PMID- 37561282 OWN - NLM STAT- Publisher LR - 20231009 IS - 1993-0402 (Electronic) IS - 1672-0415 (Linking) VI - 29 IP - 10 DP - 2023 Oct TI - Acupuncture for Patients with Chronic Spontaneous Urticaria: A Randomized, Sham-Controlled Pilot Trial. PG - 924-931 LID - 10.1007/s11655-023-3741-x [doi] AB - OBJECTIVE: To determine the feasibility of conducting a full-scale randomized controlled trial (RCT) and investigate the basic information and safety of acupuncture for patients with chronic spontaneous urticaria (CSU). METHODS: A total of 80 participants with CSU from July 2018 to July 2019 were randomly assigned to receive active acupuncture (n=41) on a fixed prescription of acupoints or sham acupuncture (n=39) with superficial acupuncture on non-acupuncture points through the completely randomized design. Patients in both groups received 5 sessions per week for 2 weeks, and participants were followed for a further 2 weeks. Feasibility was assessed by recruitment and randomization rates, retention of participants, treatment protocol adherence, and the incidence of adverse events (AEs). The clinical primary outcome was the changes from baseline weekly urticaria activity scores (UAS7) after treatment at 2 weeks. Secondary outcomes included the Visual Analogue Scale (VAS) score of itching intensity, Dermatology Life Quality Index (DLQI), Hamilton Depression Scale (HAMD), and Hamilton Anxiety Scale (HAMA). RESULTS: A total of 80 participants were enrolled. The recruitment rate of 24.02%, randomization rate of 100%, a loss rate of 6.25%, and no obvious AEs were observed in either group. The decrease from baseline in the mean UAS7 total score at week 2 in the active acupuncture group was -8.63 (95%CI, -11.78 to -5.49) and -6.21 (95%CI, -9.43 to -2.98) in the sham acupuncture group for a between-group difference of -2.42 (95% CI, -6.93 to 2.07). The change in the DLQI, VAS of itching intensity, HAMA, and HAMD were a slightly better improvement trend in the active acupuncture group than the sham acupuncture group, but the between-group difference was not significant. CONCLUSIONS: Active acupuncture had a better improvement trend in alleviating symptoms, improving quality of life and regulating the mood of anxiety and depression in patients with CSU than sham acupuncture. (Registration Nos. AMCTR-ICR-18000190 and ChiCTR2100054776). CI - (c) 2023. The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Shi, Yun-Zhou AU - Shi YZ AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Yu, Shu-Guang AU - Yu SG AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Zheng, Hui AU - Zheng H AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Zheng, Qian-Hua AU - Zheng QH AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Zhou, Si-Yuan AU - Zhou SY AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Huang, Ying AU - Huang Y AD - Dermatology Department of Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Zhang, Lei-Xiao AU - Zhang LX AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Xiao, Xian-Jun AU - Xiao XJ AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Cao, Wei AU - Cao W AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. FAU - Li, Ying AU - Li Y AD - Department of Acupuncture and Moxibustion, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China. liying@cdutcm.edu.cn. LA - eng PT - Journal Article DEP - 20230810 PL - China TA - Chin J Integr Med JT - Chinese journal of integrative medicine JID - 101181180 SB - IM OTO - NOTNLM OT - acupuncture OT - chronic spontaneous urticaria OT - randomized controlled trial OT - sham acupuncture EDAT- 2023/08/10 12:43 MHDA- 2023/08/10 12:43 CRDT- 2023/08/10 11:16 PHST- 2023/03/15 00:00 [accepted] PHST- 2023/08/10 12:43 [pubmed] PHST- 2023/08/10 12:43 [medline] PHST- 2023/08/10 11:16 [entrez] AID - 10.1007/s11655-023-3741-x [pii] AID - 10.1007/s11655-023-3741-x [doi] PST - ppublish SO - Chin J Integr Med. 2023 Oct;29(10):924-931. doi: 10.1007/s11655-023-3741-x. Epub 2023 Aug 10.