2002 年至 2011 年台湾地区儿童针灸利用趋势：一项全国性基于人群的研究。
Trends in the utilization of acupuncture among children in Taiwan from 2002 to 2011: a nationwide population-based study.
机构信息
Department of Chinese Medicine, China Medical University Hospital, Taichung, 404, Taiwan.
Graduate Institute of Acupuncture Science, College of Chinese Medicine, China Medical University, Taichung, 404, Taiwan.
出版信息
BMC Complement Altern Med. 2019 Nov 21;19(1):328. doi: 10.1186/s12906-019-2753-8.
BACKGROUND
In recent years, acupuncture has been increasingly integrated into pediatric care worldwide. However, recent epidemiological studies about pediatric users of acupuncture are lacking. The current study aimed to fill the gap and carry out the large-scale investigation on the basis of the pediatric population in Taiwan.
METHODS
We conducted a nationwide population-based study to investigate the utilization of acupuncture in Taiwan. We analyzed data from the Longitudinal Health Insurance Database 2000 (LHID 2000). The datasets contained all original claims data for 1 million beneficiaries who were randomly sampled from the registry of all beneficiaries enrolled in the Taiwan's National Health Insurance Program from January 1, 2000 to December 31, 2011. Children younger than 18 years old were enrolled into our study for analysis. The demographic data, treatment modalities and distributions by disease categories of the pediatric acupuncture users were analyzed by descriptive statistics. Logistic regression analysis was used to investigate the trends in acupuncture use over time.
RESULTS
The one-year prevalence of pediatric acupuncture users increased from 1.78% in 2002 to 5.34% in 2011. Acupuncture use significantly increased each year (p-value< 0.0001). Patients who were male, of greater age, resided in highly urbanized areas and suffered from injury or disorders of the musculoskeletal system were more likely to accept acupuncture treatment. Infantile cerebral palsy and psychoses were the top two health issues among those receiving complex acupuncture treatment. Older (> 9 years old) children tended to receive acupuncture treatment due to injury and musculoskeletal system disorders more than younger (≤9 years old) children.
CONCLUSIONS
Our study revealed that the utilization of acupuncture in pediatrics became increasingly popular year by year in Taiwan from 2002 to 2011. The results of this study may provide some valuable information for further clinical practice and acupuncture research, as well as to the government and societies concerning pediatric health care.
背景
近年来，针灸在全球范围内越来越多地应用于儿科护理。然而，最近关于儿科针灸使用者的流行病学研究却很少。本研究旨在填补这一空白，并在台湾儿科人群的基础上进行大规模调查。
方法
我们进行了一项全国性的基于人群的研究，以调查台湾的针灸使用情况。我们分析了来自 2000 年长期健康保险数据库（LHID 2000）的数据。该数据集包含了从 2000 年 1 月 1 日至 2011 年 12 月 31 日参加台湾全民健康保险计划的所有参保者登记处随机抽取的 100 万参保者的原始索赔数据。年龄在 18 岁以下的儿童被纳入我们的研究进行分析。采用描述性统计方法分析儿科针灸使用者的人口统计学数据、治疗方式和疾病类别分布。采用逻辑回归分析研究随时间推移针灸使用的趋势。
结果
儿科针灸使用者的一年患病率从 2002 年的 1.78%增加到 2011 年的 5.34%。针灸的使用每年都显著增加（p 值<0.0001）。男性、年龄较大、居住在高度城市化地区、患有肌肉骨骼系统损伤或疾病的患者更有可能接受针灸治疗。小儿脑瘫和精神病是接受复杂针灸治疗的前两个健康问题。年龄较大（>9 岁）的儿童比年龄较小（≤9 岁）的儿童更有可能因损伤和肌肉骨骼系统疾病而接受针灸治疗。
结论
本研究显示，2002 年至 2011 年，台湾儿科针灸的使用逐年增加。本研究的结果可为进一步的临床实践和针灸研究以及政府和社会关注儿科保健提供一些有价值的信息。
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