Complementary therapies in medicine最新文献

{"title":"Impact of virtual reality with or without hypnosis before oocyte retrieval: A randomised study","authors":"Céline Pirard ,&nbsp;Pascale Laurent ,&nbsp;Christine Wyns ,&nbsp;Maria-Grazia Giudice ,&nbsp;Christine Watremez ,&nbsp;Mona Momeni ,&nbsp;Fabienne Roelants","doi":"10.1016/j.ctim.2024.103125","DOIUrl":"10.1016/j.ctim.2024.103125","url":null,"abstract":"<div><h3>Objective of the study</h3><div>Anxiety can affect pregnancy rate following an in-vitro-fertilisation procedure. Hypnosis reduces emotional distress associated with medical procedures. Virtual reality (VR) is an immersive 3D experience, created using a visual headset and headphones. The goal of this study was to evaluate the effect of VR session with and without hypnosis before sedation for oocyte retrieval (OR) on anxiety levels and on pregnancy rate.</div></div><div><h3>Methods</h3><div>After written informed consent, 342 women scheduled for OR under sedation were randomised in this double-blinded study (NCT03064061). A Visual Analogue Scale for anxiety (VAS) and a Spielberger State-Trait Anxiety Inventory (STAI) questionnaire before (baseline) and after VR session, and at hospital discharge were administered. VRD Group (n = 178) received a VR session (goal of distraction) and VRH group (n = 164) received the same VR session with hypnosis focused on slowing respiratory rhythm and suggestions of reusing the technique later as needed (AQUA Oncomfort/HypnoVR ™). The primary endpoint was ongoing pregnancy at 12 weeks. Mann Whitney, Wilcoxon signed rank test and Chi-square tests were used; p value &lt; 0.05 considered significant.</div></div><div><h3>Results</h3><div>Although anxiety scores decreased from baseline in both VRD and VRH groups (p &lt; 0.001 baseline vs post VR session and baseline vs hospital discharge), there was no difference between them. Nor was there a difference in pregnancy rate (18,6 % VRD group vs 22,5 % VRH group).</div></div><div><h3>Conclusion</h3><div>Although both VRD and VRH sessions before sedation for OR significantly reduced women's anxiety, the type of suggestions used during the hypnosis VR session did not influence the pregnancy rate.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103125"},"PeriodicalIF":3.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142929972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the topical application of sesame oil (Sesamum indicum L.) combined with standard care valuable and safe for managing infusion-related phlebitis: Evidence from a systematic review with meta-analysis of randomized controlled trials","authors":"Morteza Nasiri ,&nbsp;Leila Amirmohseni ,&nbsp;Mohammad Farzollah Abbasi ,&nbsp;Fatemeh Yarahmadi ,&nbsp;Sahar Zonoori ,&nbsp;Mahya Torkaman ,&nbsp;Elham Sadeghi Moghimi ,&nbsp;Mehrnaz Ardaneh ,&nbsp;Masoomeh Asadi","doi":"10.1016/j.ctim.2024.103122","DOIUrl":"10.1016/j.ctim.2024.103122","url":null,"abstract":"<div><h3>Objectives</h3><div>Recent randomized controlled trials (RCTs) have studied the potential effect of the topical use of sesame oil (SO), obtained from the sesame plant seeds (<em>Sesamum indicum L.</em>, Pedaliaceae family), in preventing or alleviating the symptoms of infusion-related phlebitis (IRP); nevertheless, their data are inconsistent. Thus, this review sought to qualitatively and quantitatively synthesize data from all available RCTs concerning the effect of the topical administration of SO on managing IRP.</div></div><div><h3>Methods</h3><div>The online databases were searched up to July 13, 2024. Studies were eligible if they compared administering standard care plus topical SO to applying an alternative modality and/or standard care. The Cochrane risk-of-bias tool and GRADE framework were employed to appraise the quality of the evidence.</div></div><div><h3>Results</h3><div>Eight studies of 755 records in the initial search met the inclusion criteria, which investigated inpatients and/or outpatients with chemotherapy-induced phlebitis (n = 6) and amiodarone-induced phlebitis (n = 2). According to the quantitative analysis, adults who had received coadministration of standard care and topical SO on the infusion site were significantly less affected by IRP than those who had received a control condition (effect sizes= 5, risk ratio= 0.54; 95 % confidence interval[0.32, 0.92]; <em>P</em> = 0.025). Also, based on the qualitative syntheses, SO can potentially prevent the formation of advanced stages of IRP, delay the appearance of IRP symptoms, and reduce IRP-induced pain severity.</div></div><div><h3>Conclusion</h3><div>Topical SO had a favorable effect on caring for adults with IRP. However, uncertainty remains because the evidence quality was moderate, some RCTs needed better methodological rigor, and most required to address the safety of the intervention or independent verification of SO used in terms of purity and potency. Thus, to build a valid conclusion about the efficacy and safety of SO in managing IRP, more high-quality RCTs must be conducted considering an active placebo control intervention along with a well-designed randomization and blinding approach, as well as a better description of safety parameters and the quality control information of the SO used.</div></div><div><h3>PROSPERO Registration Number</h3><div>CRD42024542497</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103122"},"PeriodicalIF":3.3,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142914038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of auriculotherapy on anxiety-fatigue and sleep disturbances in cancer patients: A scoping review","authors":"Silmara de Oliveira Silva ,&nbsp;Vinicius dos Santos Lemos Pereira ,&nbsp;Mariane Elivânia Silva ,&nbsp;Jucielly Ferreira da Fonseca ,&nbsp;Maria Carolina Batista da Silva ,&nbsp;Roberta Paolli de Paiva Oliveira Arruda Camara ,&nbsp;Rodrigo Assis Neves Dantas ,&nbsp;Daniele Vieira Dantas","doi":"10.1016/j.ctim.2024.103121","DOIUrl":"10.1016/j.ctim.2024.103121","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to map the scientific literature on the effects of auriculotherapy in the treatment of anxiety-fatigue and sleep disturbances in cancer patients, highlighting the main application protocols.</div></div><div><h3>Method</h3><div>A scoping review was conducted following the PRISMA-ScR guidelines and the Joanna Briggs Institute methodology. The search was conducted in twelve data sources by two independent researchers. Publications were included if they were available in full text, with no language or time restrictions. Data were analyzed descriptively, with tables and statistics reporting absolute and relative frequencies.</div></div><div><h3>Results</h3><div>The final sample included 16 studies with a total of 669 cancer patients. Of these, 11 were randomized controlled trials published between 2015 and 2022, with a notable concentration in 2019 and 2021. Asian countries were highly represented (62,5 %), followed by Latin America (12,5 %). Breast cancer was the most common tumor type, accounting for 68,75 %. The primary auricular points used were shenmen, followed by heart, subcortex, kidney, and sympathetic. The duration of the protocols ranged from three to eight weeks. The most commonly used materials were needles, seeds, magnetic pellets, and crystal balls.</div></div><div><h3>Conclusions</h3><div>The results of this review highlight the effects of auriculotherapy in the management of anxiety-fatigue and sleep disturbance in cancer patients, demonstrating symptom improvement and benefits that outweigh the minor side effects associated with the procedure.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103121"},"PeriodicalIF":3.3,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can exercise as a complementary technique manage inflammatory markers in women with breast cancer who are overweight and obese? A systematic review and meta-analysis","authors":"Liang Tan ,&nbsp;Jinyu Mei ,&nbsp;Ruihong Tang ,&nbsp;Duo Huang ,&nbsp;Kai Qi ,&nbsp;Zbigniew Ossowski ,&nbsp;Xiaoning Wang","doi":"10.1016/j.ctim.2024.103119","DOIUrl":"10.1016/j.ctim.2024.103119","url":null,"abstract":"<div><h3>Background</h3><div>Inflammation can result in the development of breast cancer in women with overweight and obese, and also affects the outcome and prognosis of breast cancer patients, thereby decreasing the cure and survival rates of breast cancer patients. Exercise may benefit breast cancer patients as a supplement to conventional treatments. However, research on the effects of exercise on inflammatory markers in women with breast cancer who are overweight and obese remains incomplete.</div></div><div><h3>Objective</h3><div>A systematic review and meta-analysis were used to study the effects of exercise on inflammatory markers in women with breast cancer who are overweight and obese.</div></div><div><h3>Method</h3><div>Literature up to May 2024 was searched from databases such as Cochrane, Embase, Pubmed, Web of Science, and EBSCO, and English-language randomized controlled trials (RCTs) that met the inclusion criteria were screened. The screening criteria were as follows (A) written in English; (B) RCT; (C) studied in women with overweight obese and breast cancer; (D) outcome measures: inflammatory markers; (E) the duration of the exercise intervention was unlimited.</div></div><div><h3>Results</h3><div>A total of 14 articles and 1064 participants were included. Exercise significantly reduced C-reactive protein (CRP) (MD: −0.52, 95 % CI: −0.94 to −0.11; p = 0.01; heterogeneity p &lt; 0.1), interleukin-6 (IL-6) (MD: −0.87, 95 % CI: −1.62 to −0.11; p = 0.02; heterogeneity p &lt; 0.1), and leptin (MD: −0.92, 95 % CI: −1.71 to −0.13; p = 0.02; heterogeneity p &lt; 0.1) levels and exercise significantly increased adiponectin levels (MD: 0.89, 95 % CI: 0.03–1.75, p = 0.04; heterogeneity p &lt; 0.1) but had no effect on tumor necrosis factor-α (TNF-α) (MD: −0.26, 95 % CI: −0.82–0.29; p = 0.35; heterogeneity p &lt; 0.1) and IL-10 (MD: 0.14, 95 % CI: −0.17–0.45; p = 0.37; heterogeneity p = 0.45) were not significant. In addition, subgroup analyses suggest that combination training (CE) may be the most recommended type of exercise to decrease pro-inflammatory markers, and increase anti-inflammatory markers in women with overweight obesity, and have breast cancer.</div></div><div><h3>Conclusion</h3><div>Exercise significantly reduced CRP, IL-6, and leptin levels and overall increased adiponectin levels in women with overweight obese, and breast cancer. However, the effects on TNF-α and IL-10 levels were not significant. CE may be the most recommended type of exercise for reducing pro-inflammatory factors and increasing anti-inflammatory factors. Therefore, this study considers exercise as an effective complementary approach to managing inflammatory markers in women with breast cancer who are overweight and obese. Future researchers may consider exploring the combined effects of exercise and dietary control, weight loss, and other factors, and formulate a comprehensive treatment plan accordingly.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103119"},"PeriodicalIF":3.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Discovery of the microbiota-gut-brain axis mechanisms of acupuncture for amnestic mild cognitive impairment based on multi-omics analyses: A pilot study","authors":"Zi-Han Yin ,&nbsp;Qiong-Nan Bao ,&nbsp;Ya-Qin Li ,&nbsp;Yi-Wei Liu ,&nbsp;Zi-Qi Wang ,&nbsp;Fang Ye ,&nbsp;Xia He ,&nbsp;Xin-Yue Zhang ,&nbsp;Wan-Qi Zhong ,&nbsp;Ke-Xin Wu ,&nbsp;Jin Yao ,&nbsp;Zi-Wen Chen ,&nbsp;Ling Zhao ,&nbsp;Fan-Rong Liang","doi":"10.1016/j.ctim.2024.103118","DOIUrl":"10.1016/j.ctim.2024.103118","url":null,"abstract":"<div><h3>Objectives</h3><div>Acupuncture is a promising therapy for amnestic mild cognitive impairment (aMCI). Growing evidence suggest that alterations in the microbiota-gut-brain (MGB) axis contribute to the development and progression of aMCI. However, little is known about whether and how acupuncture change the MGB axis of aMCI individuals.</div></div><div><h3>Methods</h3><div>This was a randomized, controlled, clinical trial. Forty patients with aMCI were randomly allocated to either the acupuncture group or the waitlist group. The primary outcome was the change in the Alzheimer’s Disease Assessment Scale-Cognitive Scale (ADAS-Cog) score. In addition, multi-omics was performed to detect changes in brain function, gut microbiota, and serum metabolites. Generalized estimating equations were used to estimate the outcomes, and correlational analyses were performed to explore the relationships between the clinical and multi-omics data.</div></div><div><h3>Results</h3><div>Compared to a mean baseline to week 12 change of –3.94 in the acupuncture group, the mean change in the waitlist group was 1.72 (net difference, –5.66 [95 % CI, –6.98 to –4.35]). Compared to the waitlist group, acupuncture’s MGB axis modulatory effect exhibited altered the regional homogeneity values of Frontal_Med_Orb_L, Cingulum_Mid_L, and Frontal_Sup_Medial_L, relative abundance of gut Ruminococcus_sp_AF43_11 and s_Eubacterium_coprostanoligenes, and levels of serum (11<em>E</em>,15<em>Z</em>)-9,10,13-trihydroxyoctadeca-11,15-dienoic acid, dipropylene glycol dimethyl ether, N6-Me-dA, and DPK, which correlated with changes in ADAS-Cog scores.</div></div><div><h3>Conclusions</h3><div>Our data imply that acupuncture ameliorates overall cognitive function, along with changes in brain activity, gut microbiota, and serum metabolites, providing preliminary evidence of the mechanisms acting through the MGB axis underlying the effects of acupuncture on aMCI.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103118"},"PeriodicalIF":3.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Tuina for the treatment of functional dyspepsia: A systematic review and meta-analysis of randomized controlled trials","authors":"Na-Yeon Ha ,&nbsp;Chang-Yul Keum ,&nbsp;Jinsung Kim","doi":"10.1016/j.ctim.2024.103117","DOIUrl":"10.1016/j.ctim.2024.103117","url":null,"abstract":"<div><h3>Background</h3><div>Functional dyspepsia (FD) is the most prevalent pediatric gastrointestinal disorder, imposing a significant burden on healthcare services and often persisting into adulthood. Tuina, a traditional manual therapy, is frequently employed in the treatment of FD. This study aimed to systematically evaluate the efficacy and safety of Tuina in treating FD in children.</div></div><div><h3>Methods</h3><div>A comprehensive search of 11 databases was conducted for randomized controlled trials (RCTs) published up to June 2022. Two independent reviewers screened the literature, extracted data, assessed the methodological quality of the RCTs using the Cochrane risk-of-bias tool, and performed meta-analysis using Review Manager software to quantify Tuina’s efficacy.</div></div><div><h3>Results</h3><div>The review covered ten RCTs with 1336 children. Tuina, alone or with conventional therapy (CT), significantly improved efficacy rates over CT alone (relative risk (RR) = 1.16, 95 % confidence interval (CI) [1.11, 1.21], <em>p</em> &lt; 0.00001). The combined Tuina group demonstrated significantly lower overall dyspeptic symptom scores (standard mean difference (SMD) = -1.18, 95 % CI [-1.46, −0.91], <em>p</em> &lt; 0.00001) and shorter times to resolution of primary symptoms, including abdominal distension (mean difference (MD) = -2.08, 95 % CI [-2.35, −1.81], <em>p</em> &lt; 0.00001), abdominal pain (MD = −1.54, 95 % CI [-1.92, −1.17], <em>p</em> &lt; 0.00001), belching (MD = −1.11, 95 % CI [-1.44, −0.77], <em>p</em> &lt; 0.00001), and anorexia (MD = −1.37, 95 % CI [-1.67, −1.07], <em>p</em> &lt; 0.00001). Additionally, the recurrence rate following treatment was significantly lower (RR = 0.32, 95 % CI [0.14, 0.72], <em>p</em> = 0.006). The levels of serum motilin (MD = 22.93, 95 % CI [13.56, 32.30], <em>p</em> &lt; 0.00001) and urinary excretion of D-xylose (MD = 3.11, 95 % CI [0.31, 5.92], <em>p</em> = 0.03) were also elevated. There were no significant differences between the combined Tuina and CT groups regarding the four individual dyspeptic symptoms or neuropeptide Y levels. No adverse events were reported in the Tuina group.</div></div><div><h3>Conclusion</h3><div>This systematic review collectively suggest that Tuina effectively and safely improves clinical symptoms in children with FD. However, addressing identified methodological weaknesses is crucial for future studies to ensure robust evidence.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103117"},"PeriodicalIF":3.3,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical evidence of acupuncture for amnestic mild cognitive impairment: A systematic review and meta-analysis of randomized controlled trials","authors":"Guangyao Lin ,&nbsp;Stella Lim Jin Yie ,&nbsp;Shanshan Guo,&nbsp;Xuanling Li,&nbsp;Lianwei Xu","doi":"10.1016/j.ctim.2024.103114","DOIUrl":"10.1016/j.ctim.2024.103114","url":null,"abstract":"<div><h3>Background</h3><div>People with amnestic mild cognitive impairment (aMCI) carry a substantial risk of developing dementia compared to non-amnestic MCI (naMCI). Several previous studies proved the remarkable effectiveness of acupuncture for MCI, but they didn't distinguish between aMCI and naMCI. We conducted this meta-analysis to systematically assess the evidence of the efficacy of acupuncture in this unique population with aMCI.</div></div><div><h3>Methods</h3><div>We comprehensively searched nine databases on January 09, 2024, to identify relevant articles estimating the effects of acupuncture for aMCI, and then assessed the risk of bias of the included trials utilizing the RoB 2.0 tool which included the domain of randomization process, deviation from intended interventions, missing outcome data, measurement of the outcome, selection of the reported outcome, and overall bias. The results of this meta-analysis were exhibited with forest plots. Sensitivity analyses were conducted to determine the robustness of the pooled results, and publication bias was estimated by Egger's and Begg's tests. Besides, we also performed subgroup analysis to determine whether there was a difference in therapeutic effects between four weeks and eight weeks of treatment duration. The certainty of the evidence was graded using GRADEpro GDT.</div></div><div><h3>Results</h3><div>A total of 15 randomized controlled trials (RCTs) involving 908 people with aMCI were included in this study. According to the meta-analysis, acupuncture treatment provided a remarkable improvement in cognitive function as assessed by Mini-Mental State Examination (MD = 1.09, 95 %CI [0.86, 1.31], <em>p</em> &lt; 0.00001), Montreal Cognitive Assessment (MD = 0.93, 95 %CI [0.80, 1.07], <em>p</em> &lt; 0.00001), Alzheimer's Disease Assessment Scale-Cognitive (MD = 1.00, 95 %CI [-1.23, −0.77], <em>p</em> &lt; 0.00001), and P300 latency (MD = −15.40, 95 %CI [-23.68, −7.12], <em>p</em> = 0.0003). Subgroup analysis showed evidence that the efficacy of four weeks of acupuncture treatment was consistent with that of eight weeks. Sensitivity analyses, Egger's and Begg's tests suggested the pooled results were robust and reliable. The overall quality of the evidence, as appraised by the GRADE criteria, was very low or low for all outcomes.</div></div><div><h3>Conclusions</h3><div>The evidence from 15 RCTs demonstrated that acupuncture interventions are effective in ameliorating cognitive function in people with aMCI. There is a need for larger-scale multicenter RCTs using standardised training protocols and more rigorous designs to confirm the conclusions further.</div></div><div><h3>Registration</h3><div>This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO). The registration number is CRD42023460470.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103114"},"PeriodicalIF":3.3,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of acupuncture on glycolipid metabolism in patients with coronary heart disease: A systematic review and meta-analysis","authors":"Yuxin Sun ,&nbsp;Yu Liu ,&nbsp;Jian Xiong ,&nbsp;Xiao Li ,&nbsp;Ying Wei ,&nbsp;Qianhua Zheng ,&nbsp;Xiang Li ,&nbsp;Wenchuan Qi ,&nbsp;Fanrong Liang","doi":"10.1016/j.ctim.2024.103115","DOIUrl":"10.1016/j.ctim.2024.103115","url":null,"abstract":"<div><h3>Objective</h3><div>Disorders of glycolipid metabolism are important pathogenic factors leading to coronary artery disease, and there is no safe and effective comprehensive treatment, while acupuncture has a certain efficacy in heart disease and disorders of glycolipid metabolism. To assess the effects of acupuncture on glycolipid metabolism in patients with coronary heart disease, we conducted a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>From the time of library construction to August 18, 2023, Searches were conducted in eight databases, with no language restriction. Only RCTs that included acupuncture as a sole or secondary effect on glucose-lipid metabolism in coronary heart disease were included.Our primary outcome indicators were Low-density lipoprotein cholesterol(LDL-C), Hemoglobin A1c(HbA1c). Our analyses were conducted in strict accordance with the PRISMA statement, and the researchers used the Cochrane Handbook for literature screening and data extraction, the “Risk of Bias” tool (ROB.2) for assessing risk of bias, and RevMan (version 5.3) for meta-analysis of outcome metrics, and the GRADE criteria for assessing quality of evidence. Assessing the quality of acupuncture literature using the Standards for reporting interventions in clinical trials of acupuncture.</div></div><div><h3>Results</h3><div>Our analysis included 18 eligible RCTs (N = 1346 participants). For the primary outcome metrics, acupuncture combined with standard treatment was effective in reducing LDL-C (SMD =-0.56; 95 % CI, −0.75 to −0.38; P &lt; 0.00001), and HbA1c (MD = −1.15; 95 % CI, −1.73 to −0.58; P &lt; 0.0001). For secondary outcome measures, combination therapy improved TC (SMD = −0.97; 95 % CI, −1.44 to −0.51; P &lt; 0.0001), TG (MD = −0.39; 95 % CI, −0.58 to −0.20; P &lt; 0.0001), hs-CRP (MD = −0.98; 95 % CI, −1.43 to −0.52; P &lt;0.0001), 2hPG (MD = −1.45; 95 % CI, −1.74 to −1.16; P &lt; 0.00001), and ORR (RR, 1.27; 95 % CI, 1.19–1.36; P &lt; 0.00001) levels more than standard therapy alone.However, the combination therapy did not prevail in lowering HDL-C (MD = 0.11; 95 % CI, 0.07–0.14; P &lt; 0.00001) compared with standard therapy alone. Meanwhile heterogeneity analysis showed that After coronary heart disease intervention, acupuncture was able to reduce TC (SMD = −0.85; 95 % CI, −1.37 to −0.33; P = 0.001), TG (MD = −0.14; 95 % CI, −0.24 to −0.04; P = 0.004) levels, but did not dominate in lowering LDL-C.</div></div><div><h3>Conclusions</h3><div>Acupuncture effectively regulates glycolipid metabolism in coronary artery disease, serving as an adjuvant treatment. It may aid post-PCI healing via lipid metabolism regulation, but rigorous, large-scale, long-term RCTs are needed for validation.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103115"},"PeriodicalIF":3.3,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of cooling diabetic patients’ fingertips compared to vibrating stimulation on pain from the glucometer needle: A cross-over trial study","authors":"Vahid Vejdanihemmat ,&nbsp;Hiva Azami ,&nbsp;Leili Tapak ,&nbsp;Shiva Borzouei ,&nbsp;khodayar Oshvandi","doi":"10.1016/j.ctim.2024.103116","DOIUrl":"10.1016/j.ctim.2024.103116","url":null,"abstract":"<div><h3>Introduction</h3><div>Blood glucose measurements using glucometers can cause discomfort due to needle insertion. Implementing effective pain management strategies is essential to alleviate this discomfort. This study aimed to evaluate the effects of cold and vibration stimulation on pain perception during glucometer needle insertion in diabetic patients.</div></div><div><h3>Methods</h3><div>Sixty diabetic inpatients from Shahid Beheshti Hospital in Hamadan, Iran, participated in a crossover study, comprising 3 individuals with type 1 diabetes and 57 with type 2 diabetes. The cohort included 40 males and 20 females, with ages ranging from 18 to 70 years and a mean age of 55.7 years. The average duration of diabetes was 10 years. The study design consisted of six blocks, each containing three interventions: vibration stimulation (A), cold therapy (B), and a combination of both C. The sequences of interventions (ABC, ACB, BCA, BAC, CBA, and CAB) were randomly assigned. Each participant received the interventions at three different times: before breakfast, one to two hours after lunch, and at dinner. One hand was randomly selected for the intervention, while the other served as a control, with only the needle inserted. Pain levels were assessed using the Numeric Rating Scale (NRS) for both hands.</div></div><div><h3>Results</h3><div>Participants receiving vibration stimulation in one hand reported a significant reduction in pain intensity, with a mean difference of 1.21 (p &lt; 0.001) compared to the control hand. In contrast, cold therapy did not significantly affect pain intensity, showing a mean difference of only 0.06 (p &gt; 0.05). The combination of vibration and cold therapy also did not significantly alter pain intensity, yielding a mean difference of 0.33 (p &gt; 0.05). A significant difference (p = 0.002) was noted among the interventions, indicating varying effects on pain intensity.</div></div><div><h3>Conclusion</h3><div>Vibration stimulation effectively reduces pain associated with glucometer needle insertions. Among the methods examined, vibration stimulation proved to be the most effective for minimizing needle pain. Clinicians are encouraged to incorporate this technique into the care of diabetic patients to enhance their comfort during glucose monitoring.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103116"},"PeriodicalIF":3.3,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of reporting of pre-recorded music interventions in surgical patients ‐ A systematic review","authors":"Thomas L.A. Dirven ,&nbsp;Roos Geensen ,&nbsp;Florine Bax ,&nbsp;Jorrit G. Verhoeven ,&nbsp;Johannes Jeekel ,&nbsp;Markus Klimek","doi":"10.1016/j.ctim.2024.103113","DOIUrl":"10.1016/j.ctim.2024.103113","url":null,"abstract":"<div><h3>Background</h3><div>Perioperative music interventions are promising, with substantial beneficial effects on patients. However, adequate reporting is crucial for interpreting the outcomes and implementing the interventions. Our objective is to analyze the reporting quality of perioperative music interventions and to provide recommendations and a research agenda for future trials.</div></div><div><h3>Material and methods</h3><div>This study utilized data from a systematic review, that was conducted as part of a separate previous analysis by Geensen, Dirven et al. For this analysis, a PROSPERO registration (CRD42023427138) was formalized. The Template for intervention Description and Replication (TiDieR) checklist was adapted and used. Nineteen intervention items were assessed, categorized in the aim, the core and the implementation.</div></div><div><h3>Results</h3><div>Due to narrowed inclusion criteria, ten music intervention studies were included. None of the studies completely reported all intervention items. The reporting of core intervention items were poorly described. Complete description of implementation items, such as fidelity and modifications, was scarce.</div></div><div><h3>Conclusions</h3><div>Perioperative music studies often lack the complete reporting of essential intervention items. This hinders replicability, generalization of the results and might contribute to research waste. We recommend adequate reporting in future studies to avoid these problems, by using our adapted TIDieR checklist.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"88 ","pages":"Article 103113"},"PeriodicalIF":3.3,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}