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关于针灸在儿童慢性疼痛治疗中的应用述评

Commentary on the use of acupuncture in chronic pediatric pain.

作者信息

Waterhouse Michael, Tsao Jennie C I, Zeltzer Lonnie K

机构信息

Pediatric Pain Program, Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1752, USA.

出版信息

J Dev Behav Pediatr. 2009 Feb;30(1):69-71. doi: 10.1097/DBP.0b013e318196b092.

DOI:10.1097/DBP.0b013e318196b092
PMID:19218847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5892445/
Abstract

The use of acupuncture for pain in pediatrics is a long-standing practice in Eastern cultures. Despite growing interest in the West, there has been relatively little systematic research on acupuncture for chronic pediatric pain. In particular, there is a paucity of randomized clinical trials testing the efficacy of acupuncture for chronic pain problems in pediatric populations. This commentary briefly reviews the history of acupuncture for pain and includes a summary of extant findings regarding potential mechanisms of its analgesic effects. Key areas for future research to advance the application of acupuncture to chronic pediatric pain problems are outlined.

摘要

在东方文化中,针刺疗法用于治疗儿科疼痛由来已久。尽管西方对此的兴趣与日俱增,但针对慢性儿科疼痛的针刺疗法相关的系统性研究相对较少。尤其是,缺乏对儿科人群慢性疼痛问题进行针刺疗法疗效测试的随机临床试验。本评论简要回顾了针刺疗法治疗疼痛的历史,并总结了关于其镇痛作用潜在机制的现有研究结果。文中还概述了未来推进针刺疗法应用于慢性儿科疼痛问题的关键研究领域。

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J Pediatr (Rio J). 2024 Nov-Dec;100(6):586-595. doi: 10.1016/j.jped.2024.03.013. Epub 2024 Apr 30.
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Yoga for youth in pain: the UCLA pediatric pain program model.针对处于疼痛中的青少年的瑜伽:加州大学洛杉矶分校儿科疼痛项目模式。
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本文引用的文献

1
Safety and efficacy of acupuncture in children: a review of the evidence.针灸对儿童的安全性和有效性:证据综述。
J Pediatr Hematol Oncol. 2008 Jun;30(6):431-42. doi: 10.1097/MPH.0b013e318165b2cc.
2
Mechanisms of acupuncture analgesia: effective therapy for musculoskeletal pain?
Curr Rheumatol Rep. 2007 Dec;9(6):473-81. doi: 10.1007/s11926-007-0077-z.
3
Minimal immunoreactive plasma beta-endorphin and decrease of cortisol at standard analgesia or different acupuncture techniques.标准镇痛或不同针刺技术下最小免疫反应性血浆β-内啡肽及皮质醇降低
Eur J Anaesthesiol. 2007 Apr;24(4):370-6. doi: 10.1017/S0265021506001906. Epub 2006 Dec 8.
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Efficacy of acupuncture for the prophylaxis of migraine: a multicentre randomised controlled clinical trial.针刺预防偏头痛的疗效:一项多中心随机对照临床试验
Lancet Neurol. 2006 Apr;5(4):310-6. doi: 10.1016/S1474-4422(06)70382-9.
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Cephalalgia. 1999 Nov;19(9):779-86; discussion 765. doi: 10.1046/j.1468-2982.1999.1909779.x.
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Acupuncture for back pain: a meta-analysis of randomized controlled trials.针刺治疗背痛:随机对照试验的荟萃分析。
Arch Intern Med. 1998 Nov 9;158(20):2235-41. doi: 10.1001/archinte.158.20.2235.
10
NIH Consensus Conference. Acupuncture.美国国立卫生研究院共识会议。针灸。
JAMA. 1998 Nov 4;280(17):1518-24.