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针刺对犬类神经和肌肉骨骼疾病疼痛及生活质量的影响。

Effect of acupuncture on pain and quality of life in canine neurological and musculoskeletal diseases.

作者信息

Silva Nuno E O F, Luna Stelio P L, Joaquim Jean G F, Coutinho Heloisa D, Possebon Fábio S

机构信息

Department of Veterinary Surgery and Anesthesiology, Faculty of Veterinary Medicine and Animal Science, UNESP (Univ Estadual Paulista), Botucatu, SP, Brazil.

出版信息

Can Vet J. 2017 Sep;58(9):941-951.

PMID:28878418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5556488/
Abstract

This prospective study investigated the effects of acupuncture alone or combined with analgesics in chronic pain and quality of life assessed by owners for up to 24 weeks in 181 dogs with neurological and musculoskeletal diseases. The scores before and after the onset of treatment were evaluated using the Wilcoxon test and the evolution of success was evaluated by Kaplan-Meier curves. Differences were considered significant at < 0.05. The success rates for Helsinki chronic pain index (HCPI), quality of life assessment, and visual analog scales (VAS) for pain and locomotion were 79%, 84%, 78%, and 78% of the animals, respectively, when both diseases and groups of treatment were combined. Dogs with musculoskeletal disorders had greater improvement in HCPI ( = 0.003) and VAS locomotion ( = 0.045) than those with neurological disorders. Use of acupuncture alone or in combination with analgesics reduced pain and improved quality of life in dogs with neurological and musculoskeletal diseases.

摘要

这项前瞻性研究调查了单独使用针灸或联合使用镇痛药对181只患有神经和肌肉骨骼疾病的犬慢性疼痛的影响以及主人评估的长达24周的生活质量。使用Wilcoxon检验评估治疗开始前后的评分,并通过Kaplan-Meier曲线评估成功率的变化。差异在<0.05时被认为具有显著性。当将疾病和治疗组合并时,赫尔辛基慢性疼痛指数(HCPI)、生活质量评估以及疼痛和运动的视觉模拟量表(VAS)的成功率分别为79%、84%、78%和78%的动物。患有肌肉骨骼疾病的犬在HCPI(=0.003)和VAS运动(=0.045)方面的改善比患有神经疾病的犬更大。单独使用针灸或与镇痛药联合使用可减轻患有神经和肌肉骨骼疾病的犬的疼痛并改善其生活质量。

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本文引用的文献

1
Owner assessment of chronic pain intensity and results of gait analysis of dogs with hip dysplasia treated with acupuncture.采用针灸治疗的髋关节发育不良犬的慢性疼痛强度的主人评估及步态分析结果
J Am Vet Med Assoc. 2016 Nov 1;249(9):1031-1039. doi: 10.2460/javma.249.9.1031.
2
Acupuncture and pharmacopuncture are as effective as morphine or carprofen for postoperative analgesia in bitches undergoing ovariohysterectomy.在接受卵巢子宫切除术的母犬中,针灸和药物针灸在术后镇痛方面与吗啡或卡洛芬一样有效。
Acta Cir Bras. 2015 Dec;30(12):831-7. doi: 10.1590/S0102-865020150120000007.
3
Efficacies of Acupuncture and Anti-inflammatory Treatment for Carpal Tunnel Syndrome.针刺与抗炎治疗腕管综合征的疗效
J Acupunct Meridian Stud. 2015 Oct;8(5):229-35. doi: 10.1016/j.jams.2014.11.005. Epub 2014 Nov 29.
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Acupuncture for low back pain: an overview of systematic reviews.针灸治疗腰痛:系统评价概述
Evid Based Complement Alternat Med. 2015;2015:328196. doi: 10.1155/2015/328196. Epub 2015 Mar 4.
5
Acupuncture for analgesia in veterinary medicine.针灸在兽医学中的镇痛应用。
Top Companion Anim Med. 2014 Jun;29(2):35-42. doi: 10.1053/j.tcam.2014.03.001. Epub 2014 Apr 5.
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