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[针灸在急诊医学中的应用:病例系列研究结果]

[Acupuncture in emergency medicine : results of a case series].

作者信息

Fleckenstein J, Schottdorf J, Kreimeier U, Irnich D

机构信息

Interdisziplinäre Schmerzambulanz, Klinik für Anaesthesiologie, Klinikum der Universität München, Innenstadt, München, Deutschland.

出版信息

Anaesthesist. 2011 Sep;60(9):854-62. doi: 10.1007/s00101-011-1919-7.

Abstract

BACKGROUND

Acupuncture (AP) might be indicated in emergency medicine. This case series was performed to demonstrate the practicability and possible effects of AP in emergency medical services (EMS) as a basis for randomized controlled trials (RCT).

SUBJECTS AND METHODS

A total of 60 patients (average age 55.4±23.0 years, 57% female) treated by the EMS received AP if applicable. Main outcome parameter was to rate the symptom alleviating effect of acupuncture treatment on a 4-point scale or by VAS.

RESULTS

Of the 60 patients 35 (58%) reported considerable improvement, 15 patients (25%) reported complete relief and 10 patients (17%) reported no changes in the cardinal symptom. The predominant symptoms alleviated by AP were nausea (n=31) and vomiting (n=21). Pericardium 3 and 6 (27%) and Spleen 6 and 9 were the most commonly used AP points.

CONCLUSION

This case series demonstrates that AP can alleviate certain symptoms in emergency patients. The results of the study provide data as a basis to perform clinical controlled trials on the effectiveness of AP in emergency medicine.

摘要

背景

针灸可能适用于急诊医学。本病例系列旨在证明针灸在紧急医疗服务(EMS)中的实用性和可能的效果,为随机对照试验(RCT)提供依据。

受试者与方法

共有60名接受紧急医疗服务治疗的患者(平均年龄55.4±23.0岁,57%为女性)在适用情况下接受了针灸治疗。主要结局参数是根据4分制或视觉模拟评分法(VAS)对针灸治疗的症状缓解效果进行评分。

结果

60名患者中,35名(58%)报告有显著改善,15名患者(25%)报告症状完全缓解,10名患者(17%)报告主要症状无变化。针灸缓解的主要症状是恶心(n = 31)和呕吐(n = 21)。心包经3和6(27%)以及脾经6和9是最常用的针灸穴位。

结论

本病例系列表明针灸可缓解急诊患者的某些症状。该研究结果为开展针灸在急诊医学中有效性的临床对照试验提供了数据依据。

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