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针刺疗法对慢性疼痛的治疗效果。

Therapeutic effect of acupuncture for chronic pain.

作者信息

Chen G S, Hwang Y C

出版信息

Am J Chin Med (Gard City N Y). 1977 Spring;5(1):45-61. doi: 10.1142/s0192415x77000063.

Abstract

The purpose of this report concerned with the activities of the acupuncture clinic at UAB during the past 2 years and 3 months, is to objectively assess the role of acupuncture in the treatment of various pain disorders for which conventional pain relieving methods had failed to yield satisfactory results. In carefully analyzing the data provided by the patients through completed questionnaires, an attempt was made to look at the results obtained as unbiased as possible and to determine whether it is justified to continue the acupuncture activities at UAB or terminate them. From the data presented it appears that acupuncture helped in more than 50 percent of the patients by either completely or partially controlling the suffering from painful disorders. Patients helped by acupuncture received 8.55 treatments on the average, while patients not helped by acupuncture only received 4.75 treatments. There is little difference between the male and female patients as to the response to acupuncture. However, we noticed that the younger the patient and the shorter the duration of their problems, the better the response. Patients who had not had surgery to treat the pain syndrome responded better than those who had previous surgery. Patients with backache who had previously had laminectomy showed better response to acupuncture than the patients who had spinal fusion. It appears that good general health plays an important role in favorably responding to acupuncture treatment. It is apparent from this survey that acupuncture may be a valuable extension of a conventional pain clinic and an alternative in patients who are desperate in their desire to get relief from pain which they failed to obtain from other methods.

摘要

本报告旨在关注阿拉巴马大学伯明翰分校针灸诊所过去两年零三个月的活动情况,客观评估针灸在治疗各种疼痛性疾病中的作用,这些疾病采用传统止痛方法未能取得满意效果。通过仔细分析患者填写问卷提供的数据,我们尽可能客观地看待所获结果,以确定在阿拉巴马大学伯明翰分校继续开展针灸活动还是终止该活动是否合理。从所呈现的数据来看,针灸通过完全或部分控制疼痛性疾病的痛苦,帮助了超过50%的患者。接受针灸治疗有效果的患者平均接受了8.55次治疗,而未从针灸中获益的患者仅接受了4.75次治疗。男性和女性患者对针灸的反应差异不大。然而,我们注意到患者越年轻且问题持续时间越短,反应就越好。未接受过手术治疗疼痛综合征的患者对针灸的反应比接受过手术的患者更好。曾接受过椎板切除术的背痛患者对针灸的反应比接受过脊柱融合术的患者更好。看来良好的总体健康状况对针灸治疗的良好反应起着重要作用。从这项调查中可以明显看出,针灸可能是传统疼痛诊所的一种有价值的补充,对于那些渴望从其他方法未能缓解的疼痛中解脱出来而感到绝望的患者来说,也是一种替代选择。

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