忙しすぎる…。
スキゾフレニアに関して、質問を受けたので、文献調査。
鍼灸医療総合文献データベース
http://acupuncture.jp/
検索キーワードは「統合失調症」
結果は、
不眠・睡眠障害の鍼灸治療
佐野善樹
鍼灸OSAKA 22巻3号63－67 2006年
統合失調症にて加療中の腰痛患者に対する鍼治療について
氏原輝子 福島綾子
関西理学療法(1346-9606) 7巻 164－166 2007年
「精神疾患」を持った患者が来たら、どうする?
船水隆広 保坂隆 岩泉瑠實子 神谷節子 佐藤隆哉
医道の日本66巻11号、164－166 2007年
心因性因子の関与が疑われた身体症状に対する鍼灸治療の経験
菅野俊輔 山形由紀 立野豊 八木清貴 南澤潔
全日本鍼灸学会雑誌 59巻1号81－81 2009年
以上の4論文。検索キーワードを旧称の「精神分裂病」で行ったが、全て漢方の論文で、5論文。
pubmedで「schizophrenia acupuncture」で検索したところ、57論文。
以下が2009年11月の韓国の「統合失調症に対する鍼：システマティックレビューとメタ分析」で、ある程度の見通しができる。
Int J Clin Pract. 2009 Nov;63(11):1622-33.
Acupuncture for schizophrenia: a systematic review and meta-analysis.Lee MS, Shin BC, Ronan P, Ernst E.
SourceDivision of Standard Research, Korea Institute of Oriental Medicine, Daejeon 305-811, South Korea.
Abstract
BACKGROUND: Acupuncture is one of the most popular types of complementary/alternative medicine. It is sometimes used as a treatment for schizophrenia.
AIMS: The objective of this review is to assess systematically the clinical evidence for or against acupuncture as a treatment for schizophrenia.
METHODS: We searched 20 databases from their inception to May 2009 without language restrictions. All randomised clinical trials (RCTs) of acupuncture, with or without electrical stimulation or moxibustion for patients with schizophrenia were considered for inclusion.
RESULTS: Thirteen RCTs, all originating from China, met the inclusion criteria. One RCT reported significant effects of electroacupuncture (EA) plus drug therapy for improving auditory hallucunations and positive symptom compared with sham EA plus drug therapy. Four RCTs showed significant effects of acupuncture for response rate compared with antipsychotic drugs [n = 360, relative risk (RR): 1.18, 95% confidence interval (CI): 1.03-1.34, p = 0.01; heterogeneity: tau(2) = 0.00, chi(2) = 2.98, p = 0.39, I(2) = 0%]. Seven RCTs showed significant effects of acupuncture plus antipsychotic drug therapy for response rate compared with antipsychotic drug therapy (n = 457, RR: 1.15, 95% CI: 1.04-1.28, p = 0.008, heterogeneity: tau(2) = 0.00, chi(2) = 6.56, p = 0.36, I(2) = 9%). Two RCTs tested laser acupuncture against sham laser acupuncture. One RCT found beneficial effects of laser acupuncture on hallucination and the other RCT showed significant effects of laser acupuncture on response rate, Brief Psychiatric Rating Scale and clinical global index compared with sham laser. The methodological quality was generally poor and there was not a single high quality trial.
CONCLUSION: These results provide limited evidence for the effectiveness of acupuncture in treating the symptoms of schizophrenia. However, the total number of RCTs, the total sample size and the methodological quality were too low to draw firm conclusions. As all studies originated from China, international studies are needed to test whether there is any effect.
結論で触れられているように、研究は中国ばかりであり、国際的な検証が必要。
スキゾフレニアに関して、質問を受けたので、文献調査。
鍼灸医療総合文献データベース
http://acupuncture.jp/
検索キーワードは「統合失調症」
結果は、
不眠・睡眠障害の鍼灸治療
佐野善樹
鍼灸OSAKA 22巻3号63－67 2006年
統合失調症にて加療中の腰痛患者に対する鍼治療について
氏原輝子 福島綾子
関西理学療法(1346-9606) 7巻 164－166 2007年
「精神疾患」を持った患者が来たら、どうする?
船水隆広 保坂隆 岩泉瑠實子 神谷節子 佐藤隆哉
医道の日本66巻11号、164－166 2007年
心因性因子の関与が疑われた身体症状に対する鍼灸治療の経験
菅野俊輔 山形由紀 立野豊 八木清貴 南澤潔
全日本鍼灸学会雑誌 59巻1号81－81 2009年
以上の4論文。検索キーワードを旧称の「精神分裂病」で行ったが、全て漢方の論文で、5論文。
pubmedで「schizophrenia acupuncture」で検索したところ、57論文。
以下が2009年11月の韓国の「統合失調症に対する鍼：システマティックレビューとメタ分析」で、ある程度の見通しができる。
Int J Clin Pract. 2009 Nov;63(11):1622-33.
Acupuncture for schizophrenia: a systematic review and meta-analysis.Lee MS, Shin BC, Ronan P, Ernst E.
SourceDivision of Standard Research, Korea Institute of Oriental Medicine, Daejeon 305-811, South Korea.
Abstract
BACKGROUND: Acupuncture is one of the most popular types of complementary/alternative medicine. It is sometimes used as a treatment for schizophrenia.
AIMS: The objective of this review is to assess systematically the clinical evidence for or against acupuncture as a treatment for schizophrenia.
METHODS: We searched 20 databases from their inception to May 2009 without language restrictions. All randomised clinical trials (RCTs) of acupuncture, with or without electrical stimulation or moxibustion for patients with schizophrenia were considered for inclusion.
RESULTS: Thirteen RCTs, all originating from China, met the inclusion criteria. One RCT reported significant effects of electroacupuncture (EA) plus drug therapy for improving auditory hallucunations and positive symptom compared with sham EA plus drug therapy. Four RCTs showed significant effects of acupuncture for response rate compared with antipsychotic drugs [n = 360, relative risk (RR): 1.18, 95% confidence interval (CI): 1.03-1.34, p = 0.01; heterogeneity: tau(2) = 0.00, chi(2) = 2.98, p = 0.39, I(2) = 0%]. Seven RCTs showed significant effects of acupuncture plus antipsychotic drug therapy for response rate compared with antipsychotic drug therapy (n = 457, RR: 1.15, 95% CI: 1.04-1.28, p = 0.008, heterogeneity: tau(2) = 0.00, chi(2) = 6.56, p = 0.36, I(2) = 9%). Two RCTs tested laser acupuncture against sham laser acupuncture. One RCT found beneficial effects of laser acupuncture on hallucination and the other RCT showed significant effects of laser acupuncture on response rate, Brief Psychiatric Rating Scale and clinical global index compared with sham laser. The methodological quality was generally poor and there was not a single high quality trial.
CONCLUSION: These results provide limited evidence for the effectiveness of acupuncture in treating the symptoms of schizophrenia. However, the total number of RCTs, the total sample size and the methodological quality were too low to draw firm conclusions. As all studies originated from China, international studies are needed to test whether there is any effect.
結論で触れられているように、研究は中国ばかりであり、国際的な検証が必要。