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针在急诊室 (ACUITY):来自BraveNet多中心可行性随机对照试验的结果
Jeffery A Dusek1,2, Gene A Kallenberg3, Alan B Storrow4
1Department of Medicine, University of California- Irvine, Irvine, CA, USA.
Integrative medicine research
|December 6, 2024
概括
这项研究表明,针是一种可行的,可接受的非药物治疗疼痛管理在急诊室的选择. 它达到了招聘目标,并显示了减少疼痛和焦虑的潜力.
科学领域:
- 紧急医疗 紧急医疗
- 综合医学是一个整体的医学.
- 临床试验 临床试验
背景情况:
- 疼痛是急诊室 (ED) 访问的常见原因,需要安全,有效的非药物疼痛管理策略.
- 之前对ED针的研究表明,针可以减少疼痛,副作用很少,但往往是小规模的,单一的.
研究的目的:
- 评估在ED中进行针治疗急性疼痛的多中心随机对照试验 (RCT) 的可行性.
- 评估针作为ED疼痛干预的招募,保留和参与者/提供者的接受度.
主要方法:
- ACUITY研究是一项前性设计的多中心可行性RCT,涉及3个ED的165名患有急性非突发性疼痛 (≥4/10) 的成年人.
- 参与者被随机分配到针或常规护理,在基线和治疗后45-60分钟评估疼痛和焦虑.
- 主要可行性结果是招聘率;次要结果包括保留和接受度.
主要成果:
- 该研究成功招募了632名参与者中的165名参与者 (26.1%的招聘率),达到可行性目标.
- 针被发现对参与者和医疗保健提供者来说都是可以接受的.
- 针治疗的平均疼痛分数从7.4降至4.8,而通常护理的7.1降至6.4;针治疗的焦虑分数也下降了更多.
结论:
- ACUITY试验成功地证明了一个更大的,最终的多中心RCT研究针治疗ED疼痛的可行性.
- 初步数据表明,针可能是急诊室疼痛和焦虑管理的可行选择.
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