皮下二氧化碳注入作为非特异性颈部或下背部疼痛患者辅助治疗的镇痛效果。

Analgesic effectiveness of subcutaneous carbon-dioxide insufflations as an adjunct treatment in patients with non-specific neck or low back pain.

作者信息

Brockow T, Dillner A, Franke A, Resch K L

机构信息

Research Institute for Spa Therapies and Health Resort Science, Bad Elster, Germany.

出版信息

Complement Ther Med. 2001 Jun;9(2):68-76. doi: 10.1054/ctim.2001.0434.

DOI:10.1054/ctim.2001.0434

PMID:11444885

Abstract

OBJECTIVES

To evaluate the analgesic effectiveness of subcutaneous carbon-dioxide insufflations in addition to standard physical treatment in patients with non-specific neck or low back pain.

DESIGN

A pragmatic, randomized controlled trial.

SETTING

Rehabilitation hospital inpatients.

INTERVENTIONS

Patients received either subcutaneous carbon-dioxide insufflations (10 treatments) and standard physical treatment or standard physical treatment only.

OUTCOME MEASURES

Affective pain perception (42-point scale), sensory pain perception (30-point scale), pain intensity (100 mm visual analogue scale).

RESULTS

Between-groups differences were -2.2 [95% CI -5.2; +0.9] (affective pain perception), -1.2 [-3, 0; + 0.7] (sensory pain perception), and -6.5 [-14; +1.0] (pain intensity) respectively in favour of subcutaneous carbon-dioxide insufflations.

CONCLUSIONS

Subcutaneous carbon-dioxide insufflations do not seem to be a worthwhile adjunct in the given setting of inpatient rehabilitation. Trials in a monotherapeutic setting, which aim more at the efficacy of subcutaneous carbon-dioxide insufflations, might help to solve this issue.

摘要