耳疗在青壮年重度烧伤后瘢痕综合征中的应用。

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Cha-Chun Chen, San-Pei Chen, Shu-Yu Lyu, Chung-Hua Hsu
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引用次数: 2

摘要

背景:烧伤疤痕是一种增厚性疤痕,可在高达77%的烧伤患者中引起显著的临床症状、不适和烧伤后疤痕(PBS)综合征。药物治疗和康复治疗在治疗患者不适方面很少有效,激光和手术干预都被推迟到疤痕稳定和不适可以忍受的时候。摘要目的:探讨耳穴针刺治疗台湾福尔摩沙彩色粉尘爆炸烧伤患者的疗效。方法:我们招募了31名符合研究纳入标准的2016年福尔摩沙彩色粉尘爆炸受害者。干预包括在一只耳朵的耳穴和皮层下穴位放置磁珠。患者每天进行五次自我按摩,在疗程的第五天到第七天之间取出两颗磁珠。几种评估工具用于评估临床症状:用于疼痛评估的视觉模拟量表,用于感知患者瘙痒的烧伤人瘙痒量表,用于睡眠质量的5-D瘙痒量表,以及用于评估对自主神经系统影响的心率变异性(HRV)。结果:干预后临床症状明显减轻,但效果不持久。HRV异常(SD < 40)患者治疗后正常至正常心率间期、心率分析异常、极低频心率均显著降低。结论:刺激耳穴神门和皮层下穴位可有效减轻PBS综合征患者的疼痛、瘙痒和睡眠障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of Auriculotherapy for Post-Burn Scar Syndrome in Young Adults with Major Burns.

Background: A burn scar is a type of hypertrophic scar that can cause significant clinical symptoms, discomfort, and post-burn scar (PBS) syndrome in up to 77% of patients with burn injuries. Medication and rehabilitation are rarely effective at managing patient discomfort, and both laser and surgical interventions are postponed until the scar stabilizes and discomfort is tolerable. Objectives: The present study was conducted to investigate the effectiveness of auricular acupuncture among burn victims from the Formosa Color Dust Explosion in Taiwan.

Methods: We enrolled 31 victims of the 2016 Formosa Color Dust Explosion who met the study inclusion criteria. The intervention involved placement of magnetic beads over the auricular Shenmen and Subcortex acupoints on one ear. Patients performed selfmassage five times per day, and both magnet beads were removed between the fifth and seventh days during the sessions. Several evaluation tools were used to assess clinical symptoms: the visual analogue scale for pain assessment, Burn Man Itch Scale for perceived patient itchiness, 5-D Pruritus Scale for sleep quality, and heart rate variability (HRV) for effects on the autonomic nervous system.

Results: The clinical symptoms were significantly decreased following the intervention, but the effect did not endure. The normal-to-normal heart rate interval, heart rate analysis abnormalities, and very low frequency heart rate were significantly decreased among patients with abnormal HRV (SD < 40) following treatment.

Conclusion: Stimulation of the auricular Shenmen and Subcortex acupoints may effectively reduce pain, itchiness, and sleep disturbances among patients with PBS syndrome.

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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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