De-qi, Not Psychological Factors, Determines the Therapeutic Efficacy of Acupuncture Treatment for Primary Dysmenorrhea

被引:37
作者
Xiong Jin [1 ]
Liu Fang [1 ]
Zhang Ming-min [1 ]
Wang Wei [2 ]
Huang Guang-ying [1 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Inst Integrated Tradit & Western Med, Wuhan 430030, Peoples R China
[2] Huazhong Univ Sci & Technol, Dept Neurol, Tongji Hosp, Tongji Med Coll, Wuhan 430030, Peoples R China
关键词
acupuncture; De-qi; psychological factors; manual acupuncture needle manipulation; therapeutic efficacy; primary dysmenorrhea; RANDOMIZED-TRIAL; OSTEOARTHRITIS; MIGRAINE; SHAM; PAIN;
D O I
10.1007/s11655-011-0857-1
中图分类号
R [医药、卫生];
学科分类号
10 ;
摘要
Objective: To study the impact of De-qi ((sic), obtaining qi) and psychological factors on the efficacy of acupuncture treatment for primary dysmenorrhea, with an attempt to explore the relationship among De-qi, psychological factors, and clinical efficacy. Methods: The patients with primary dysmenorrhea were randomly assigned to a group of acupuncture with manual manipulation (manipulation group, n=67) and an acupuncture group without manipulation (non-manipulation group, n=64). Pain intensity and pain duration were used as measures for evaluating the therapeutic efficacy of the acupuncture treatment. De-qi, the sensations a patient experienced during the acupuncture treatment, was scored on a 4-point scale by the subjects. In addition, the psychological factors, including belief in acupuncture, the level of nervousness, anxiety, and depression, were quantitatively assessed. The personality of the subject was assessed using the Eysenck personality questionnaire (EPQ) and 16 personality factor questionnaire (16PF). Results: Complete data were obtained from 120 patients, 60 patients in each group. There were statistically significant differences in pain intensity (W=2410.0, P<0.01) and pain duration (W=3181.0, P<0.01) between the two groups. The number of De-qi acupoints (W=1150.5, P<0.01) and the average intensity of De-qi (W=1141.0, P<0.01) were significantly higher in the manipulation group as compared with their non-manipulation counterparts. The correlation coefficients between De-qi and therapeutic efficacy of acupuncture were greater than those between psychological factors and therapeutic efficacy. Conclusions: Compared with the psychological factors, De-qi contributed more to the pain-relieving effect of acupuncture in subjects with primary dysmenorrhea. Moreover, manual manipulation is a prerequisite for eliciting and enhancing the De-qi sensations, and De-qi is critical for achieving therapeutic effects.
引用
收藏
页码:7 / 15
页数:9
相关论文
共 29 条
[1]   A Randomized clinical trial of acupuncture compared with sham acupuncture in Fibromyalgia [J].
Assefi, NP ;
Sherman, KJ ;
Jacobsen, C ;
Goldberg, J ;
Smith, WR ;
Buchwald, D .
ANNALS OF INTERNAL MEDICINE, 2005, 143 (01) :10-19
[2]   ACUPUNCTURE IN MIGRAINE - LONG-TERM OUTCOME AND PREDICTING FACTORS [J].
BAISCHER, W .
HEADACHE, 1995, 35 (08) :472-474
[3]   ADAPTIVE COPING STRATEGIES AND ATTITUDES TOWARD HEALTH AND HEALING IN GERMAN HOMEOPATHY AND ACUPUNCTURE USERS [J].
Buessing, Arndt ;
Ostermann, Thomas ;
Raak, Christa ;
Matthiessen, Peter F. .
EXPLORE-THE JOURNAL OF SCIENCE AND HEALING, 2010, 6 (04) :237-245
[4]  
CATTLE RB, 1970, HDB 16 PERSONALITY F
[5]  
CLAUDIA MW, 2008, AM J OBSTET GYNECOL, V198
[6]  
Eysenck H. J., 1975, Manual of the Eysenck Personality Questionnaire
[7]  
Habek Dubravko, 2003, Gynaekologisch-Geburtshilfliche Rundschau, V43, P250, DOI 10.1159/000072730
[8]   Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies [J].
Han, JS .
TRENDS IN NEUROSCIENCES, 2003, 26 (01) :17-22
[9]   A blinded randomised trial of acupuncture (manual and electroacupuncture) compared with a non-penetrating sham for the symptoms of osteoarthritis of the knee [J].
Jubb, Ronald W. ;
Tukmachi, Emad S. ;
Jones, Peter W. ;
Dempsey, Emma ;
Waterhouse, Lynn ;
Brailsford, Sue .
ACUPUNCTURE IN MEDICINE, 2008, 26 (02) :69-78
[10]   Needle acupuncture in tension-type headache: a randomized, placebo-controlled study [J].
Karst, M ;
Reinhard, M ;
Thum, P ;
Wiese, B ;
Rollnik, J ;
Fink, M .
CEPHALALGIA, 2001, 21 (06) :637-642