Effects of stimulating single acupoint and combination acupoints on diabetic gastroparesis: A randomised controlled trial study

IF 3.3 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE
Renming Liu , Min He , Xuewei Zhao , Mengmeng Sun , Jiazhen Cao , Xinyue Wang , Xingbang Wang , Shuming Zhao , Fuchun Wang , Tie Li
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Abstract

Background and aim

The most effective among the acupoints remains to be determined for treating diabetic gastroparesis (DGP). This study aimed to compare single and combination acupoints for their effectiveness in DGP.

Experimental procedure

A prospective, patient-assessor-blinded randomised controlled trial was designed to compare the efficacy of 8-week acupuncture at a single acupoint (Zhongwan, CV-12), combination acupoints (Zhongwan, CV-12 and Zusanli, ST-36), and a sham-acupoint, in 99 adults with DGP. The primary clinical outcome was measured using the Gastroparesis Cardinal Symptom Index (GCSI), while barium meal examination, fasting plasma glucose, the 2-h plasma glucose, short-form health survey (SF-36), and GCSI subscales were performed for evaluating secondary clinical outcomes. These results were analysed by two factorial analysis of variance (ANOVA) test, Chi-Square, Fisher Exact, Kruskal–Wallis tests and Tukey's Honest Significant Difference (HSD) test.

Results

After randomization, 97 patients completed the study. GCSI scores of all groups decreased during both post-treatment and the follow-up period, they were statistically significant compared to the baseline period (p < 0.01), but there was no significant difference among the groups (p > 0.05) during the post-treatment period. GCSI scores improved more in the combination acupoints group than in the single acupoint group which was better than the sham group after treatment. During the follow-up period, the same trend was observed.

Conclusions

Among patients with DGP, the combination acupoints were more beneficial compared with single and sham acupoints.

Trial registration number

NCT02452489.

Abstract Image

刺激单个穴位和组合穴位对糖尿病胃痉挛的影响:随机对照试验研究
背景和目的治疗糖尿病胃轻瘫(DGP)最有效的穴位仍有待确定。本研究旨在比较单个穴位和组合穴位对 DGP 的疗效。实验过程 本研究设计了一项前瞻性、患者评估者盲法随机对照试验,比较在单个穴位(中脘、CV-12)、组合穴位(中脘、CV-12 和足三里、ST-36)和假穴位针刺 8 周对 99 名成人 DGP 患者的疗效。主要临床结果采用胃轻瘫症状指数(GCSI)进行测量,次要临床结果则采用钡餐检查、空腹血浆葡萄糖、2 小时血浆葡萄糖、短式健康调查(SF-36)和 GCSI 分量表进行评估。这些结果通过两个因子方差分析(ANOVA)检验、Chi-Square、Fisher Exact、Kruskal-Wallis 检验和 Tukey's Honest Significant Difference (HSD) 检验进行分析。各组的 GCSI 评分在治疗后和随访期间均有所下降,与基线期相比有统计学意义(P < 0.01),但在治疗后期间各组间无显著差异(P > 0.05)。治疗后,联合穴位组的 GCSI 评分改善程度高于单一穴位组,而单一穴位组又优于假穴位组。结论在DGP患者中,联合穴位与单一穴位和假穴位相比更有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Traditional and Complementary Medicine
Journal of Traditional and Complementary Medicine Medicine-Complementary and Alternative Medicine
CiteScore
9.30
自引率
6.70%
发文量
78
审稿时长
66 days
期刊介绍: eJTCM is committed to publish research providing the biological and clinical grounds for using Traditional and Complementary Medical treatments as well as studies that demonstrate the pathophysiological and molecular/biochemical bases supporting the effectiveness of such treatments. Review articles are by invitation only. eJTCM is receiving an increasing amount of submission, and we need to adopt more stringent criteria to select the articles that can be considered for peer review. Note that eJTCM is striving to increase the quality and medical relevance of the publications.
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