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Acupuncture in primary care.初级保健中的针灸
Prim Care. 2010 Mar;37(1):105-17. doi: 10.1016/j.pop.2009.09.010.
2
Integrative Medicine: Acupuncture.整合医学:针灸。
FP Essent. 2021 Jun;505:18-22.
3
Acupuncture for neck disorders.针灸治疗颈部疾病。
Cochrane Database Syst Rev. 2016 May 4(5):CD004870. doi: 10.1002/14651858.CD004870.pub4.
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WITHDRAWN: Acupuncture for neck disorders.撤回:针灸治疗颈部疾病。
Cochrane Database Syst Rev. 2016 Nov 17;11(11):CD004870. doi: 10.1002/14651858.CD004870.pub5.
5
Acupuncture and knee osteoarthritis: a three-armed randomized trial.针灸与膝骨关节炎:一项三臂随机试验
Ann Intern Med. 2006 Jul 4;145(1):12-20. doi: 10.7326/0003-4819-145-1-200607040-00005.
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Acupuncture for chronic nonspecific low back pain.针刺治疗慢性非特异性下腰痛。
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Review: acupuncture analgesia in clinical trials.综述:临床试验中的针刺镇痛
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Acupuncture in the treatment of pain.
J Altern Complement Med. 1996 Spring;2(1):101-24. doi: 10.1089/acm.1996.2.101.
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Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD001977. doi: 10.1002/14651858.CD001977.pub2.
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Racial differences in treatment adherence and response to acupuncture and cognitive behavioral therapy for insomnia among Black and White cancer survivors.黑人和白人癌症幸存者接受针刺和认知行为疗法治疗失眠的治疗依从性和反应的种族差异。
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Effects of acupuncture versus cognitive behavioral therapy on brain-derived neurotrophic factor in cancer survivors with insomnia: an exploratory analysis.针灸与认知行为疗法对癌症失眠幸存者脑源性神经营养因子的影响:探索性分析。
Acupunct Med. 2021 Dec;39(6):637-645. doi: 10.1177/0964528421999395. Epub 2021 Mar 22.

本文引用的文献

1
Traditional Chinese acupuncture and placebo (sham) acupuncture are differentiated by their effects on mu-opioid receptors (MORs).传统中医针灸与安慰剂(假)针灸可通过它们对μ-阿片受体(MORs)的作用来区分。
Neuroimage. 2009 Sep;47(3):1077-85. doi: 10.1016/j.neuroimage.2009.05.083. Epub 2009 Jun 6.
2
A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain.一项比较针刺疗法、模拟针刺疗法和慢性下背痛常规护理的随机试验。
Arch Intern Med. 2009 May 11;169(9):858-66. doi: 10.1001/archinternmed.2009.65.
3
Complementary and alternative medicine use among adults and children: United States, 2007.2007年美国成人和儿童使用补充与替代医学的情况
Natl Health Stat Report. 2008 Dec 10(12):1-23.
4
Acupuncture for tension-type headache.针刺治疗紧张型头痛。
Cochrane Database Syst Rev. 2009 Jan 21(1):CD007587. doi: 10.1002/14651858.CD007587.
5
The status and future of acupuncture clinical research.针灸临床研究的现状与未来。
J Altern Complement Med. 2008 Sep;14(7):871-81. doi: 10.1089/acm.2008.SAR-4.
6
The status and future of acupuncture mechanism research.针灸机制研究的现状与未来
J Altern Complement Med. 2008 Sep;14(7):861-9. doi: 10.1089/acm.2008.SAR-3.
7
Doctor training and practice of acupuncture: results of a survey.
J Eval Clin Pract. 2008 Jun;14(3):439-45. doi: 10.1111/j.1365-2753.2007.00891.x. Epub 2008 Mar 27.
8
Cost-effectiveness of acupuncture treatment in patients with headache.针灸治疗头痛患者的成本效益
Cephalalgia. 2008 Apr;28(4):334-45. doi: 10.1111/j.1468-2982.2007.01504.x.
9
De qi: Chinese acupuncture patients' experiences and beliefs regarding acupuncture needling sensation--an exploratory survey.得气:中国针灸患者对针刺感觉的体验与认知——一项探索性调查
Acupunct Med. 2007 Dec;25(4):158-65. doi: 10.1136/aim.25.4.158.
10
German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups.德国慢性下腰痛针灸试验(GERAC):一项三臂随机、多中心、双盲、平行组试验。
Arch Intern Med. 2007 Sep 24;167(17):1892-8. doi: 10.1001/archinte.167.17.1892.

初级保健中的针灸

Acupuncture in primary care.

作者信息

Mao Jun J, Kapur Rahul

机构信息

Department of Family Medicine and Community Health, University of Pennsylvania, 2 Gates Building, 3400 Spruce Street, Philadelphia, PA 19104, USA.

出版信息

Prim Care. 2010 Mar;37(1):105-17. doi: 10.1016/j.pop.2009.09.010.

DOI:10.1016/j.pop.2009.09.010
PMID:20189001
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2830903/
Abstract

Acupuncture, an ancient traditional Chinese medical therapy, is used widely around the world. When practiced by a certified provider, it is safe and patients often find it calming and relaxing. Animal and human studies have found a physiologic basis for acupuncture needling in that it affects the complex central and peripheral neurohormonal network. Although it is unclear whether acupuncture is beneficial over sham/placebo acupuncture, acupuncture care yields clinically relevant short- and long-term benefits for low back pain, knee osteoarthritis, chronic neck pain, and headache. The integration of acupuncture into a primary care setting also appears to be cost-effective. The practice of acupuncture in primary care requires rigorous training, financial discipline, and good communication skills. When done correctly, acupuncture is beneficial for both patients and providers.

摘要

针灸是一种古老的中医疗法,在世界各地广泛应用。由经过认证的从业者实施时,它是安全的,患者通常会觉得它能让人平静和放松。动物和人体研究已经发现了针灸针刺的生理基础,即它会影响复杂的中枢和外周神经激素网络。虽然尚不清楚针灸是否比假针灸/安慰剂针灸更有益,但针灸治疗对腰痛、膝骨关节炎、慢性颈痛和头痛具有临床相关的短期和长期益处。将针灸纳入初级保健环境似乎也具有成本效益。在初级保健中实施针灸需要严格的培训、财务纪律和良好的沟通技巧。如果操作得当,针灸对患者和提供者都有益。