Effect of Auricular Acupressure on Uremic Pruritus in Patients Receiving Hemodialysis Treatment: A Randomized Controlled Trial
Background. Uremic pruritus (UP) is a common symptom in patients undergoing maintenance hemodialysis for end-stage renal disease (ESRD). Objective. To determine the clinical efficacy of auricular acupressure therapy on pruritus in hemodialysis patients and to explore possible underlying mechanisms....
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| Veröffentlicht in: | Evidence-based complementary and alternative medicine 2015-01, Vol.2015 (2015), p.1-8 |
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| creator | Liu, Gui-zhen Yu, Hui Shi, Xiao-jing Bao, Yi-jie Yao, Wei-guo Yan, Cui-na Yin, Peihao |
| description | Background. Uremic pruritus (UP) is a common symptom in patients undergoing maintenance hemodialysis for end-stage renal disease (ESRD). Objective. To determine the clinical efficacy of auricular acupressure therapy on pruritus in hemodialysis patients and to explore possible underlying mechanisms. Methods. Patients receiving maintenance hemodialysis at a referral medical center were recruited and assigned to intervention (n=32) and control (n=30) groups. The intervention group underwent auricular acupressure treatment three times a week for six weeks. Auricular acupressure was not applied to patients in the control group. However, tape without Vaccaria seeds was applied to the same six auricular acupoints as the intervention group. Pruritus scores were assessed using VAS scores, and enzyme-linked immunosorbent assays (ELISA) were used to measure levels of other possible contributory biochemical factors. Results. There was a significant difference in mean VAS scores between the postintervention and control groups during follow-up (3.844 ± 1.687 versus 5.567 ± 2.285, F=22.32, P |
| doi_str_mv | 10.1155/2015/593196 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4606162</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A458645705</galeid><sourcerecordid>A458645705</sourcerecordid><originalsourceid>FETCH-LOGICAL-c495t-c0e72d61247fdf9e389fa46feb822404bcd8bf5f0c30f2b31b90e25fc2ab83003</originalsourceid><addsrcrecordid>eNqN0c1rFDEYBvBBFFurJ-8S8CLK2nxnxoMwLNUKBUvZgreQybzZpswk22SmUg_-7WbZulZPnhLIjyfvy1NVLwl-T4gQxxQTcSwaRhr5qDokipMFp3X9eH9X3w6qZzlfY0wbpdTT6oBK3ghM1GH188Q5sBOKDrVz8nYeTEKtnTcJcp4ToBjQZYLRW3SeCpjmjHxA52byEKaMLsCCv_VhjU5hjL03w132Ga0SmGks4gNq0YUJfRz9D-jRMoYpxWEo11Uq-Hn1xJkhw4v786i6_HSyWp4uzr5-_rJszxa2DDotLAZFe0koV653DbC6cYZLB11NKce8s33dOeGwZdjRjpGuwUCFs9R0NcOYHVUfd7mbuRuht2WyZAa9SX406U5H4_XfL8Ff6XW81VxiSSQtAW_uA1K8mSFPevTZwjCYAHHOmiiqOKsp44W-_odexzmFst5WEUaEVPiPWpsBtA8uln_tNlS3XNSSC4VFUe92yqaYcwK3H5lgvW1fb9vXu_aLfvVwy739XXcBb3fgyofefPf_lwaFgDMPsGRM1OwXPIfCIA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1721315670</pqid></control><display><type>article</type><title>Effect of Auricular Acupressure on Uremic Pruritus in Patients Receiving Hemodialysis Treatment: A Randomized Controlled Trial</title><source>Wiley-Blackwell Open Access Titles</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>PubMed Central Open Access</source><creator>Liu, Gui-zhen ; Yu, Hui ; Shi, Xiao-jing ; Bao, Yi-jie ; Yao, Wei-guo ; Yan, Cui-na ; Yin, Peihao</creator><contributor>Niemtzow, Richard C.</contributor><creatorcontrib>Liu, Gui-zhen ; Yu, Hui ; Shi, Xiao-jing ; Bao, Yi-jie ; Yao, Wei-guo ; Yan, Cui-na ; Yin, Peihao ; Niemtzow, Richard C.</creatorcontrib><description>Background. Uremic pruritus (UP) is a common symptom in patients undergoing maintenance hemodialysis for end-stage renal disease (ESRD). Objective. To determine the clinical efficacy of auricular acupressure therapy on pruritus in hemodialysis patients and to explore possible underlying mechanisms. Methods. Patients receiving maintenance hemodialysis at a referral medical center were recruited and assigned to intervention (n=32) and control (n=30) groups. The intervention group underwent auricular acupressure treatment three times a week for six weeks. Auricular acupressure was not applied to patients in the control group. However, tape without Vaccaria seeds was applied to the same six auricular acupoints as the intervention group. Pruritus scores were assessed using VAS scores, and enzyme-linked immunosorbent assays (ELISA) were used to measure levels of other possible contributory biochemical factors. Results. There was a significant difference in mean VAS scores between the postintervention and control groups during follow-up (3.844 ± 1.687 versus 5.567 ± 2.285, F=22.32, P<0.0001). Compared to the control group, serum histamine levels in the postintervention group at the six-week follow-up had decreased significantly (F=5.01, P=0.0290). Conclusion. Our findings suggest that auricular acupressure may be a useful treatment in the multidisciplinary management of UP in ESRD patients.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2015/593196</identifier><identifier>PMID: 26495017</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acupuncture ; Care and treatment ; Chinese medicine ; Chronic kidney failure ; Clinical trials ; Enzyme-linked immunosorbent assay ; Hemodialysis ; Histamine ; Pruritus</subject><ispartof>Evidence-based complementary and alternative medicine, 2015-01, Vol.2015 (2015), p.1-8</ispartof><rights>Copyright © 2015 Cui-na Yan et al.</rights><rights>COPYRIGHT 2015 John Wiley & Sons, Inc.</rights><rights>Copyright © 2015 Cui-na Yan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2015 Cui-na Yan et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c495t-c0e72d61247fdf9e389fa46feb822404bcd8bf5f0c30f2b31b90e25fc2ab83003</citedby><cites>FETCH-LOGICAL-c495t-c0e72d61247fdf9e389fa46feb822404bcd8bf5f0c30f2b31b90e25fc2ab83003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606162/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606162/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26495017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Niemtzow, Richard C.</contributor><creatorcontrib>Liu, Gui-zhen</creatorcontrib><creatorcontrib>Yu, Hui</creatorcontrib><creatorcontrib>Shi, Xiao-jing</creatorcontrib><creatorcontrib>Bao, Yi-jie</creatorcontrib><creatorcontrib>Yao, Wei-guo</creatorcontrib><creatorcontrib>Yan, Cui-na</creatorcontrib><creatorcontrib>Yin, Peihao</creatorcontrib><title>Effect of Auricular Acupressure on Uremic Pruritus in Patients Receiving Hemodialysis Treatment: A Randomized Controlled Trial</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Background. Uremic pruritus (UP) is a common symptom in patients undergoing maintenance hemodialysis for end-stage renal disease (ESRD). Objective. To determine the clinical efficacy of auricular acupressure therapy on pruritus in hemodialysis patients and to explore possible underlying mechanisms. Methods. Patients receiving maintenance hemodialysis at a referral medical center were recruited and assigned to intervention (n=32) and control (n=30) groups. The intervention group underwent auricular acupressure treatment three times a week for six weeks. Auricular acupressure was not applied to patients in the control group. However, tape without Vaccaria seeds was applied to the same six auricular acupoints as the intervention group. Pruritus scores were assessed using VAS scores, and enzyme-linked immunosorbent assays (ELISA) were used to measure levels of other possible contributory biochemical factors. Results. There was a significant difference in mean VAS scores between the postintervention and control groups during follow-up (3.844 ± 1.687 versus 5.567 ± 2.285, F=22.32, P<0.0001). Compared to the control group, serum histamine levels in the postintervention group at the six-week follow-up had decreased significantly (F=5.01, P=0.0290). Conclusion. Our findings suggest that auricular acupressure may be a useful treatment in the multidisciplinary management of UP in ESRD patients.</description><subject>Acupuncture</subject><subject>Care and treatment</subject><subject>Chinese medicine</subject><subject>Chronic kidney failure</subject><subject>Clinical trials</subject><subject>Enzyme-linked immunosorbent assay</subject><subject>Hemodialysis</subject><subject>Histamine</subject><subject>Pruritus</subject><issn>1741-427X</issn><issn>1741-4288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqN0c1rFDEYBvBBFFurJ-8S8CLK2nxnxoMwLNUKBUvZgreQybzZpswk22SmUg_-7WbZulZPnhLIjyfvy1NVLwl-T4gQxxQTcSwaRhr5qDokipMFp3X9eH9X3w6qZzlfY0wbpdTT6oBK3ghM1GH188Q5sBOKDrVz8nYeTEKtnTcJcp4ToBjQZYLRW3SeCpjmjHxA52byEKaMLsCCv_VhjU5hjL03w132Ga0SmGks4gNq0YUJfRz9D-jRMoYpxWEo11Uq-Hn1xJkhw4v786i6_HSyWp4uzr5-_rJszxa2DDotLAZFe0koV653DbC6cYZLB11NKce8s33dOeGwZdjRjpGuwUCFs9R0NcOYHVUfd7mbuRuht2WyZAa9SX406U5H4_XfL8Ff6XW81VxiSSQtAW_uA1K8mSFPevTZwjCYAHHOmiiqOKsp44W-_odexzmFst5WEUaEVPiPWpsBtA8uln_tNlS3XNSSC4VFUe92yqaYcwK3H5lgvW1fb9vXu_aLfvVwy739XXcBb3fgyofefPf_lwaFgDMPsGRM1OwXPIfCIA</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Liu, Gui-zhen</creator><creator>Yu, Hui</creator><creator>Shi, Xiao-jing</creator><creator>Bao, Yi-jie</creator><creator>Yao, Wei-guo</creator><creator>Yan, Cui-na</creator><creator>Yin, Peihao</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150101</creationdate><title>Effect of Auricular Acupressure on Uremic Pruritus in Patients Receiving Hemodialysis Treatment: A Randomized Controlled Trial</title><author>Liu, Gui-zhen ; Yu, Hui ; Shi, Xiao-jing ; Bao, Yi-jie ; Yao, Wei-guo ; Yan, Cui-na ; Yin, Peihao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c495t-c0e72d61247fdf9e389fa46feb822404bcd8bf5f0c30f2b31b90e25fc2ab83003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acupuncture</topic><topic>Care and treatment</topic><topic>Chinese medicine</topic><topic>Chronic kidney failure</topic><topic>Clinical trials</topic><topic>Enzyme-linked immunosorbent assay</topic><topic>Hemodialysis</topic><topic>Histamine</topic><topic>Pruritus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Gui-zhen</creatorcontrib><creatorcontrib>Yu, Hui</creatorcontrib><creatorcontrib>Shi, Xiao-jing</creatorcontrib><creatorcontrib>Bao, Yi-jie</creatorcontrib><creatorcontrib>Yao, Wei-guo</creatorcontrib><creatorcontrib>Yan, Cui-na</creatorcontrib><creatorcontrib>Yin, Peihao</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Evidence-based complementary and alternative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Gui-zhen</au><au>Yu, Hui</au><au>Shi, Xiao-jing</au><au>Bao, Yi-jie</au><au>Yao, Wei-guo</au><au>Yan, Cui-na</au><au>Yin, Peihao</au><au>Niemtzow, Richard C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Auricular Acupressure on Uremic Pruritus in Patients Receiving Hemodialysis Treatment: A Randomized Controlled Trial</atitle><jtitle>Evidence-based complementary and alternative medicine</jtitle><addtitle>Evid Based Complement Alternat Med</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>2015</volume><issue>2015</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>1741-427X</issn><eissn>1741-4288</eissn><abstract>Background. Uremic pruritus (UP) is a common symptom in patients undergoing maintenance hemodialysis for end-stage renal disease (ESRD). Objective. To determine the clinical efficacy of auricular acupressure therapy on pruritus in hemodialysis patients and to explore possible underlying mechanisms. Methods. Patients receiving maintenance hemodialysis at a referral medical center were recruited and assigned to intervention (n=32) and control (n=30) groups. The intervention group underwent auricular acupressure treatment three times a week for six weeks. Auricular acupressure was not applied to patients in the control group. However, tape without Vaccaria seeds was applied to the same six auricular acupoints as the intervention group. Pruritus scores were assessed using VAS scores, and enzyme-linked immunosorbent assays (ELISA) were used to measure levels of other possible contributory biochemical factors. Results. There was a significant difference in mean VAS scores between the postintervention and control groups during follow-up (3.844 ± 1.687 versus 5.567 ± 2.285, F=22.32, P<0.0001). Compared to the control group, serum histamine levels in the postintervention group at the six-week follow-up had decreased significantly (F=5.01, P=0.0290). Conclusion. Our findings suggest that auricular acupressure may be a useful treatment in the multidisciplinary management of UP in ESRD patients.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26495017</pmid><doi>10.1155/2015/593196</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | Wiley-Blackwell Open Access Titles; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Acupuncture Care and treatment Chinese medicine Chronic kidney failure Clinical trials Enzyme-linked immunosorbent assay Hemodialysis Histamine Pruritus |
| title | Effect of Auricular Acupressure on Uremic Pruritus in Patients Receiving Hemodialysis Treatment: A Randomized Controlled Trial |
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