The American TCM Association, Vienna, VA 22182, USA.
The American Society of Acupuncturists, Chicago, IL 60618, USA.
J Integr Med. 2017 Nov;15(6):411-425. doi: 10.1016/S2095-4964(17)60378-9.
The United States (U.S.) is facing a national opioid epidemic, and medical systems are in need of non-pharmacologic strategies that can be employed to decrease the public's opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture's cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, and neonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successfully and meaningfully utilized by the Veterans Administration and various branches of the U.S. Military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care.
美国正面临全国性的阿片类药物泛滥危机,医疗体系急需非药物策略来减少公众对阿片类药物的依赖。针灸已成为一种强大的、有证据支持的、安全的、具有成本效益的治疗方式,适用于满足这一需求。针灸已被证明对多种类型的疼痛病症的管理有效,并且从生物医学和生理学的角度可以理解其作用机制。此外,针灸的成本效益可以显著降低医疗保健支出,无论是从治疗急性疼痛的角度来看,还是从避免因使用阿片类药物成瘾而需要昂贵的治疗、破坏生活质量以及导致致命过量的角度来看。许多联邦监管机构已建议或要求医疗保健系统和提供者为疼痛提供非药物治疗选择。针灸作为最有证据支持、最容易获得的选择,能够满足这些需求。针灸可以安全、轻松、具有成本效益地纳入医院环境,如急诊室、产房和新生儿重症监护室,以治疗各种常见的疼痛病症。退伍军人事务部和美国军方的各个部门已经成功地利用针灸,并在一些研究中明显减少了在治疗中包含的阿片类药物的处方量。
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