小儿疼痛的针灸治疗
Acupuncture for Pediatric Pain.
作者信息
Golianu Brenda, Yeh Ann Ming, Brooks Meredith
机构信息
Department of Anesthesiology and Pain Medicine, Pediatric Anesthesiology, Stanford University, 300 Pasteur Dr. Stanford, CA 94304, USA.
Pediatric Gastroenterology, Stanford University, 750 Welch Road, Suite 116, Palo Alto CA 94304, USA.
出版信息
Children (Basel). 2014 Aug 21;1(2):134-48. doi: 10.3390/children1020134.
Chronic pain is a growing problem in children, with prevalence as high as 30.8%. Acupuncture has been found to be useful in many chronic pain conditions, and may be of clinical value in a multidisciplinary treatment program. The basic principles of acupuncture are reviewed, as well as studies exploring basic mechanisms of acupuncture and clinical efficacy. Conditions commonly treated in the pediatric pain clinic, including headache, abdominal pain, fibromyalgia, juvenile arthritis, complex regional pain syndrome, cancer pain, as well as perioperative pain studies are reviewed and discussed. Areas in need of further research are identified, and procedural aspects of acupuncture practice and safety studies are reviewed. Acupuncture can be an effective adjuvant in the care of pediatric patients with painful conditions, both in a chronic and an acute setting. Further studies, including randomized controlled trials, as well as trials of comparative effectiveness are needed.
慢性疼痛在儿童中是一个日益严重的问题，患病率高达30.8%。针灸已被发现在许多慢性疼痛病症中有用，并且在多学科治疗方案中可能具有临床价值。本文回顾了针灸的基本原理，以及探索针灸基本机制和临床疗效的研究。对儿科疼痛诊所常见治疗的病症进行了回顾和讨论，包括头痛、腹痛、纤维肌痛、幼年特发性关节炎、复杂性区域疼痛综合征、癌痛以及围手术期疼痛研究。确定了需要进一步研究的领域，并回顾了针灸实践和安全性研究的程序方面。针灸在慢性和急性情况下对患有疼痛病症的儿科患者的护理中都可以是一种有效的辅助手段。需要进一步的研究，包括随机对照试验以及比较有效性试验。
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