Crawford Paul, Penzien Donald B, Coeytaux Remy
Nellis Family Medicine Residency, Nellis Air Force Base, NV.
Family Medicine, Uniformed Services University, Bethesda, MD.
Med Acupunct. 2017 Aug 1;29(4):229-231. doi: 10.1089/acu.2017.1234.
Acupuncture is being offered to patients as part of routine medical care in selected military bases in the United States. There is little published information about the clinical outcomes associated with acupuncture in these clinical settings. The goal of this research was to assess clinical outcomes observed among adult patients who received acupuncture treatments at a United States Air Force medical center. This retrospective chart review was performed at the Nellis Family Medicine Residency in the Mike O'Callaghan Military Medical Center at Nellis Air Force Base in Las Vegas, NV. The charts were from 172 consecutive patients who had at least 4 acupuncture treatments within 1 year. The main outcome measures were prescriptions for opioid medications, muscle relaxants, benzodiazepines, and nonsteroidal anti-inflammatory drugs (NSAIDS) in the 60 days prior to the first acupuncture session and in the corresponding 60 days 1 year later; and Measure Yourself Medical Outcome Profile (MYMOP2) values for symptoms, ability to perform activities, and quality of life. Opioid prescriptions decreased by 45%, muscle relaxants by 34%, NSAIDs by 42%, and benzodiazepines by 14%. MYMOP2 values decreased 3.50-3.11 ( < 0.002) for question 1, 4.18-3.46 ( < 0.00001) for question 3, and 2.73-2.43 ( < 0.006) for question 4. In this military patient population, the number of opioid prescriptions decreased and patients reported improved symptom control, ability to function, and sense of well-being after receiving courses of acupuncture by their primary care physicians.
在美国的一些军事基地，针灸作为常规医疗护理的一部分提供给患者。在这些临床环境中，关于针灸相关临床结果的公开信息很少。本研究的目的是评估在美国空军医疗中心接受针灸治疗的成年患者的临床结果。这项回顾性病历审查在位于内华达州拉斯维加斯内利斯空军基地的迈克·奥卡拉汉军事医疗中心的内利斯家庭医学住院医师培训项目中进行。病历来自172名连续患者，他们在1年内至少接受了4次针灸治疗。主要观察指标为首次针灸治疗前60天和1年后相应的60天内阿片类药物、肌肉松弛剂、苯二氮䓬类药物和非甾体抗炎药（NSAIDs）的处方量；以及自我评估医疗结果概况（MYMOP2）中症状、活动能力和生活质量的值。阿片类药物处方量减少了45%，肌肉松弛剂减少了34%，NSAIDs减少了42%，苯二氮䓬类药物减少了14%。问题1的MYMOP2值从3.50降至3.11（<0.002），问题3从4.18降至3.46（<0.00001），问题4从2.73降至2.43（<0.006）。在这个军事患者群体中，阿片类药物处方量减少，患者报告在接受初级保健医生的针灸疗程后，症状控制、功能能力和幸福感有所改善。
