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针灸在慢性疼痛治疗中的作用。

The role of acupuncture in the treatment of chronic pain.

机构信息

University of Arizona College of Medicine-Phoenix, Department of Anesthesiology, Phoenix, AZ, USA.

Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA.

出版信息

Best Pract Res Clin Anaesthesiol. 2020 Sep;34(3):603-616. doi: 10.1016/j.bpa.2020.08.005. Epub 2020 Aug 8.

Abstract

Acupuncture is a practice based on traditional Chinese medicine, in which needles are used to restore the body's internal balance. Recently, there has been growing interest in the use of acupuncture for various pain conditions. Acupuncture's efficacy in five pain conditions-low back pain (LBP), migraines, fibromyalgia, neck pain, and abdominal pain-was evaluated in this evidence-based, comprehensive review. Based on the most recent evidence, migraine and fibromyalgia are two conditions with the most favorable outcomes after acupuncture. At the same time, abdominal pain has the least evidence for the use of acupuncture. Acupuncture is efficacious for reducing pain in patients with LBP, and for short-term pain relief for those with neck pain. Further research needs to be done to evaluate acupuncture's efficacy in these conditions, especially for abdominal pain, as many of the current studies have a risk of bias due to lack of blinding and small sample size.

摘要

针灸是一种基于中医的实践,通过使用针来恢复身体的内部平衡。最近,人们对针灸治疗各种疼痛病症的兴趣日益增加。本循证综合评价评估了针灸在五种疼痛病症中的疗效——腰痛(LBP)、偏头痛、纤维肌痛、颈痛和腹痛。根据最新证据,偏头痛和纤维肌痛是针灸后效果最好的两种病症。同时,针灸治疗腹痛的证据最少。针灸对减轻 LBP 患者的疼痛和缓解颈痛患者的短期疼痛有效。需要进一步研究来评估针灸在这些病症中的疗效,特别是对于腹痛,因为目前许多研究由于缺乏盲法和样本量小而存在偏倚风险。

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