were analyzed. Results： The most frequently used point was Lianquan （CV 23） and the most frequently used meridian was the Stomach Meridian. The analysis of association rules showed that the clinical choice of acupuncture points was highly correlated, among which the combination of the highest degree of confidence and the highest degree of support was Shenmen （HT 7） and Sishencong （EX-HN 1）; Lieque （LU 7）, lianquan （CV 23） and Zhaohai （KI 6）. Conclusion： Acupuncture treatment of sleep apnea syndromes has specific selection rules of points, providing certain references for clinical and scientific research.
基金Supported by National Students' Program for Innovation and Entrepreneurship Training:201410199052~~
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 systematically evaluate the therapeutic efficacy of tuina therapy for primary insomnia. Methods： Nine Chinese and English databases were searched from the inception to May 2017 to identify randomized controlled trials （RCTs） studying tuina therapy for insomnia. The enrolled articles were all RCTs with tuina as the monotherapy or major therapy in the experiment group, with clear diagnostic criteria for primary insomnia well recognized worldwide or in China, and Pittsburgh sleep quality index （PSQI） as one of the outcome measures. Two researchers evaluated the risk of bias and quality of the enrolled studies by following Cochrane Handbook version 5.1.0. The meta-analysis was performed by RevMan version 5.3. Results： Eleven studies were included with a total of I 076 participants. The Western medication adopted in the control groups were benzodiazepine receptor agonists. The studies were all assessed as high risk of bias for blinding since blinding method was unable to be performed due to the specificity of tuina therapy; no study reported the support of fund or potential interest conflict, so they were all rated unclear for selective reporting. The meta-analysis showed that compared with other traditional Chinese medicine therapies, tuina worked more effectively in reducing the PSQI score （MD=-4.11〈O, 95% confidence interval （CI） -6.01 to -2.22, P〈0.O001）; compared with oral administration of Western medication, tuina showed more significant efficacy in reducing the PSQI score （MD=-3.42〈0, 95%CI -5.19 to -1.66, P〈0.O001）. Subgroup analysis showed that head tuina alone showed no significant difference compared with oral administration of Western medication regarding the change of PSQI score （MD=-4.19〈O, 95%CI -8.87 to 0.50, P〉0.05）; a combination of head and back tuina could more effectively reduce the PSOJ score compared with oral administration of Western medication （MD=-2.08〈O, 95%CI -3.09 to -1.06, P〈0.O001）. Conclusion： Tuina can produce more significant efficacy in treating primary insomnia compared with other traditional Chinese medicine therapies and oral administration of Western medication, especially the combination of head and back tuina.
