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针灸作为帕金森病睡眠障碍的辅助治疗方法。

Acupuncture as Adjuvant Therapy for Sleep Disorders in Parkinson's Disease.

作者信息

Aroxa Fábio Henrique de Amorim, Gondim Ihana Thaís Guerra de Oliveira, Santos Elba Lúcia Wanderley, Coriolano Maria das Graças Wanderley de Sales, Asano Amdore Guescel C, Asano Nadja Maria Jorge

机构信息

Academic of Medicine graduation of Federal University of Pernambuco - Recife, Pernambuco (PE), Brazil.

Pro-Parkinson Program of Clinical Hospital of Federal University of Pernambuco - Recife (PE), Brazil.

出版信息

J Acupunct Meridian Stud. 2017 Jan;10(1):33-38. doi: 10.1016/j.jams.2016.12.007. Epub 2017 Jan 11.

DOI:10.1016/j.jams.2016.12.007
PMID:28254099
Abstract

There are few studies which attest the efficacy of acupuncture on treatment of sleep disturbs in Parkinson disease. The aimed of this randomized clinical trial was to evaluate the effects of acupuncture on sleep disturbs of 22 patients with diagnosis of idiopathic Parkinson disease (Hoehn-Yahr 1 to 3) who have assistance on the Pro-Parkinson Program of Clinical Hospital at Federal University of Pernambuco in Brazil. All participants were evaluated by Parkinson Disease Sleep Scale (PDSS) before and after 8 weeks. The experimental group was submitted to 8 sections (once a week) which had duration of 30 minutes. The control group had no intervention. The intervention was executed using the acupuncture points LR3 (Taichong), SP6 (Sanyinjiao), LI4 (Hegu), TE5 (Wai-Guan), HT7 (Shenmen), PC6 (Neiguan), LI11 (Quchi), GB20 (Fengchi). Paired analyses were obtained by Wilcoxon test and independent analyses were made according to Mann-Whitney test. This study presented a potential therapeutic benefit of acupuncture on sleep disturbs of Parkinson's disease patients. This study showed a possible therapeutic benefit through acupuncture in sleep disorders in patients with PD. However, we propose new studies related to the effects of acupuncture on the clinical symptoms and evolution of the disease.

摘要

很少有研究证实针刺疗法对帕金森病睡眠障碍的治疗效果。这项随机临床试验的目的是评估针刺疗法对22名被诊断为特发性帕金森病(霍恩-雅尔分级1至3级)患者睡眠障碍的影响,这些患者在巴西伯南布哥联邦大学临床医院的帕金森病支持项目中接受治疗。所有参与者在8周前后均通过帕金森病睡眠量表(PDSS)进行评估。实验组接受8次针刺治疗(每周1次),每次持续30分钟。对照组未接受干预。针刺穴位选用足厥阴肝经的太冲(LR3)、足太阴脾经的三阴交(SP6)、手阳明大肠经的合谷(LI4)、手少阳三焦经的外关(TE5)、手少阴心经的神门(HT7)、手厥阴心包经的内关(PC6)、手阳明大肠经的曲池(LI11)、足少阳胆经的风池(GB20)。配对分析采用威尔科克森检验,独立分析采用曼-惠特尼检验。本研究表明针刺疗法对帕金森病患者的睡眠障碍具有潜在治疗益处。本研究显示针刺疗法对帕金森病患者的睡眠障碍可能具有治疗益处。然而,我们建议开展有关针刺疗法对该疾病临床症状及病情进展影响的新研究。

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