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[针灸——全科医疗中的一种补充疗法]

[Acupuncture--a complementary treatment in general practice].

作者信息

Aanjesen Tori, Senstad Anita C, Lystad Nils, Kvaerner Kari J

机构信息

Det medisinske fakultet Universitetet i Oslo 0316 Oslo.

出版信息

Tidsskr Nor Laegeforen. 2002 Apr 10;122(9):921-3.

Abstract

BACKGROUND

Acupuncture is the complementary treatment most commonly used by general practitioners. This study describes the use of acupuncture among Norwegian general practitioners trained in acupuncture.

MATERIAL AND METHODS

By telephone or mail, a questionnaire was presented to 212 general practitioners who had completed training in complementary acupuncture. They were asked to describe the use and effect of acupuncture and their attitude towards acupuncture.

RESULTS

Of the 111 physicians who replied (53%), 67 (60%) used acupuncture in their clinical practice. 78% had acupuncture courses of less than four weeks' duration only. 52% stated that acupuncture was the preferred treatment in more than 5% of their patients. About 70-80% used acupuncture as a supplement to conventional treatment. Acupuncture was commonly used in patients with musculoskeletal pain (93%), migraine (66%), and headache (63%), less often in patients with nausea, allergy, anxiety, sleep disturbances and gastrointestinal disorders. Improvement was reported in approximately three out of four patients. Lack of time was regarded as the major limitation to the use of acupuncture.

INTERPRETATION

Many general practitioners trained in complementary acupuncture use acupuncture as an integrated part of their clinical practice.

摘要

背景

针灸是全科医生最常用的辅助治疗方法。本研究描述了接受过针灸培训的挪威全科医生对针灸的使用情况。

材料与方法

通过电话或邮件向212名完成了辅助针灸培训的全科医生发放问卷。询问他们针灸的使用情况、效果以及对针灸的态度。

结果

111名医生回复(53%),其中67名(60%)在临床实践中使用针灸。78%的人仅参加过为期不到四周的针灸课程。52%的人表示,超过5%的患者首选针灸治疗。约70 - 80%的人将针灸作为传统治疗的补充。针灸常用于肌肉骨骼疼痛患者(93%)、偏头痛患者(66%)和头痛患者(63%),较少用于恶心、过敏、焦虑、睡眠障碍和胃肠道疾病患者。约四分之三的患者报告症状有所改善。时间不足被认为是使用针灸的主要限制因素。

解读

许多接受过辅助针灸培训的全科医生将针灸作为其临床实践的一部分。

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