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首页> 外文期刊>The journal of alternative and complementary medicine: research on paradigm, practice, and policy >Acupuncture and acupressure and massage health outcomes for patients with anorexia nervosa: Findings from a pilot randomized controlled trial and patient interviews
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Acupuncture and acupressure and massage health outcomes for patients with anorexia nervosa: Findings from a pilot randomized controlled trial and patient interviews

机译：神经性厌食症患者的针灸，穴位按摩和按摩健康结局：先导性随机对照试验和患者访谈中的发现

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Objectives: This study examined the feasibility of conducting a randomized controlled trial of acupuncture compared with an active control in an inpatient setting, to examine individuals' experience of the interventions, clinical outcomes from the trial, and to integrate data to explain the trial findings. Design: This was a pilot randomized controlled trial with in-depth interviews with trial participants. Setting: The study was conducted at a private medical facility in Sydney, Australia. Subjects: Twenty-six (26) patients with anorexia nervosa who were medically stable were the subjects. Interventions: Treatment as usual was administered, and the intervention was delivered twice a week for the first 3 weeks, followed by weekly treatment for three weeks. The acupuncture group received acupuncture at the points Hegu (LI4), Zusanli (ST36), Neiguan (PC6), Taichong (LR3), Yanglingquan (GB34), and additional points based on the Traditional Chinese Medicine diagnosis. The control group received acupressure and massage. Acupressure involved consciously and gradually directing pressure to the center of the point being worked on. Outcome measures: Clinical outcomes were measured at baseline and at 6 weeks following completion of the intervention. The primary outcome measure was body-mass index (BMI), and secondary outcomes included eating disorder psychopathology, anxiety, and depression. A semistructured interview was conducted asking questions about their interaction with the practitioner, what happened, how they felt, whether it made them feel differently, and what they attributed any change to. Results: We found timely recruitment with the population recruited within a 5-month period. Study dropouts were 23% and treatment compliance was moderate, but acceptable for this challenging population. Participants in the control group demonstrated reduced eating concerns. Participants described both interventions positively, and experienced a sense of calmness and relaxation. Conclusions: Acupuncture and acupressure and massage may improve the patient's subjective sense of wellbeing, and further research is needed.
机译：目的：本研究探讨了在住院环境中与活动对照进行针刺随机对照试验的可行性，以检查个人的干预经验，试验的临床结果以及整合数据以解释试验结果。设计：这是一项试验性随机对照试验，对试验参与者进行了深入访谈。地点：这项研究是在澳大利亚悉尼的一家私人医疗机构进行的。受试者：在医学上稳定的二十六（26）名神经性厌食症患者为受试者。干预措施：照常进行治疗，在最初的3周中每周两次进行干预，然后每周治疗3周。针灸组分别在合谷穴（LI4），足三里穴（ST36），内关穴（PC6），太冲穴（LR3），杨凌泉穴（GB34）以及其他基于中医诊断的穴位进行针刺。对照组接受指压和按摩。指压法是有意识地进行的，并逐渐将压力引导至所研究点的中心。结局指标：在干预结束后的基线和第6周测量临床结局。主要结局指标为身体质量指数（BMI），次要结局指标为进食障碍，心理病理，焦虑和抑郁。进行了半结构化访谈，询问有关他们与从业者的互动，发生了什么，他们的感觉，是否使他们有不同的感觉以及他们将任何改变归因于什么的问题。结果：我们发现及时招募了5个月内招募的人群。研究辍学率为23％，治疗依从性中等，但对于这一具有挑战性的人群来说是可以接受的。对照组参与者表现出减少饮食的担忧。与会者对这两种干预措施都进行了积极的描述，并感到了镇定和放松的感觉。结论：针刺，指压和推拿可以改善患者的主观幸福感，有待进一步研究。

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