Guoqing Zhu, Na Zhao, Lin Tang, Weihua Song, Xintong Yu, Wenjia Yang, Ruilong Liang
{"title":"【道气针刺黄帝内经治疗中重度阻塞性睡眠呼吸暂停低通气综合征的随机对照试验】。","authors":"Guoqing Zhu, Na Zhao, Lin Tang, Weihua Song, Xintong Yu, Wenjia Yang, Ruilong Liang","doi":"10.13703/j.0255-2930.20241011-k0001","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To observe the clinical efficacy of <i>Daoqi</i> (directing <i>qi</i> flowing) acupuncture technique in <i>Huangdi Neijing</i> (<i>Yellow Emperor's Inner Classic</i>) for moderate-to-severe obstructive sleep apnea-hypopnea syndrome (OSAHS).</p><p><strong>Methods: </strong>Sixty patients with moderate-to-severe OSAHS were randomly divided into a Daoqi acupuncture group (30 cases) and a conventional acupuncture group (30 cases, 1 case dropped out). In the Daoqi acupuncture group, <i>Daoqi</i> acupuncture technique in <i>Huangdi Neijing</i> was applied at Shanglianquan (Extra), Fengfu (GV16), and bilateral Lieque (LU7), Zhaohai (KI6); in the conventional acupuncture group, conventional acupuncture was applied at Shanglianquan (Extra), Fengfu (GV16), Yamen (GV15), and bilateral Lieque (LU7), Zhaohai (KI6), Zusanli (ST36), Fenglong (ST40). The treatment was adopted once every other day, 3 times a week, 4 weeks as one course and 3 courses were required totally in both groups. Before and after treatment, the polysomnography (PSG) indexes [apnea-hypopnea index (AHI), hypopnea index (HI), apnea index (AI), longest apnea duration, lowest nocturnal SaO<sub>2</sub> (LSaO<sub>2</sub>)], and scores of Epworth sleepiness scale (ESS), Pittsburgh sleep quality index (PSQI), World Health Organization quality of life-BREF (WHOQOL-BREF) were observed, and the clinical efficacy was evaluated after treatment in the two groups.</p><p><strong>Results: </strong>After treatment, the AHI, HI, AI and longest apnea duration were reduced compared with those before treatment in the two groups (<i>P</i><0.01), the LSaO<sub>2</sub> was increased in the Daoqi acupuncture group (<i>P</i><0.01); in the Daoqi acupuncture group, the AHI, HI, AI and longest apnea duration were lower than those in the conventional acupuncture group (<i>P</i><0.05), and the LSaO<sub>2</sub> was higher than that in the conventional acupuncture group (<i>P</i><0.05). After treatment, the ESS and PSQI scores were decreased compared with those before treatment (<i>P</i><0.01), while the WHOQOL-BREF scores were increased compared with those before treatment (<i>P</i><0.01) in the two groups; in the Daoqi acupuncture group, the ESS and PSQI scores were lower than those in the conventional acupuncture group (<i>P</i><0.05, <i>P</i><0.01), and the WHOQOL-BREF score was higher than that in the conventional acupuncture group (<i>P</i><0.05). The total effective rate was 93.3% (28/30) in the Daoqi acupuncture group, which was higher than 82.8% (24/29) in the conventional acupuncture group (<i>P</i><0.01).</p><p><strong>Conclusion: </strong><i>Daoqi</i> acupuncture technique in <i>Huangdi Neijing</i> can effectively treat moderate-to-severe OSAHS patients, improve the clinical symptoms and quality of life, and has the advantages i.e. simpler acupoints selection and gentler stimulation.</p>","PeriodicalId":69903,"journal":{"name":"中国针灸","volume":"45 7","pages":"911-917"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[<i>Daoqi</i> acupuncture technique in <i>Huangdi Neijing</i> for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial].\",\"authors\":\"Guoqing Zhu, Na Zhao, Lin Tang, Weihua Song, Xintong Yu, Wenjia Yang, Ruilong Liang\",\"doi\":\"10.13703/j.0255-2930.20241011-k0001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To observe the clinical efficacy of <i>Daoqi</i> (directing <i>qi</i> flowing) acupuncture technique in <i>Huangdi Neijing</i> (<i>Yellow Emperor's Inner Classic</i>) for moderate-to-severe obstructive sleep apnea-hypopnea syndrome (OSAHS).</p><p><strong>Methods: </strong>Sixty patients with moderate-to-severe OSAHS were randomly divided into a Daoqi acupuncture group (30 cases) and a conventional acupuncture group (30 cases, 1 case dropped out). In the Daoqi acupuncture group, <i>Daoqi</i> acupuncture technique in <i>Huangdi Neijing</i> was applied at Shanglianquan (Extra), Fengfu (GV16), and bilateral Lieque (LU7), Zhaohai (KI6); in the conventional acupuncture group, conventional acupuncture was applied at Shanglianquan (Extra), Fengfu (GV16), Yamen (GV15), and bilateral Lieque (LU7), Zhaohai (KI6), Zusanli (ST36), Fenglong (ST40). The treatment was adopted once every other day, 3 times a week, 4 weeks as one course and 3 courses were required totally in both groups. Before and after treatment, the polysomnography (PSG) indexes [apnea-hypopnea index (AHI), hypopnea index (HI), apnea index (AI), longest apnea duration, lowest nocturnal SaO<sub>2</sub> (LSaO<sub>2</sub>)], and scores of Epworth sleepiness scale (ESS), Pittsburgh sleep quality index (PSQI), World Health Organization quality of life-BREF (WHOQOL-BREF) were observed, and the clinical efficacy was evaluated after treatment in the two groups.</p><p><strong>Results: </strong>After treatment, the AHI, HI, AI and longest apnea duration were reduced compared with those before treatment in the two groups (<i>P</i><0.01), the LSaO<sub>2</sub> was increased in the Daoqi acupuncture group (<i>P</i><0.01); in the Daoqi acupuncture group, the AHI, HI, AI and longest apnea duration were lower than those in the conventional acupuncture group (<i>P</i><0.05), and the LSaO<sub>2</sub> was higher than that in the conventional acupuncture group (<i>P</i><0.05). After treatment, the ESS and PSQI scores were decreased compared with those before treatment (<i>P</i><0.01), while the WHOQOL-BREF scores were increased compared with those before treatment (<i>P</i><0.01) in the two groups; in the Daoqi acupuncture group, the ESS and PSQI scores were lower than those in the conventional acupuncture group (<i>P</i><0.05, <i>P</i><0.01), and the WHOQOL-BREF score was higher than that in the conventional acupuncture group (<i>P</i><0.05). The total effective rate was 93.3% (28/30) in the Daoqi acupuncture group, which was higher than 82.8% (24/29) in the conventional acupuncture group (<i>P</i><0.01).</p><p><strong>Conclusion: </strong><i>Daoqi</i> acupuncture technique in <i>Huangdi Neijing</i> can effectively treat moderate-to-severe OSAHS patients, improve the clinical symptoms and quality of life, and has the advantages i.e. simpler acupoints selection and gentler stimulation.</p>\",\"PeriodicalId\":69903,\"journal\":{\"name\":\"中国针灸\",\"volume\":\"45 7\",\"pages\":\"911-917\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中国针灸\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.13703/j.0255-2930.20241011-k0001\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/22 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中国针灸","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.13703/j.0255-2930.20241011-k0001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/22 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
[Daoqi acupuncture technique in Huangdi Neijing for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial].
Objective: To observe the clinical efficacy of Daoqi (directing qi flowing) acupuncture technique in Huangdi Neijing (Yellow Emperor's Inner Classic) for moderate-to-severe obstructive sleep apnea-hypopnea syndrome (OSAHS).
Methods: Sixty patients with moderate-to-severe OSAHS were randomly divided into a Daoqi acupuncture group (30 cases) and a conventional acupuncture group (30 cases, 1 case dropped out). In the Daoqi acupuncture group, Daoqi acupuncture technique in Huangdi Neijing was applied at Shanglianquan (Extra), Fengfu (GV16), and bilateral Lieque (LU7), Zhaohai (KI6); in the conventional acupuncture group, conventional acupuncture was applied at Shanglianquan (Extra), Fengfu (GV16), Yamen (GV15), and bilateral Lieque (LU7), Zhaohai (KI6), Zusanli (ST36), Fenglong (ST40). The treatment was adopted once every other day, 3 times a week, 4 weeks as one course and 3 courses were required totally in both groups. Before and after treatment, the polysomnography (PSG) indexes [apnea-hypopnea index (AHI), hypopnea index (HI), apnea index (AI), longest apnea duration, lowest nocturnal SaO2 (LSaO2)], and scores of Epworth sleepiness scale (ESS), Pittsburgh sleep quality index (PSQI), World Health Organization quality of life-BREF (WHOQOL-BREF) were observed, and the clinical efficacy was evaluated after treatment in the two groups.
Results: After treatment, the AHI, HI, AI and longest apnea duration were reduced compared with those before treatment in the two groups (P<0.01), the LSaO2 was increased in the Daoqi acupuncture group (P<0.01); in the Daoqi acupuncture group, the AHI, HI, AI and longest apnea duration were lower than those in the conventional acupuncture group (P<0.05), and the LSaO2 was higher than that in the conventional acupuncture group (P<0.05). After treatment, the ESS and PSQI scores were decreased compared with those before treatment (P<0.01), while the WHOQOL-BREF scores were increased compared with those before treatment (P<0.01) in the two groups; in the Daoqi acupuncture group, the ESS and PSQI scores were lower than those in the conventional acupuncture group (P<0.05, P<0.01), and the WHOQOL-BREF score was higher than that in the conventional acupuncture group (P<0.05). The total effective rate was 93.3% (28/30) in the Daoqi acupuncture group, which was higher than 82.8% (24/29) in the conventional acupuncture group (P<0.01).
Conclusion: Daoqi acupuncture technique in Huangdi Neijing can effectively treat moderate-to-severe OSAHS patients, improve the clinical symptoms and quality of life, and has the advantages i.e. simpler acupoints selection and gentler stimulation.
期刊介绍：
Chinese Acupuncture and Moxibustion (founded in 1981, monthly) is an authoritative academic journal of acupuncture and moxibustion under the supervision of China Association for Science and Technology and co-sponsored by Chinese Acupuncture and Moxibustion Society and Institute of Acupuncture and Moxibustion of China Academy of Traditional Chinese Medicine. It is recognised as a core journal of Chinese science and technology, a core journal of Chinese language, and is included in the core journals of China Science Citation Database, as well as being included in MEDLINE and other international well-known medical index databases. The journal adheres to the tenet of ‘improving, taking into account the popularity, colourful and realistic’, and provides valuable learning and communication opportunities for the majority of acupuncture and moxibustion clinical and scientific research workers, and plays an important role in the domestic and international publicity and promotion of acupuncture and moxibustion disciplines.
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