Efficacy of Acupuncture on Pain Severity and Frequency of Calf Cramps in Dialysis Patients: a Randomized Clinical Trial.

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Leila Sadat Mohamadi Jahromi, Maryam Vejdanpak, Rezvan Ghaderpanah, Seyed Hassan Sadrian, Alireza Dabbaghmanesh, Sharareh Roshanzamir, Mohammadhossein Dabbaghmanesh
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Abstract

Background: Patients with chronic kidney disease, as a common disorder, usually necessitate the implementation of hemodialysis. Muscle cramps are one of the most disabling complications affecting their quality of life.

Objectives: We aimed to investigate the efficacy of acupuncture as a safe alternative to the management of pain severity and frequency of calf cramps in dialysis patients compared to a control group.

Methods: Fifty dialysis patients experiencing calf cramps who met the eligibility criteria were randomly allocated to two groups. Group A received routine management, including analgesic consumption, stretching exercises, and nine acupuncture sessions, including acupoints BL57, GV26, CV4, CV6, LV3, KI 1, LU7, LU9, and GB34. Group B underwent sham acupuncture therapy at locations other than the primary acupoints in addition to following the specified routine management. The pain severity was measured using the visual analog scale (VAS), and the daily frequency of calf cramps was evaluated at baseline and one month after treatment completion.

Results: VAS scores and the frequency of calf cramps were improved one month after treatment completion in both groups. However, the improvement was significant in group A (p < 0.001), while it was not statistically significant in group B (p > 0.05). There was also a significant difference between both groups regarding reducing pain and the frequency of calf cramps, which showed the efficacy of acupuncture compared to the control group (p < 0.0001).

Conclusion: Acupuncture can decrease pain and frequency of calf cramps in dialysis patients.

针灸对透析患者疼痛严重程度和小腿抽筋频率的疗效:随机临床试验。
背景:慢性肾脏病是一种常见疾病,患者通常需要进行血液透析。肌肉痉挛是影响其生活质量的最严重并发症之一:我们旨在研究针灸作为一种安全的替代疗法,与对照组相比,对透析患者小腿抽筋的疼痛严重程度和频率的疗效:符合资格标准的 50 名出现小腿抽筋的透析患者被随机分配到两组。A 组接受常规治疗,包括服用镇痛药、伸展运动和九次针灸治疗,包括 BL57、GV26、CV4、CV6、LV3、KI 1、LU7、LU9 和 GB34 等穴位。B 组除了接受规定的常规治疗外,还在主要穴位以外的其他位置进行了假针灸治疗。用视觉模拟量表(VAS)测量疼痛的严重程度,并在基线和治疗结束后一个月评估每天小腿抽筋的频率:结果:治疗结束一个月后,两组的 VAS 评分和小腿抽筋频率都有所改善。但是,A 组的改善效果显著(p < 0.001),而 B 组的改善效果在统计学上不显著(p > 0.05)。两组在减少疼痛和小腿抽筋频率方面也有显著差异,这表明针灸与对照组相比具有疗效(P < 0.0001):结论:针灸可减轻透析患者的疼痛和小腿抽筋频率。
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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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