A longitudinal study of the reliability of acupuncture deqi sensations in knee osteoarthritis.
A longitudinal study of the reliability of acupuncture deqi sensations in knee osteoarthritis.
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DOI：
10.1155/2013/204259
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Kong J
中科院分区：
文献类型：
--
作者：
Spaeth RB;Camhi S;Hashmi JA;Vangel M;Wasan AD;Edwards RR;Gollub RL;Kong J
得气是针灸理论的核心概念之一，包括一系列感觉。在这项研究中，我们使用MGH针刺感觉量表（MASS）来测量和评估在膝骨关节炎（OA）患者的纵向临床试验中由针刺刺激引起的感觉的可靠性。将膝关节损伤和骨关节炎结局评分（KOOS）用作临床结局。将30例OA患者随机分为3组（高剂量组、低剂量组和假针刺组），治疗4周。我们发现，与假针灸相比，真实的针灸（结合高剂量和低剂量）对膝关节疼痛（P = 0.025）和运动功能（P = 0.049）产生了显着的改善。组内相关性分析表明，患者可靠地评定了MASS上列出的12种针刺感觉中的11种，并且最一致地评定了沉重感。总体感觉（MASS指数）（P = 0.014），疼痛（P = 0.002）和疼痛（P = 0.002）的评分在针灸组之间存在显著差异。与假针灸相比，真实的针灸可靠地诱发了更强的得气感觉，并在慢性疼痛人群中测量时导致更好的临床结果。我们的研究结果强调了MASS作为测量针灸研究中得气的有用工具。
Deqi is one of the core concepts in acupuncture theory and encompasses a range of sensations. In this study, we used the MGH Acupuncture Sensation Scale (MASS) to measure and assess the reliability of the sensations evoked by acupuncture needle stimulation in a longitudinal clinical trial on knee osteoarthritis (OA) patients. The Knee injury and Osteoarthritis Outcome Score (KOOS) was used as the clinical outcome. Thirty OA patients were randomized into one of three groups (high dose, low dose, and sham acupuncture) for 4 weeks. We found that, compared with sham acupuncture, real acupuncture (combining high and low doses) produced significant improvement in knee pain (P = .025) and function in sport (P = .049). Intraclass correlation analysis showed that patients reliably rated 11 of the 12 acupuncture sensations listed on the MASS and that heaviness was rated most consistently. Overall perceived sensation (MASS Index) (P = .014), ratings of soreness (P = .002), and aching (P = .002) differed significantly across acupuncture groups. Compared to sham acupuncture, real acupuncture reliably evoked stronger deqi sensations and led to better clinical outcomes when measured in a chronic pain population. Our findings highlight the MASS as a useful tool for measuring deqi in acupuncture research.
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DOI：
10.1155/2013/427265
发表时间：
2013
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Karner M;Brazkiewicz F;Remppis A;Fischer J;Gerlach O;Stremmel W;Subramanian SV;Greten HJ
通讯作者：
Greten HJ
影响因子：
168.9
作者：
Streitberger, K;Kleinhenz, J
通讯作者：
Kleinhenz, J
影响因子：
5.3
作者：
Kong, J;Gollub, RL;Kaptchuk, TJ
通讯作者：
Kaptchuk, TJ
影响因子：
5.7
作者：
Park, H;Park, J;Lee, H
通讯作者：
Lee, H
影响因子：
4
作者：
Kong, J;Fufa, DT;Gollub, RL
通讯作者：
Gollub, RL