Fischer Avital M, Holmes Peter, Bahar Yasmin Z, Vacca Susan, Goldberg Sarah, Gold Melanie A
Department of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Department of Pediatrics, New York-Presbyterian, New York, NY, USA.
Med Acupunct. 2020 Oct 1;32(5):287-292. doi: 10.1089/acu.2020.1447. Epub 2020 Oct 19.
The American Academy of Pediatrics has long recognized a need for more resources for integrative medicine for health care providers and for patients. The aim of this study was to introduce Aroma Acupoint Therapy (AAT)-a relatively new integrative medicine modality using essential oils to activate acupoints-and to describe the early experiences of providers using AAT for adolescents at school-based health centers (SBHCs). This was a case series of 15 adolescents treated with 1 of 2 AAT specific protocols plus standard medical therapy between April 2018 and February 2019 at SBHCs. Of these 15 patients, ages 12-19, 14 were female. Clinical characteristics and treatment courses were abstracted by retrospective review of the patients' electronic medical records. The main outcomes and measures for this research were clinical characteristics, treatment courses and pre- and post-treatment pain scores for adolescents treated with AAT. All 15 patients had nonspecific symptoms, including headaches, menstrual cramps, nausea, shortness of breath, chest pain, back pain, or dizziness. Pain scores were recorded in 8 of 15 encounters, and suggested improvements in most patients. Subjective documentation by the providers also suggested that most of these patients had reduced symptoms. With the call for nonopiate and integrative approaches to pain management, there is an urgent need to study the effectiveness of such modalities, such as AAT. It is safe, inexpensive, easy to learn, and is well-received by both health care providers and patients.
美国儿科学会长期以来一直认识到，需要为医疗保健提供者和患者提供更多的整合医学资源。本研究的目的是引入芳香穴位疗法（AAT）——一种相对较新的整合医学模式，使用精油来激活穴位——并描述在学校健康中心（SBHCs）为青少年提供AAT服务的提供者的早期经验。这是一个病例系列，在2018年4月至2019年2月期间，在SBHCs对15名青少年采用2种AAT特定方案中的1种加标准药物治疗。在这15名年龄在12至19岁的患者中，14名是女性。通过回顾性查阅患者的电子病历提取临床特征和治疗过程。本研究的主要结局和衡量指标是接受AAT治疗的青少年的临床特征、治疗过程以及治疗前后的疼痛评分。所有15名患者都有非特异性症状，包括头痛、痛经、恶心、呼吸急促、胸痛、背痛或头晕。15次就诊中有8次记录了疼痛评分，大多数患者的疼痛评分有所改善。提供者的主观记录也表明，这些患者中的大多数症状有所减轻。随着对非阿片类和整合性疼痛管理方法的需求，迫切需要研究诸如AAT等模式的有效性。它安全、廉价、易于学习，并且受到医疗保健提供者和患者的欢迎。
