电治疗急性胰腺炎患者的腹部疼痛缓解:一个三臂随机对照试验
Dong Kee Jang1, Jun Kyu Lee2, Chan Yung Jung3
1Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of Korea.
Journal of integrative medicine
|November 16, 2023
概括
电针 (EA) 并没有显著减少急性胰腺炎患者的疼痛,但确实缩短了第一次摄入食物的时间. 这项研究探讨了EA.
科学领域:
- 整合和补充医学是整合和补充医学.
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
背景情况:
- 电针 (EA) 显示了胰腺炎的疼痛缓解潜力,但其在急性胰腺炎 (AP) 的有效性需要进一步调查.
- 有限的文档存在EA的缓解疼痛的作用,特别是在急性胰腺炎的患者.
研究的目的:
- 为了比较电 (EA) 与急性胰腺炎 (AP) 患者的常规治疗的止痛效果.
主要方法:
- 一个随机的,受控的,三臂的多中心试验,涉及89名被诊断为AP的患者.
- 参与者接受了标准的AP护理,实验组每天四天接受局部EA (EA1) 或局部加远程EA (EA2).
- 主要结局是视觉模拟量 (VAS) 疼痛评分从基线到第5天的变化.
主要成果:
- 在EA组 (EA1,EA2) 和对照组 (P=0.983) 之间没有观察到VAS疼痛得分减少的显著差异.
- 然而,联合EA组 (EA1+EA2) 显示,与对照组 (中位数为3.0天) 相比,第一次摄入食物的时间显著缩短 (中位数为2.0天) (P=0.022).
- 在研究期间没有报告任何重大不良事件.
结论:
- 在患有急性胰腺炎的患者中,电治疗没有在四天内显著降低腹部疼痛得分.
- 在急性胰腺炎患者中,EA治疗显著加快了第一次口服食物的时间.
- 进一步的研究可能会探索EA在改善恢复参数方面的作用,而不仅仅是AP中立即缓解疼痛.
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