Co Licenia L, Schmitz Thomas H, Havdala Henri, Reyes Alvaro, Westerman Maxwell P
Departments of Medicine and Anesthesiology, Mount Sinai Hospital, Rush Medical College, Chicago and Travenol Laboratories, Deerfield, Ill. U.S.A.
Pain. 1979 Oct;7(2):181-185. doi: 10.1016/0304-3959(79)90009-5.
An evaluation of acupuncture for pain relief was made in 10 patients with sickle cell anaemia during 16 pain crises. A model was developed in which the patient served as his own control and in which both patient and examiner were unaware of whether an acupuncture point or a sham site was treated. The results show (1) that pain relief was obtained in 15 of the 16 painful episodes regardless of whether an acupuncture point or a sham site was treated, demonstrating considerable overlap between the effects of needling acupuncture points and sham sites; (2) that needling at acupuncture points for pain relief is not significantly superior to treatment at sham sites; (3) that needling, per se, whether at acupuncture points of at sham sites can be useful for alleviating pain in sickle cell crises. The model could be useful for evaluation of pain relief by needling in other diseases.
对10例镰状细胞贫血患者在16次疼痛发作期间进行了针刺缓解疼痛的评估。建立了一个模型，在该模型中患者作为自身对照，患者和检查者均不知道所治疗的是穴位还是假穴。结果显示：（1）在16次疼痛发作中，有15次无论治疗的是穴位还是假穴均获得了疼痛缓解，这表明针刺穴位与假穴的效果之间存在相当大的重叠；（2）针刺穴位缓解疼痛并不显著优于假穴治疗；（3）针刺本身，无论是在穴位还是假穴，都有助于缓解镰状细胞危象时的疼痛。该模型可能有助于评估针刺对其他疾病疼痛的缓解作用。
