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一项关于针灸/催眠干预慢性儿童疼痛的可行性和可接受性的I期研究。

A phase I study on the feasibility and acceptability of an acupuncture/hypnosis intervention for chronic pediatric pain.

作者信息

Zeltzer Lonnie K, Tsao Jennie C I, Stelling Carla, Powers Mark, Levy Samantha, Waterhouse Michael

机构信息

UCLA Pediatric Pain Program, Department of Pediatrics, #22-464 MDCC, UCLA School of Medicine, 10833 Le Conte Avenue, Los Angeles, CA 90095-1752, USA.

出版信息

J Pain Symptom Manage. 2002 Oct;24(4):437-46. doi: 10.1016/s0885-3924(02)00506-7.

Abstract

The purpose of the present study was to conduct a Phase I investigation examining the feasibility and acceptability of a complementary and alternative medicine (CAM) package combining acupuncture and hypnosis for chronic pediatric pain. Thirty-three sequentially referred children (21 girls) aged 6-18 years were offered 6 weekly sessions consisting of individually tailored acupuncture treatment together with a 20-minute hypnosis session (conducted while the needles were in place). Parent and child ratings of pain and pain-related interferences in functioning, as well as child ratings of anxiety and depression, were obtained at pre- and post-treatment. The treatment was highly acceptable (only 2 patients refused; > or = 90% completed treatment) and there were no adverse effects. Both parents and children reported significant improvements in children's pain and interference following treatment. Children's anticipatory anxiety declined significantly across treatment sessions. Our results support the feasibility and acceptability of a combined acupuncture/hypnosis intervention for chronic pediatric pain.

摘要

本研究的目的是进行一项I期调查,检验将针灸与催眠相结合的补充替代医学(CAM)方案用于治疗儿童慢性疼痛的可行性和可接受性。研究为33名年龄在6至18岁之间(21名女孩)的转诊儿童提供了为期6周的治疗,每周一次,包括根据个体情况定制的针灸治疗以及20分钟的催眠治疗(在针刺时进行)。在治疗前后获取了家长和儿童对疼痛及疼痛相关功能干扰的评分,以及儿童对焦虑和抑郁的评分。该治疗具有很高的可接受性(只有2名患者拒绝;≥90%的患者完成了治疗)且无不良反应。家长和儿童均报告称,治疗后儿童的疼痛和功能干扰有显著改善。在整个治疗过程中,儿童的预期焦虑显著下降。我们的结果支持了针灸/催眠联合干预治疗儿童慢性疼痛的可行性和可接受性。

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