Effectiveness of Acupoint Application in Patients with Pharyngeal Pain: Evidence from CHUNBO, A Prospective Real-World Study.
10.1007/s11655-023-3699-8
- Author:
Hang-Kun MA
1
;
Yi-Ming WANG
2
;
Man-Ping GUO
2
;
Chen-Fei LI
2
;
Rui LI
2
;
Rui GAO
3
,
4
Author Information
1. Emergency Department, Xiyuan Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing, 100091, China.
2. National Medical Products Administration for Laboratory of Clinical Research and Evaluation of Traditional Chinese Medicine, Beijing, 100091, China.
3. National Medical Products Administration for Laboratory of Clinical Research and Evaluation of Traditional Chinese Medicine, Beijing, 100091, China. gruixiyuan@
4. com.
- Publication Type:Journal Article
- Keywords:
Chinese medicine;
acupoint application;
effectiveness characters;
multicentre;
pharyngeal pain;
real-world study
- MeSH:
Child;
Humans;
Child, Preschool;
Acupuncture Points;
Medicine, Chinese Traditional/methods*;
Prospective Studies;
Pain
- From:
Chinese journal of integrative medicine
2024;30(1):18-24
- CountryChina
- Language:English
-
Abstract:
OBJECTIVE:To assess the outcomes after acupoint application in patients with pharyngeal pain in a real-world settings, and analyze the characteristics of effective population and prescription characteristics of acupoint application.
METHODS:Based on CHUNBO platform, patients with pharyngeal pain who were candidates for acupoint application on the basis of physician-evaluation, were enrolled in a nationwide, prospective, 69-week multicenter observational study from August 2020 to February 2022. Propensity score matching (PSM) was used to match the confounding factors and the association rules were used to analyze the characteristics of effective population and prescription characteristics of acupoint application. Outcome assessments included the disappearance rate of pharyngeal pain (within 3, 7, and 14 days), disappearance time of pharyngeal pain, as well as adverse events.
RESULTS:Of 7,699 enrolled participants, 6,693 (86.9%) received acupoint application and 1,450 (21.7%) with non-acupoint application. After PSM, there were 1,004 patients each in the application group (AG) and non-application group (NAG). The disappearance rate of pharyngeal pain in the AG at 3, 7, and 14 days were all higher than those in the NAG (P<0.05). The disappearance time of pharyngeal pain in the AG were shorter than that in the NAG (logrank P<0.001, hazard ratio=1.51, 95% confidence interval: 1.41-1.63). The median age of effective cases was 4 years, mainly 3-6 years old (40.21%). The disappearance rate of pharyngeal pain in the application group with tonsil diseases was 2.19 times higher than that in the NAG (P<0.05). The commonly used acupoints for the effective cases were Tiantu (RN 22), Shenque (RN 8) and Dazhui (DU 14). The commonly used herbs for the effective cases were Natrii sulfas, Radix et Rhizoma Rhei, and Herba Ephedrae. Among them, Natrii sulfas was applied to RN 8 most frequently (support 84.39%). A total of 1,324 (17.2%) patients experienced AEs, and mainly occurred in the AG, with significant difference in the incidence of AEs between goups (P<0.05). All AEs reported were the first grade, and the average regression days of AEs was 2.8 days.
CONCLUSIONS:Acupoint application in patients with pharyngeal pain resulted in improved effective rate and shortened duration, especially children aged 3-6 years old, and those with tonsil diseases. Acupoint of RN 22, RN 8 and DU 14, Natrii sulfas, Radix et Rhizoma Rhei, and Herba Ephedrae were the most commonly used herbs in the treatment of pharyngeal pain.
