Ernst G, Strzyz H, Hagmeister H
Kongsberg Sykehus, Anestesi, Smerte-og Palliativseksjon, Kongsberg, Norway.
Complement Ther Med. 2003 Jun;11(2):93-7. doi: 10.1016/s0965-2299(03)00004-9.
Acupuncture is frequently used to treat chronic pain syndromes or other chronic diseases. Several hundred reports have been published of life-threatening adverse events after acupuncture. The aim of our study was to assess the adverse effects of acupuncture during a normal treatment routine.
Thirteen general practitioners and outpatient clinics and 16 other practitioners were included in a questionnaire survey in Germany. Patient gender and age, indications for and method of treatment, and adverse effects were documented by the therapists.
Four hundred and nine patients receiving 3535 acupuncture treatment were included. Adverse effects were observed in 402 treatments (11.4%) in 153 different patients. The main side effects were slight haemorrhage (2.9%), haematoma (2.2%), dizziness (1%) and other systemic symptoms (2.7%). Other side effects mentioned (all below 1%) were fainting, nausea, prolonged DeQi effect (paraesthesia) and increase of pain. In one case, aphasia was reported lasting 1h after acupuncture.
Acupuncture has adverse effects, like any therapeutic approach. If it is used according to established safety rules and carefully at appropriate anatomic regions, it is a safe treatment method.
针灸常用于治疗慢性疼痛综合征或其他慢性疾病。已有数百篇关于针灸后出现危及生命的不良事件的报道。我们研究的目的是评估正常治疗过程中针灸的不良反应。
德国的一项问卷调查纳入了13名全科医生和门诊诊所及16名其他从业者。治疗师记录患者的性别和年龄、治疗指征和方法以及不良反应。
纳入了接受3535次针灸治疗的409名患者。153名不同患者的402次治疗（11.4%）中观察到不良反应。主要副作用为轻微出血（2.9%）、血肿（2.2%）、头晕（1%）和其他全身症状（2.7%）。提及的其他副作用（均低于1%）有昏厥、恶心、针感持续时间延长（感觉异常）和疼痛加重。有1例报告针灸后失语持续1小时。
与任何治疗方法一样，针灸也有不良反应。如果按照既定的安全规则并在适当的解剖区域谨慎使用，它是一种安全的治疗方法。
