Acupuncture and standard emergency department care for pain and/or nausea and its impact on emergency care delivery: a feasibility study.

Anthony L Zhang, Shefton J Parker, De Villiers Smit, David McD Taylor, Charlie C L Xue
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引用次数: 28

Abstract

Objective: To evaluate the feasibility of delivering acupuncture in an emergency department (ED) to patients presenting with pain and/or nausea.

Methods: A feasibility study (with historical controls) undertaken at the Northern Hospital ED in Melbourne, Australia, involving people presenting to ED triage with pain (VAS 0-10) and/or nausea (Morrow Index 1-6) between January and August 2010 (n=400). The acupuncture group comprised 200 patients who received usual medical care and acupuncture; the usual care group comprised 200 patients with retrospective data closely matched from ED electronic health records.

Results: Refusal rate was 31%, with 'symptoms under control owing to medical treatment before acupuncture' the most prevalent reason for refusal (n=36); 52.5% of participants responded 'definitely yes' for their willingness to repeat acupuncture, and a further 31.8% responded 'probably yes'. Over half (57%) reported a satisfaction score of 10 for acupuncture treatment. Musculoskeletal conditions were the most common conditions treated n=117 (58.5%), followed by abdominal or flank pain n=49 (24.5%). Adverse events were rare (2%) and mild. Pain and nausea scores reduced from a mean±SD of 7.01±2.02 before acupuncture to 4.72±2.62 after acupuncture and from 2.6±2.19 to 1.42±1.86, respectively.

Conclusions: Acupuncture in the ED appears safe and acceptable for patients with pain and/or nausea. Results suggest combined care may provide effective pain and nausea relief in ED patients. Further high-quality, sufficiently powered randomised studies evaluating the cost-effectiveness and efficacy of the add-on effect of acupuncture are recommended.

针刺和标准急诊科治疗疼痛和/或恶心及其对急救服务的影响:可行性研究
目的:评价在急诊科(ED)对出现疼痛和/或恶心的患者进行针灸治疗的可行性。方法:2010年1月至8月期间,在澳大利亚墨尔本北部医院急诊科进行的可行性研究(具有历史对照)纳入了因疼痛(VAS 0-10)和/或恶心(Morrow指数1-6)就诊的急诊科患者(n=400)。针灸组包括200名接受常规医疗护理和针灸的患者;常规护理组包括200名患者,回顾性数据与急诊科电子健康记录密切匹配。结果:拒签率为31%,以“针刺前就医症状得到控制”为最常见的拒签理由(n=36);52.5%的参与者回答“肯定愿意”,另有31.8%的人回答“可能愿意”。超过一半(57%)的人报告针灸治疗的满意度得分为10分。肌肉骨骼疾病是最常见的疾病治疗n=117(58.5%),其次是腹部或腹部疼痛n=49(24.5%)。不良事件罕见(2%)且轻微。疼痛和恶心评分从针刺前的平均±SD(7.01±2.02)降至针刺后的平均±SD(4.72±2.62),从2.6±2.19降至1.42±1.86。结论:对于有疼痛和/或恶心的患者,在急诊科进行针灸治疗是安全且可接受的。结果表明,综合护理可有效缓解ED患者的疼痛和恶心。建议进一步开展高质量、足够有力的随机研究,评估针灸附加效应的成本效益和疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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