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相关概念视频

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

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针治疗慢性疼痛的方法

Andrew J Vickers1, Klaus Linde2

  • 1Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, New York.

JAMA
|March 6, 2014
PubMed
概括

针显著改善慢性疼痛患者的疼痛结果. 与没有治疗或假针相比,真正的针显示出更高的反应率,提供了潜在的治疗选择.

科学领域:

  • 综合医学是一个整体的医学.
  • 疼痛管理 疼痛管理
  • 临床研究 临床研究

背景情况:

  • 慢性疼痛影响全球数百万人,需要有效的治疗选择.
  • 目前的疼痛管理策略有局限性和潜在的副作用.
  • 针是一种越来越多地被用于现代疼痛缓解的传统疗法.

研究的目的:

  • 评估针在改善慢性疼痛患者疼痛后果方面的疗效.
  • 为了比较针的有效性与假针 (安慰剂) 和无针对照组.
  • 量化治疗手臂的不同响应率.

主要方法:

  • 随机对照试验的系统审查和元分析.
  • 包括比较针,假针和无针对照的研究.
  • 分析的重点是患者报告的疼痛结果和反应率.

主要成果:

  • 与假和无针对照组相比,针显示出更好的缓解疼痛.
  • 在没有针治疗的组中,反应率约为30%.
  • 假针组的应答率约为42.5%,针组的应答率约为50%.

结论:

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  • 针是一种有效的慢性疼痛治疗方法,比安慰剂和不治疗提供了显著的改善.
  • 这些发现支持针作为一种可行的治疗选择来治疗慢性疼痛.
  • 针组的更高的反应率表明,除了安慰剂之外,还有一种特定的治疗效果.