对退伍军人腰部疼痛的补充和整合性健康方法:叙述性审查
Richard P Petri1, Kosaku Aoyagi2, Gabriel Ibarra-Mejía3
1Interdisciplinary Health Sciences PhD Program, College of Health Sciences, University of Texas at El Paso, El Paso, TX 79968, United States.
Military medicine
|February 9, 2026
概括
补充和整合性健康 (CIH) 方法对退伍军人慢性腰部疼痛 (cLBP) 的管理有希望. 与传统护理相结合的多模式CIH策略产生了最强的结果,减少了疼痛和阿片类药物依赖.
科学领域:
- 综合医学和疼痛管理研究.
- 退伍军人健康和医疗保健政策.
背景情况:
- 慢性腰部疼痛 (cLBP) 显著影响退伍军人的生活质量,并导致阿片类药物依赖.
- 补充和整合性健康 (CIH) 为疼痛管理提供非药物替代方案,有可能改善结果并降低医疗保健成本.
研究的目的:
- 为cLBP的退伍军人综合CIH的证据.
- 评估CIH对疼痛,功能,幸福感和阿片类药物使用的影响.
- 确定VA卫生系统内实施CIH的障碍和优先事项.
主要方法:
- 2010-2025年同行评审文献的叙事综合,专注于退伍军人特定研究.
- 包括系统性审查,RCT,观察性研究和证据地图.
- 以患者为中心,生物心理社会和整体健康框架为指导的分析.
主要成果:
- 退伍军人的CIH证据有限但有希望;战场针显示显著减少疼痛.
- ,太极拳,青功和正念提供了适度的改善;CBT,脊椎治疗和按摩有混合的结果.
- 与传统护理相结合的多模式CIH显示出最强的结果,包括减少阿片类药物处方和改善应对能力.
结论:
- CIH的策略是以患者为中心和整体的,有可能减少退伍军人的疼痛和阿片类药物依赖.
- 需要标准化实施和专门针对退伍军人的试验,以加强可持续融入VA卫生系统的证据.
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