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时间总和并不能预测慢性非特异性腰痛患者的针反应
Petra Baeumler1, Margherita Schäfer1, Luise Möhring1
1Multidisciplinary Pain Center, Department of Anaesthesiology, LMU University Hospital, LMU Munich, Munich, Germany.
Frontiers in neurology
|September 9, 2024
概括
时间总和 (TS) 不能预测针治疗慢性腰部疼痛 (LBP) 的有效性. 针似乎对LBP患者有益,无论他们的TS水平如何.
科学领域:
- 疼痛管理 疼痛管理
- 神经学 神经学
- 综合医学是一个整体的医学.
背景情况:
- 以前的研究表明,在混合慢性疼痛群体中,针后高时间总和 (TS) 疼痛和立即疼痛减轻之间存在联系.
- 慢性非特异性腰部疼痛 (LBP) 是经常使用针的流行病.
研究的目的:
- 为了验证高TS是否预测慢性非特异性LBP患者的针反应.
- 探索TS与对一系列针治疗的反应之间的关联.
主要方法:
- 60名LBP患者 (年龄≤50岁) 接受了一次针治疗.
- 时间总和 (TS) 用无疼痛部位和LBP部位的针刺诱导风起比 (WUR) 来测量.
- 通过疼痛强度和压力疼痛值 (PPT) 的变化来评估反应. 一部分患者接受了额外的治疗.
主要成果:
- 经常发生立即疼痛减轻 (≥30%),不论对照部位的TS (58%对72%) 是否存在.
- 疼痛部位的高TS与立即疼痛减轻没有显著关联 (46%vs73%).
- 在一系列治疗后,TS和结果之间没有发现一致的关联,尽管疼痛部位的低TS显示出更好的反应趋势.
结论:
- 时间总和 (TS) 似乎不是临床重要针效应的显著预测因子,慢性非特异性LBP.
- 针对于LBP患者来说是一个合适的治疗选择,无论TS,总体反应率都很高.
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