学院中的普罗疗法:混合方法调查研究
Jared Dubey1, Nathan R Jones2, Jane Alice Evered1
1Department of Family Medicine and Community Health, Prolotherapy Education and Research Lab, University of Wisconsin, School of Medicine and Public Health, Madison, WI, USA.
Journal of integrative and complementary medicine
|August 27, 2025
概括
在美国很少有医疗培训项目使用和教学这种疗法,特别是在治疗疼痛的专业领域. 需要进一步的研究来探索其在慢性疼痛治疗中的有效性和有效性.
科学领域:
- 综合医学
- 治疗疼痛
- 医学教育
背景情况:
- 慢性疼痛需要安全有效的治疗方法.
- 有新证据的注射疗法prolotherapy是偶尔使用的,但不是标准的实践指南.
- 在美国医疗培训计划中,关于prolotherapy的整合知识有限.
研究的目的:
- 评估美国医学研究生课程中目前使用和教学的prolotherapy.
- 确定最常见的专业和培训水平.
- 了解关于普罗疗法采用和教育的观点.
主要方法:
- 一个横截面的,混合方法的调查管理主管的医学研究生教育认证委员会 (ACGME) 认可的住院和奖学金计划 (11慢性疼痛专业).
- 这项调查包括21项评估prolotherapy的使用,教学和相关观点.
- 数据分析包括描述性统计,ANOVA和定性内容分析.
主要成果:
- 在854名受访者中 (46.1%的回复率),24.7%的项目报告使用prolotherapy,而13.9%提供了以prolotherapy为重点的教育.
- 骨科操纵医学/神经肌肉骨医学 (OMM/NMM) 和物理医学和康复 (PM&R) 项目,以及体育医学和肌肉骨放射学奖学金,是最常见的使用和教学.
- 他们的教育工作主要集中在膝盖,肩膀和肘部病理上, 定性分析显示不同观点,非采用者引用有限的证据,采用者指出安全性和有效性.
结论:
- 在美国ACGME认可的医疗培训课程中,特别是在OMM/NMM,PM&R和体育医学中,使用Prolotherapy并进行指导.
- 对前列治疗的看法各不相同,障碍包括缺乏证据和促进者,包括有利的安全性.
- 这些发现强调需要进一步研究prolotherapy的使用,训练,有效性和治疗慢性疼痛的有效性.
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