Objective： To evaluate the available evidence from randomized controlled trials （RCTs） of auricular acupressure （AA） therapy for preventing constipation in breast cancer patients undergoing chemotherapy. Methods...Objective： To evaluate the available evidence from randomized controlled trials （RCTs） of auricular acupressure （AA） therapy for preventing constipation in breast cancer patients undergoing chemotherapy. Methods： The following databases were searched from their inception until August 2017： Ovid Medline, Embase, the Cochrane Central Register of Controlled Trials （CENTRAL）, and Allied and Alternative Medieine （AMED）. We also searched four Chinese databases： Chinese BioMedical Database （CBM）, China National Knowledge Infrastructure （CNKI）, WANFANG Data, and Chinese VIP Database. Only the RCTs related to the effects of AA therapy on preventing constipation in breast cancer patients undergoing chemotherapy were included in this study. Quantitative syntheses of data from RCTs were conducted using RevMan 5.3 software. Study selection, data extraction, and validation were performed independently by two authors. Cochrane criteria for risk of bias were used to assess the methodological quality of the trials. Results： Four RCTs met the inclusion criteria, and most were of low methodological quality. Study participants in the AA plus routine care group showed significantly greater improvements in the response rate （risk ratio [RR] = 1.27, 95% confidence interval [CI] [1.14, 1.42], P 〈 0.01） with low heterogeneity （x2=2.31, P =0.31, F = 14%）. In addition, when compared with routine care alone, one RCT suggested favorable statistically significant effects of AA plus routine care on Constipation Assessment Scale （CAS; mean difference [MD] =-5.07, 95% CI [-6.86, -3.28], P 〈 0.01）. Furthermore, when compared with routine care alone, one RCT suggested positive statistically significant effects of AA plus routine care on Patient Assessment of Constipation-Quality of Life （PAC-QOL; MD = -1.26, 95% CI [-1.59, -0.93], P 〈 0.01）. Conclusions： Overall, as a potential safety therapy, only weak evidence can support the hypothesis that AA can effectively prevent constipation in breast cancer patients undergoing chemotherapy.展开更多
As an external treatment technique of traditional Chinese medicine(TCM),auricular point sticking,which is rooted in holographic biology theory and TCM viscera and meridian theory,is a safe and effective treatment meth...As an external treatment technique of traditional Chinese medicine(TCM),auricular point sticking,which is rooted in holographic biology theory and TCM viscera and meridian theory,is a safe and effective treatment method.This article introduces the technology overview and development process.The auricular point sticking technique for constipation is taken as an example to specify the basic requirements,assessment,operational points,acupoint selection and matters needing attention during the implementation of the auricular acupressure technique,providing a reference for the operating procedures of this technique in the clinical treatment of other diseases such as insomnia,diarrhea,colds,hypertension,headache,and dysmenorrhea.展开更多
目的观察针刺联合耳穴贴压治疗骨髓瘤伴失眠的临床疗效及对认知功能、睡眠质量的影响。方法将160例骨髓瘤中重度疼痛合并失眠患者随机分为观察组(89例)与对照组(71例)。对照组采用常规药物治疗,观察组在对照组基础上采用针刺联合耳穴贴...目的观察针刺联合耳穴贴压治疗骨髓瘤伴失眠的临床疗效及对认知功能、睡眠质量的影响。方法将160例骨髓瘤中重度疼痛合并失眠患者随机分为观察组(89例)与对照组(71例)。对照组采用常规药物治疗,观察组在对照组基础上采用针刺联合耳穴贴压治疗。观察两组治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、简易智力状态检查量表(mini-mental state examination,MMSE)、日常生活活动能力(activity of daily living,ADL)量表、视觉模拟量表(visual analog scale,VAS)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)及汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分变化,并比较两组临床疗效及骨髓瘤患者认知功能与睡眠质量的关系。结果观察组总有效率为94.4%,显著高于对照组的80.3%,差异有统计学意义(P<0.05)。治疗后,两组PSQI和VAS评分均下降,且观察组低于对照组,差异均有统计学意义(P<0.05);两组MMSE和ADL评分均上升,且观察组高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组HAMD和HAMA评分均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。骨髓瘤患者认知功能与睡眠质量呈现显著正相关(P<0.05)。结论在常规药物基础上,针刺联合耳穴贴压治疗骨髓瘤伴失眠效果显著,能够有效提升患者睡眠质量及认知水平,改善疼痛及负性情绪。展开更多
目的观察针刺联合耳穴贴压治疗中风后失眠的临床疗效及其对患者脑血管血流速度的影响。方法将80例中风后失眠患者随机分为对照组(40例)和治疗组(40例),对照组口服艾司唑仑治疗,治疗组用针刺联合耳穴贴压治疗。观察治疗前后两组卒中专用...目的观察针刺联合耳穴贴压治疗中风后失眠的临床疗效及其对患者脑血管血流速度的影响。方法将80例中风后失眠患者随机分为对照组(40例)和治疗组(40例),对照组口服艾司唑仑治疗,治疗组用针刺联合耳穴贴压治疗。观察治疗前后两组卒中专用生存质量量表(stroke specific quality of life scale,SS-QOL)、爱泼沃斯嗜睡量表(Epworth sleepiness score,ESS)和匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)的评分变化;比较两组治疗前后睡眠质量相关指标[觉醒时长(wake after sleep onset,WASO)、睡眠潜伏时长(sleep-onset latency,SOL)和睡眠总时长(total sleep time,TST)]、脑血流速度(大脑前动脉、大脑中动脉和大脑后动脉)以及血清氧化应激指标[谷胱甘肽过氧化物酶(glutathione peroxidase,GSH-Px)、丙二醛(malondialdehyde,MDA)和同型半胱氨酸(homocysteine,Hcy)]的水平。比较两组临床疗效和安全性。结果治疗组总有效率为90.0%,高于对照组的72.5%(P<0.05)。与对照组治疗后比较,治疗组治疗后SS-QOL评分和血清GSH-Px水平均升高(P<0.05),ESS和PSQI评分以及血清MDA和Hcy水平均降低(P<0.05),WASO和SOL都缩短(P<0.05),TST延长(P<0.05),大脑前动脉、中动脉和后动脉血流速加快(P<0.05)。治疗组不良反应发生率为2.5%,低于对照组的30.0%(P<0.05)。结论针刺联合耳穴贴压治疗中风后失眠可提高睡眠质量,改善脑血流速度和血清中氧化应激指标。展开更多
文摘Objective： To evaluate the available evidence from randomized controlled trials （RCTs） of auricular acupressure （AA） therapy for preventing constipation in breast cancer patients undergoing chemotherapy. Methods： The following databases were searched from their inception until August 2017： Ovid Medline, Embase, the Cochrane Central Register of Controlled Trials （CENTRAL）, and Allied and Alternative Medieine （AMED）. We also searched four Chinese databases： Chinese BioMedical Database （CBM）, China National Knowledge Infrastructure （CNKI）, WANFANG Data, and Chinese VIP Database. Only the RCTs related to the effects of AA therapy on preventing constipation in breast cancer patients undergoing chemotherapy were included in this study. Quantitative syntheses of data from RCTs were conducted using RevMan 5.3 software. Study selection, data extraction, and validation were performed independently by two authors. Cochrane criteria for risk of bias were used to assess the methodological quality of the trials. Results： Four RCTs met the inclusion criteria, and most were of low methodological quality. Study participants in the AA plus routine care group showed significantly greater improvements in the response rate （risk ratio [RR] = 1.27, 95% confidence interval [CI] [1.14, 1.42], P 〈 0.01） with low heterogeneity （x2=2.31, P =0.31, F = 14%）. In addition, when compared with routine care alone, one RCT suggested favorable statistically significant effects of AA plus routine care on Constipation Assessment Scale （CAS; mean difference [MD] =-5.07, 95% CI [-6.86, -3.28], P 〈 0.01）. Furthermore, when compared with routine care alone, one RCT suggested positive statistically significant effects of AA plus routine care on Patient Assessment of Constipation-Quality of Life （PAC-QOL; MD = -1.26, 95% CI [-1.59, -0.93], P 〈 0.01）. Conclusions： Overall, as a potential safety therapy, only weak evidence can support the hypothesis that AA can effectively prevent constipation in breast cancer patients undergoing chemotherapy.
文摘As an external treatment technique of traditional Chinese medicine(TCM),auricular point sticking,which is rooted in holographic biology theory and TCM viscera and meridian theory,is a safe and effective treatment method.This article introduces the technology overview and development process.The auricular point sticking technique for constipation is taken as an example to specify the basic requirements,assessment,operational points,acupoint selection and matters needing attention during the implementation of the auricular acupressure technique,providing a reference for the operating procedures of this technique in the clinical treatment of other diseases such as insomnia,diarrhea,colds,hypertension,headache,and dysmenorrhea.
文摘目的观察针刺联合耳穴贴压治疗骨髓瘤伴失眠的临床疗效及对认知功能、睡眠质量的影响。方法将160例骨髓瘤中重度疼痛合并失眠患者随机分为观察组(89例)与对照组(71例)。对照组采用常规药物治疗,观察组在对照组基础上采用针刺联合耳穴贴压治疗。观察两组治疗前后匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、简易智力状态检查量表(mini-mental state examination,MMSE)、日常生活活动能力(activity of daily living,ADL)量表、视觉模拟量表(visual analog scale,VAS)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)及汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分变化,并比较两组临床疗效及骨髓瘤患者认知功能与睡眠质量的关系。结果观察组总有效率为94.4%,显著高于对照组的80.3%,差异有统计学意义(P<0.05)。治疗后,两组PSQI和VAS评分均下降,且观察组低于对照组,差异均有统计学意义(P<0.05);两组MMSE和ADL评分均上升,且观察组高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组HAMD和HAMA评分均下降,且观察组低于对照组,差异有统计学意义(P<0.05)。骨髓瘤患者认知功能与睡眠质量呈现显著正相关(P<0.05)。结论在常规药物基础上,针刺联合耳穴贴压治疗骨髓瘤伴失眠效果显著,能够有效提升患者睡眠质量及认知水平,改善疼痛及负性情绪。
文摘目的观察针刺联合耳穴贴压治疗中风后失眠的临床疗效及其对患者脑血管血流速度的影响。方法将80例中风后失眠患者随机分为对照组(40例)和治疗组(40例),对照组口服艾司唑仑治疗,治疗组用针刺联合耳穴贴压治疗。观察治疗前后两组卒中专用生存质量量表(stroke specific quality of life scale,SS-QOL)、爱泼沃斯嗜睡量表(Epworth sleepiness score,ESS)和匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)的评分变化;比较两组治疗前后睡眠质量相关指标[觉醒时长(wake after sleep onset,WASO)、睡眠潜伏时长(sleep-onset latency,SOL)和睡眠总时长(total sleep time,TST)]、脑血流速度(大脑前动脉、大脑中动脉和大脑后动脉)以及血清氧化应激指标[谷胱甘肽过氧化物酶(glutathione peroxidase,GSH-Px)、丙二醛(malondialdehyde,MDA)和同型半胱氨酸(homocysteine,Hcy)]的水平。比较两组临床疗效和安全性。结果治疗组总有效率为90.0%,高于对照组的72.5%(P<0.05)。与对照组治疗后比较,治疗组治疗后SS-QOL评分和血清GSH-Px水平均升高(P<0.05),ESS和PSQI评分以及血清MDA和Hcy水平均降低(P<0.05),WASO和SOL都缩短(P<0.05),TST延长(P<0.05),大脑前动脉、中动脉和后动脉血流速加快(P<0.05)。治疗组不良反应发生率为2.5%,低于对照组的30.0%(P<0.05)。结论针刺联合耳穴贴压治疗中风后失眠可提高睡眠质量,改善脑血流速度和血清中氧化应激指标。
