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针刺疗法治疗孕期疼痛:新西兰一家免费诊所的观察性研究结果

Treating Pain in Pregnancy with Acupuncture: Observational Study Results from a Free Clinic in New Zealand.

作者信息

Soliday Elizabeth, Betts Debra

机构信息

Department of Human Development, Washington State University Vancouver, Vancouver, WA, USA.

National Institute of Complementary Medicine at University of Western Sydney, Sydney, Australia; Postgraduate Programmes, New Zealand School of Acupuncture and Traditional Chinese Medicine, Wellington, New Zealand.

出版信息

J Acupunct Meridian Stud. 2018 Feb;11(1):25-30. doi: 10.1016/j.jams.2017.11.005. Epub 2018 Feb 1.

Abstract

INTRODUCTION

Clinic-based acupuncturists, midwives, and physiotherapists have reported using acupuncture to treat lumbopelvic pain in pregnancy, a common condition that may affect functioning and quality of life. To contribute to the emerging evidence on treatment outcomes, we collected patient-reported pain reduction data from women treated during pregnancy in a no-pay, hospital-based acupuncture service in New Zealand.

METHODS

Observational study of patient-reported symptom reduction.The main outcome measure was the MYMOP (Measure Your Medical Outcome Profile), a brief, validated self-report instrument. Open-ended questions on treatment experiences and adverse events were included.

RESULTS

Of the 81 women on whom we had complete treatment data, the majority (N = 72, 89%) reported clinically meaningful symptom reduction. Patient-reported adverse events were infrequent and mild.

DISCUSSION

Patient-reported and treatment-related lumbopelvic pain symptom reduction findings provide further evidence that acupuncture in pregnancy is safe and beneficial in a field setting. We discuss this study's unique contributions in providing guidance for clinicians who practice acupuncture in pregnancy, including midwives, physiotherapists, and physicians.

摘要

引言

以诊所为基础的针灸师、助产士和物理治疗师报告称,他们使用针灸来治疗孕期腰盆腔疼痛,这是一种常见病症,可能会影响身体机能和生活质量。为了补充有关治疗效果的新证据,我们从新西兰一家免费的医院针灸服务机构中,收集了孕期接受治疗的女性患者报告的疼痛减轻数据。

方法

对患者报告的症状减轻情况进行观察性研究。主要结局指标是MYMOP(测量你的医疗结局概况),这是一种经过验证的简短自我报告工具。还纳入了关于治疗经历和不良事件的开放式问题。

结果

在我们拥有完整治疗数据的81名女性中,大多数(N = 72,89%)报告称症状减轻具有临床意义。患者报告的不良事件很少且轻微。

讨论

患者报告的与治疗相关的腰盆腔疼痛症状减轻结果,进一步证明了孕期针灸在实际应用中是安全且有益的。我们讨论了这项研究在为孕期进行针灸治疗的临床医生(包括助产士、物理治疗师和医生)提供指导方面的独特贡献。

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