若年女性の冷え症に対する下肢への低周波鍼通電療法の効果 : SF-8の下位尺度'体の痛み'得点を指標とした比較検討 Effects of Electro-Acupuncture Therapy (EAT) to the Lower Limbs of Young Women who Suffer from Chilly Constitution ('Hie' symptoms) : As judged by bodily pain (BP) score of Medical Outcomes Study Short-Form-8 Survey (SF-8)

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著者

    • 坂口 俊二 SAKAGUCHI Shunji
    • 関西医療大学 鍼灸学ユニット Research Division of Acupuncture and Moxibustion, Kansai University of Health Sciences
    • 竹田 太郎 [他] TAKEDA Taro
    • 明治国際医療大学 臨床鍼灸学教室 Department of Clinical Acupuncture and Moxibustion, Meiji University of Integrative Medicine
    • 小島 賢久 KOJIMA Yoshihisa
    • 森ノ宮医療大学 保健医療学部 鍼灸学科 Department of Acupuncture, Faculty of Health Sciences, Morinomiya University of Medical Sciences
    • 宮崎 潤二 MIYAZAKI Junji
    • 宝塚医療大学 保健医療学部 鍼灸学科 Department of Acupuncture, Faculty of Health Sciences, Takarazuka University of Medical and Health Care
    • 佐々木 和郎 SASAKI Kazuro
    • 鈴鹿医療科学大学 鍼灸学部 鍼灸学科 Department of Acupuncture Medicine, Faculty of Oriental Medicine, Suzuka University of Medical Science
    • 森 英俊 MORI Hidetoshi
    • 筑波技術大学 保健科学部 保健学科 鍼灸学専攻 Course of Acupuncture and Moxibustion, Department of Health, Faculty of Health Sciences, Tsukuba University of Technology

抄録

目的:冷え症(血管運動神経障害)者を健康関連 QOL の一つである SF-8 の下位尺度 ‘体の痛み(BP)’ 得点で 2 群に分類し、下肢への低周波鍼通電療法(EAT)の効果を比較検討した。<br>方法:対象は冷え症を自覚し、体位変換試験(起立試験)により下肢血管反応に異常を呈した女性 20 名(平均年齢 20.6±2.5 歳)とした。EAT は週 1 回、計 5 回、左右三陰交(SP6)に 40 mm·20 号のステンレス鍼を約 15 mm 刺入して周波数 1Hz で 20 分間とした。評価には冷えを含む 14 症状の 6 件法と冷えの程度をVisual Analogue Scale(VAS)で回答する独自の評価票(冷え日記)を用いた。また、健康関連 QOL には SF-8 日本語版(スタンダード版)を用いた。<br>結果:対象者は、治療前の SF-8 の BP 得点が国民標準値 42.75 点より得点の低い(QOLが低い)L 群 12 名と得点の高い(QOL が高い)H群8名に分類した。VAS 値には両群間でEATによる有意な改善はみられなかったが、14 症状の合計得点は L 群で治療第2週から治療前に比べて有意に低下し、その効果は治療終了 1 カ月後まで持続していた。SF-8 の下位尺度では、L 群で VT の得点が治療前に比して治療終了 1 ヵ月後に、BP·MH の得点が治療前に比して治療後、治療終了 1 ヵ月後に有意に増加した。<br>結語:三陰交への EAT は冷え症者の全身症状および健康関連 QOL の改善に寄与し、その効果は健康関連 QOL が低い(BP が強い)ほど高いことが示唆された。

<B>Objective</B><br> We examined the effects of low frequency electro-acupuncture therapy (EAT) on young women who suffered from‘<I>Hie</I>’symptoms, which were judged according to the national normal value of bodily pain (BP) scores from a ”Medical Outcomes Study Short-Form-8 Survey“ (SF-8).<br><B>Subjects and Methodology</B><br> The experimental subjects were 20 women (mean age: 21.2 years old; range: 18-26 years old) who exhibited symptoms of ‘<I>Hie</I>’ symptoms (vasomotor dysfunction) and whose toes’skin temperature increased or showed a different reaction between right and left during a postural change test. A stainless steel acupuncture needle (length: 40 mm; diameter: 0.2 mm) was inserted approximately 15 mm deep at SP6 (Sanyinjiao, Saninko). EAT using an active electrode (the needle) at SP6 and a reference electrode (surface electrode) at the lateral-anterior aspect of the lower leg was applied at a frequency of 1 Hz for 20 minutes. The therapy was provided one session per week for a total of five sessions. Effects of the therapy were evaluated by using an original questionnaire (‘<I>Hie</I>’diary), which consisted of six categorical of 14 symptoms (including of‘<I>Hie</I>’) and Visual Analogue Scale (VAS) of‘severity of <I>Hie</I>’. Moreover, changes in health-related quality of life (HRQOL) by acupuncture were evaluated by using the SF-8 Standard Edition.<br><B>Results</B><br> Subjects were grouped according to their SF-8 BP scores before the therapy: 12 subjects (L group) whose scores were less than the national normal value (42.75 points), and eight subjects (H group) whose scores were more than the national normal value. For both groups VAS levels showed no statistically significant changes, but for the L group the total score of 14 symptoms significantly decreased after the second therapy session compared with scores before the therapy. Moreover, the statistically significant decrease in the total score lasted for one month after the therapy had been finished. Compared with before therapy, the score of ‘vitality’ (VT) significantly increased for the L group one month after the therapy, and those of BP and ‘mental health’ (MH) significantly increased for the L group just after and one month after the therapy.<br><B>Conclusions</B><br> EAT at SP6 on young women with ‘<I>Hie</I>’ symptoms (vasomotor dysfunction) contributes to improvement in overall condition and health-related QOL, and it is occluded that the effect of the EAT was high, because HRQOL was low (the score of BP was low).

収録刊行物

  • 日本温泉気候物理医学会雑誌

    日本温泉気候物理医学会雑誌 75(4), 248-255, 2012-08-31

    一般社団法人 日本温泉気候物理医学会

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各種コード

  • NII論文ID(NAID)
    10031029243
  • NII書誌ID(NCID)
    AN00186245
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00290343
  • NDL 記事登録ID
    023968289
  • NDL 請求記号
    Z19-225
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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