<meta charset="utf8"></head><body>AECOPD患者の睡眠障害を治療するためのツボおよび耳石膏療法

<ol>
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Global strategy for the prevention, diagnosis and management of OPD: 2024 report Available from: <a target="_blank" href="https://goldcopd.org/2024-gold-report/">https://goldcopd.org/2024-gold-report/</a> (2024)</li><li>. International classifcation of sleep disorders Available from: <a target="_blank" href="https://aasm.org/clinical-resources/international-classification-sleep-disorders/">https://aasm.org/clinical-resources/international-classification-sleep-disorders/</a> (2014)</li><li>American Psychiatric Association. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Diagnostic and Statistical Manual of Mental Disorders. , (2022).</li><li>Tang, P. T., Yin, C. Y., Cai, L. 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C., Lu, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mechanism+and+efficacy+of+acupoint+application+in+the+treatment+of+insomnia+in+recent+ten+years.">Mechanism and efficacy of acupoint application in the treatment of insomnia in recent ten years.</a> Smart Healthcare. 8 (5), 29-32 (2022).</li><li>Zhao, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Acupuncture+for+the+treatment+of+insomnia.">Acupuncture for the treatment of insomnia.</a> Int Rev Neurobiol. 111, 217-234 (2013).</li><li>Liu, G. 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L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+of+acupoint+application+combined+with+traditional+Chinese+medical+care+on+pulmonary+function,+immune+function+and+vascular+endothelial+function+indexes+of+AECOPD+patients.">Effects of acupoint application combined with traditional Chinese medical care on pulmonary function, immune function and vascular endothelial function indexes of AECOPD patients.</a> Guangming Journal of Chinese Medicine. 37 (3), 513-515 (2022).</li><li>Yang, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Clinical observation of Huangqin Wendan decoction combined with ear acupoint pressing bean in treatment of AECOPD with insomnia due to phlegm heat accumulation [Master's Thesis]. , (2021).</li><li>Wang, X. 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M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Observation+on+the+effect+of+acupuncture+and+moxibustion+combined+with+auricular+point+pressing+pill+intervention+on+insomnia+patients+with+coronary+heart+disease.">Observation on the effect of acupuncture and moxibustion combined with auricular point pressing pill intervention on insomnia patients with coronary heart disease.</a> Journal of Practical Traditional Chinese Internal Medicine. 37 (11), 52-55 (2023).</li><li>Zhang, Q., Qiao, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Research+Progress+on+antiasthmatic+effect+and+mechanism+of+Ding+chuan+and+Tian+tu+acupoints.">Research Progress on antiasthmatic effect and mechanism of Ding chuan and Tian tu acupoints.</a> Journal of Guangxi University of Chinese Medicine. 23 (03), 64-66 (2020).</li><li>Fu, K. L., Lin, K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+observation+on+point+application+treating+80+patients+of+chronic+obstructive+pulmonary+diseases.">Clinical observation on point application treating 80 patients of chronic obstructive pulmonary diseases.</a> Journal of Traditional Chinese Medicine. 56 (11), 948-952 (2015).</li><li>Wu, Z. L., Zhang, Q. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ancient+and+modern+research+on+Fei+shu+point.">Ancient and modern research on Fei shu point.</a> Liaoning Journal of Traditional Chinese Medicine. 34 (04), 504-505 (2007).</li><li>Gu, Z. L., Xie, Y., Wang, Y., Xu, B. 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<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>75% alcohol cotton balls</td>
			<td>Shanghai Honglong Industrial Co., Ltd</td>
			<td>20231116</td>
			<td></td>
		</tr>
		<tr>
			<td>Acupoint patches</td>
			<td>Jiangsu Guangyi Medical Dressing Co., Ltd</td>
			<td>20230718</td>
			<td></td>
		</tr>
		<tr>
			<td>Chinese herbal medicine</td>
			<td>Guangdong Kanghe Pharmaceutical Co.,Ltd</td>
			<td>230802</td>
			<td></td>
		</tr>
		<tr>
			<td>Magnetic treatment plaster</td>
			<td>Suzhou Medical Supplies Factory Co., Ltd</td>
			<td>233010</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical disposable sterilization rubber gloves</td>
			<td>Shandong Yuyuan Latex Gloves Co., Ltd</td>
			<td>230806R22</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical hand disinfectants</td>
			<td>Shanghai Likang Disinfection High tech Co., Ltd</td>
			<td>20230113J</td>
			<td></td>
		</tr>
		<tr>
			<td>Medical tape</td>
			<td>Minnesota Mining Manufacturing Medical Equipment (Shanghai) Co., Ltd</td>
			<td>23063GO</td>
			<td></td>
		</tr>
		<tr>
			<td>Sterile cotton swabs</td>
			<td>Shanghai Honglong Medical Equipment Co., Ltd</td>
			<td>20231108</td>
			<td></td>
		</tr>
		<tr>
			<td>Tweezers</td>
			<td>Yangzhou Huayue Technology Development Co., Ltd</td>
			<td>20231106</td>
			<td></td>
		</tr>
	</tbody>
</table>

acupoint application combined with ear plaster therapy for treating sleep disorders with acute exacerbation of chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease (COPD) is a disease characterized by incomplete reversibility of airflow limitation, with gradual progression, primarily involving the lungs, but also causing damage to various other organs outside the lungs. Its pathogenesis is mainly related to the regulation of apoptosis and promotion of inflammatory response by radical oxygen species (ROS) during oxidative stress (OS)1, affecting gene transcription and exacerbating protease-antiprotease imbalance finally2. It often causes chronic coughing, coughing up sputum, shortness of breath or difficulty breathing, wheezing, and chest tightness. According to a WHO survey, COPD is the third leading cause of death globally, posing a serious threat to human health, and by 2060, the number of deaths from this disease will exceed 5.4 million annually3. Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) refers to acute changes in respiratory distress, cough, and sputum in COPD patients at baseline levels. AECOPD patients often experience shortened sleep time and decreased sleep quality due to various factors such as serious respiratory symptoms, nocturnal hypoxia, accompanying psychological problems, medication use, and socio-economic conditions4. Therefore, sleep disorders, including obstructive sleep apnea (OSA), restless leg syndrome (RLS), and insomnia, have become common complications for AECOPD patients, especially in elderly severe patients.
The reasons for sleep disorders in AECOPD patients include increased airway resistance and reduced airflow at night and/or in the morning, which aggravate ventilation disorders and ultimately lead to frequent awakenings, shortened sleep time, and difficulty falling asleep5,6. Moreover, the large financial burden of AECOPD on families makes patients often accompanied by anxiety, depression, and other psychological problems4. More notably, sleep disorders can, in turn, increase the risk of pulmonary hypertension in AECOPD patients and are closely related to higher disease severity, more frequent exacerbation, higher utilization of emergency medical services, and higher mortality rates7. According to the latest research, the prevalence of OSA, RLS, and insomnia in AECOPD patients, respectively, reached 29.1%, 21.6%, and 29.5%. Patients with OSA may have a higher risk of hypertension and diabetes. Patients with RLS are related to higher Epworth sleepiness scale (ESS) score and a longer COPD duration(year). Furthermore, insomnia is more common in female patients8. Therefore, it is essential to carry out timely nursing interventions for AECOPD patients with sleep disorders.
At present, the clinical treatment of AECOPD patients mainly focuses on improving respiratory symptoms while ignoring sleep problems. In addition, benzodiazepines, melatonin, melatonin receptor agonists, and antipsychotics used by patients with severe sleep disorders have adverse reactions such as respiratory inhibition, drug dependence, cognitive impairment, dizziness, and somnolence; therefore, it is mostly used for acute sleep disorders, while it is limited in the application of chronic sleep disorders9. Other special intervention methods, including nocturnal oxygen therapy, cognitive behavioral therapy for insomnia, and pulmonary rehabilitation exercise, are not commonly used because of their high cost, unclear effect, and difficulty in clinical practice4. Therefore, there is an urgent need to find an effective, safe, and simple treatment for AECOPD patients with sleep disorders.
Traditional Chinese Medicine (TCM) has a long history and rich experience in the treatment of sleep disorders. Acupoint application (AA) and ear plaster therapy (EPT) are both traditional Chinese medicine techniques. A systematic review study also found that AA and EPT have significant curative effects in the treatment of primary insomnia10. In this study, we will elucidate in detail the process and efficacy of the two treatments for AECOPD, including the medical equipment used, acupoint selection, treatment procedure, nursing, treatment of related accidents, etc. By comparing the changes in the Pittsburgh sleep quality index (PSQI) before and after treatment to evaluate their clinical efficacy, we aimed to provide a new reference for the clinical treatment of this kind of disease.

<meta charset="utf8"></head><body>著者スポットライト:急性COPD(急性COPD)における睡眠障害に対する漢方薬の伝統医学 - 安全で費用対効果の高いアプローチ

慢性閉塞性肺疾患の急性増悪を伴う睡眠障害を治療するための耳石膏療法と組み合わせたツボアプリケーション

Chronic Obstructive Pulmonary Disease (COPD) is a lung disease characterized by persistent airflow limitation, which is not fully reversible and ...

acupoint-application-combined-with-ear-plaster-therapy-for-treating

Research

JoVE Journal

Medicine

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

441 ビュー.  Hospital of Chengdu University of Traditional Chinese Medicine. 私たちの研究の焦点は、ツボ塗布と耳石膏療法の適用によるCOPDの急性増悪患者の睡眠障害の治療です。私たちは、伝統的な漢方薬の技術を通じて、患者の症状や身体的徴候を効果的に改善することで、これをさらに調査することを目指しています。私たちのプロトコルでは、耳石膏療法と組み合わせたツボの適用が急性慢性閉塞性肺の症状を改...

ビデオ: 著者スポットライト:急性COPD(急性COPD)における睡眠障害に対する漢方薬の伝統医学 - 安全で費用対効果の高いアプローチ

Chronic Obstructive Pulmonary Disease (COPD) is a lung disease characterized by persistent airflow limitation, which is not fully reversible and progressive. Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) refers to acute changes in respiratory distress, cough, and sputum in COPD patients at baseline levels. Sleep disorders are a very common complication in patients with AECOPD. At present, long-term use of sedative-hypnotics alone has many side effects, such as mental and physical dependence and cognitive impairment. While the efficacy of other special intervention methods is not clear, and the cost is high, there is an urgent need for effective and safe treatment in clinics. Acupoint application and ear plaster therapy are considered the characteristic therapies of traditional Chinese medicine. They have the advantages of small side effects, high safety, and simple procedure. This study will elucidate in detail the specific process and efficacy of the two treatment methods for AECOPD complicated with sleep disorders, including medical devices used, selection of acupoints, procedure, and posttreatment care. This study is intended to provide a new reference for the clinical treatment modality of this type of disease.

The present protocol describes the specific process and efficacy of the acupoint application combined with ear plaster therapy for sleep disorders in a patient with acute exacerbation of chronic obstructive pulmonary disease, including medical devices, selection of acupoints, operating methods, and posttreatment care.