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针与生物反用于治疗功能性直肠疼痛
Yahong Xue1, Shuqing Ding2, Huifen Zhou1
1Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing, China.
概括
针和生物反都有效地治疗功能性直肠疼痛. 生物反对于盆地失能更有效,而针对心理健康有更大的益处.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 综合医学是一个整体的医学.
背景情况:
- 功能性门疼痛是一种常见的功能性门疾病.
- 这项研究研究了这种情况的两种治疗方式:针和生物反.
- 针是作为一种干预的探索,而生物反作为控制.
研究的目的:
- 为了比较针与生物反在治疗功能性直肠疼痛患者中的有效性.
- 评估这些治疗对疼痛评分和生活质量的影响.
- 评估对特定患者子组的差异性影响,例如患有骨盆底失能症的患者.
主要方法:
- 这是一项前性,单中心,随机的比较研究,涉及68名患者.
- 随机分配患者接受针或骨盆底生物反治疗,持续4周 (20次治疗).
- 测量结果包括视觉模拟尺度疼痛评分,SF-36生活质量和抑郁和焦虑的自我评分尺度.
主要成果:
- 针和生物反都显著降低了疼痛评分 (P < .01).
- 在患有盆底失能症的患者中,生物反显示出优异的疼痛减轻 (P < .05).
- 这两种治疗都在抑郁和焦虑方面取得了类似的改善,但针显示出更好的心理健康结果 (P < .05).
结论:
- 针和生物反是功能性直肠疼痛的有效治疗方法.
- 生物反对患有骨盆底失能症的患者尤其有益.
- 针在改善患者的心理健康状况方面提供了额外的优势.
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