<meta charset="utf8"></head><body>AECOPD 환자의 수면 장애 치료를 위한 경혈 및 귀 석고 요법

<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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X., et al. <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+Jingyi+Anshen+powder+acupoint+application+on+behavior+and+the+related+cytokines+in+rats+with+insomnia.">Effects of Jingyi Anshen powder acupoint application on behavior and the related cytokines in rats with insomnia.</a> Western Journal of Traditional Chinese Medicine. 31 (11), 41-45 (2021).</li><li>Chen, Y. Y., Chen, Y. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Forty-five+cases+of+elderly+patients+with+acute+exacerbation+of+chronic+obstructive+pulmonary+disease+treated+with+the+aid+of+acupoint+application+of+white+mustard+powder.">Forty-five cases of elderly patients with acute exacerbation of chronic obstructive pulmonary disease treated with the aid of acupoint application of white mustard powder.</a> Zhejiang Journal of Traditional Chinese Medicine. 56 (5), 357 (2021).</li><li>Shao, B., Shen, Z. L., Chen, J., Chen, L. <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+55+cases+of+acute+phase+of+chronic+obstructive+pulmonary+disease+with+phlegm+and+turbid+lung+obstruction+treated+by+acupoint+patch+therapy.">Clinical observation on 55 cases of acute phase of chronic obstructive pulmonary disease with phlegm and turbid lung obstruction treated by acupoint patch therapy.</a> Hunan Journal of Traditional Chinese Medicine. 34 (7), 116-118 (2018).</li><li>Duan, W. B., Zhu, F. 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. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Application+effect+of+auricular+pressure+bean+care+combined+with+acupoint+patch+on+sputum+symptoms+in+patients+with+acute+exacerbation+of+chronic+obstructive+pulmonary+disease.">Application effect of auricular pressure bean care combined with acupoint patch on sputum symptoms in patients with acute exacerbation of chronic obstructive pulmonary disease.</a> Jilin Med. J. 43 (10), 2852-2854 (2022).</li><li>Dong, Z. Q. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+analysis+of+acupoint+patch+combined+with+auricular+pressure+bean+in+the+treatment+of+acute+exacerbation+of+COPD.">Clinical analysis of acupoint patch combined with auricular pressure bean in the treatment of acute exacerbation of COPD.</a> Shenzhen Journal of Integrative Traditional Chinese. 28 (10), 73-75 (2018).</li><li>Wang, Y. J., Ai, Q. X. <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+Chinese+medicine+characteristic+nursing+techniques+on+exercise+endurance+and+lung+function+in+patients+with+acute+exacerbation+of+chronic+obstructive+pulmonary+disease.">Effects of Chinese medicine characteristic nursing techniques on exercise endurance and lung function in patients with acute exacerbation of chronic obstructive pulmonary disease.</a> The Journal of Medical Theory and Practice. 35 (9), 1574-1576 (2021).</li><li>Wang, X. H., Xiao, L. Y., Wang, B. F., Yuan, Y. D., Pan, W. S., Shi, Y. Z. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Influence+of+auricular+plaster+therapy+on+sleeping+structure+in+OSAS+patients.">Influence of auricular plaster therapy on sleeping structure in OSAS patients.</a> J Tradit Chin Med. 29 (1), 3-5 (2009).</li><li>Lei, X. J. <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+auricular+point+pressing+beans+in+the+treatment+of+insomnia.">Observation on the effect of auricular point pressing beans in the treatment of insomnia.</a> Journal of Frontiers of Medicine. 9 (13), 195-196 (2019).</li><li>Tian, T., Wang, D. W., Li, Y., Song, L. 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>
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			<td>Magnetic treatment plaster</td>
			<td>Suzhou Medical Supplies Factory Co., Ltd</td>
			<td>233010</td>
			<td></td>
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			<td>Medical disposable sterilization rubber gloves</td>
			<td>Shandong Yuyuan Latex Gloves Co., Ltd</td>
			<td>230806R22</td>
			<td></td>
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			<td>Medical hand disinfectants</td>
			<td>Shanghai Likang Disinfection High tech Co., Ltd</td>
			<td>20230113J</td>
			<td></td>
		</tr>
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			<td>Medical tape</td>
			<td>Minnesota Mining Manufacturing Medical Equipment (Shanghai) Co., Ltd</td>
			<td>23063GO</td>
			<td></td>
		</tr>
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			<td>Sterile cotton swabs</td>
			<td>Shanghai Honglong Medical Equipment Co., Ltd</td>
			<td>20231108</td>
			<td></td>
		</tr>
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			<td>Tweezers</td>
			<td>Yangzhou Huayue Technology Development Co., Ltd</td>
			<td>20231106</td>
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	</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>저자 스포트라이트: 급성 COPD의 수면 장애에 대한 중국 전통 의학 — 안전하고 비용 효율적인 접근 방식

만성 폐쇄성 폐 질환의 급성 악화를 동반한 수면 장애를 치료하기 위한 귀 석고 요법과 결합된 경혈 적용

Our research focus is treatment of sleep disorders in patients with acute exacerbation of COPD through the application of acupoint application and the ear plaster therapy. We aim to investigate further this through traditional Chinese medicine techniques can effectively improve the symptoms or physical signs of patients. Our protocol also needs to add clinical data on whether acupoint application combined with ear plaster therapy can improve symptoms in the acute chronic obstructive pulmonary and the incorporated data.Our results provide an effective, safe, and simple treatment that can be applied to a wide range of diseases compared to the adverse effects of modern medicine medications and the high cost and the ineffective leaps of other specific treatments.

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

373 조회수.  Hospital of Chengdu University of Traditional Chinese Medicine. 우리의 연구 초점은 경혈 적용과 귀 석고 요법의 적용을 통해 COPD의 급성 악화 환자의 수면 장애를 치료하는 것입니다. 우리는 중국 전통 의학 기술을 통해 환자의 증상이나 신체적 징후를 효과적으로 개선할 수 있는지 더 자세히 조사하는 것을 목표로 합니다. 우리의 프로토콜은 또한 귀 석고 요법과 결합된 경혈 적용이 급성 만성 폐쇄성 폐동맥의 ?...