Moiraghi Carlo, Poli Paola, Piscitelli Antonio
Department of Acupuncture, Medical Association of Lombard Acupuncture, Medical Doctors, Milan, Italy.
Department of Acupuncture, Acupuncture in the World, Milan, Italy.
Med Acupunct. 2019 Apr 1;31(2):116-122. doi: 10.1089/acu.2018.1329. Epub 2019 Apr 15.
Earthquakes are associated with severe psychiatric disorders, such as anxiety, depression, and post-traumatic stress disorder (PTSD). Current first-line therapies for PTSD have well-known side-effects. Acupuncture is a complementary approach to help patients cope with mental problems after natural disasters and public health events. This article describes an acupuncture intervention conducted by the Lombard Association of Medical Acupuncturists/Acupuncture in the World in the earthquake-stricken area of Amatrice in Central Italy and measures the effect of acupuncture on earthquake-related pain and psychologic symptoms in the victims. The intervention lasted 5 weeks, from September to October 2016. Adult patients with psychologic symptoms and musculoskeletal pain were included. Treatments were performed by experienced medical acupuncturists. A verbal/numerical scale was developed to quantify the effect of intervention. A Wilcoxon rank-sum test was used for comparison of the scores before and after the acupuncture treatment. Of the patients, 68.3% reported having both pain and psychologic symptoms. The most frequently used meridian points were Kidney (13.17%), followed by Large Intestine (12.46%), Spleen (12.04%) and Gall Bladder (10.34%). After 3 treatments performed in daily sessions, 54.05% and 60.6% of patients reported marked improvements in psychologic and pain symptoms, respectively. Statistical analysis showed a significant difference between the scores reported before the first treatment and after the third treatment, both for pain ( = 0.000) and psychologic symptoms ( = 0.000). No serious adverse events were reported. These results suggest that acupuncture could be a useful tool for reducing pain and psychologic symptoms related to earthquakes, but further research is required in this specific area.
地震与严重的精神障碍有关,如焦虑、抑郁和创伤后应激障碍(PTSD)。目前用于治疗创伤后应激障碍的一线疗法有众所周知的副作用。针灸是一种辅助方法,可帮助患者应对自然灾害和公共卫生事件后的心理问题。本文描述了意大利中部阿马特里切地震灾区的伦巴第医学针灸师协会/世界针灸协会实施的一项针灸干预措施,并测量了针灸对地震受害者相关疼痛和心理症状的影响。该干预持续了5周,从2016年9月至10月。纳入了有心理症状和肌肉骨骼疼痛的成年患者。治疗由经验丰富的医学针灸师进行。开发了一种言语/数字量表来量化干预效果。采用Wilcoxon秩和检验比较针灸治疗前后的评分。在患者中,68.3%报告同时有疼痛和心理症状。最常用的经络穴位是肾经(13.17%),其次是大肠经(12.46%)、脾经(12.04%)和胆经(10.34%)。在每天进行3次治疗后,分别有54.05%和60.6%的患者报告心理和疼痛症状有明显改善。统计分析表明,第一次治疗前和第三次治疗后的评分在疼痛(=0.000)和心理症状(=0.000)方面均有显著差异。未报告严重不良事件。这些结果表明,针灸可能是减轻与地震相关的疼痛和心理症状的有用工具,但在这一特定领域还需要进一步研究。