Electroacupuncture for Pain Outcomes in a Trauma Center's Acute Pain Service: A Retrospective Observational Study.

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Medical Acupuncture Pub Date : 2023-06-01 Epub Date: 2023-06-15 DOI:10.1089/acu.2022.0044
Mark D Sodders, Emma L Gause, Sara Bayer, Carol Metcalf, Kathleen Lumiere, Monica S Vavilala, Debra B Gordon
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引用次数: 0

Abstract

Background: Evidence for acupuncture to treat pain is growing. Electrostimulation of acupuncture needles (electroacupuncture) is common for pain and is thought to augment the therapeutic effect.

Objectives: To examine the association of pain outcomes after a single acupuncture session with electrostimulation included (EA) compared with no electrostimulation included (NEA).

Methods: A retrospective observational study was conducted using electronic health records of acupuncture sessions for adults with acute pain under the care of an acute pain service. Paired t-test and linear regression were used to report pain intensity changes after a single acupuncture session and by including EA. Ordered logistic regression was used to report categorical pain relief. Logistic regression was used to explore the odds of adding EA and the patient's age, gender, and pretreatment pain.

Results: From July 24, 2017, through November 9, 2020, 465 acupuncture sessions recorded EA (n = 194), or NEA (n = 271). Acupuncture, independent of EA status, reduced pain intensity by a mean 2.5 points. EA was associated with a mean 0.38-point reduction in pain intensity more than NEA (confidence interval [95% CI]: -0.75 to -0.01). Among sessions reporting categorical pain relief (n = 415), higher relief was more likely with EA (odds ratio = 2.16, 95% CI: 1.52-3.08). There was no association between EA and the patient's age, gender, and pretreatment pain intensity.

Conclusions: After a single acupuncture session, both EA and NEA reduced pain intensity. Higher categorical pain relief was reported with EA, though the clinical meaning is uncertain. Future research should focus on well-defined populations for electroacupuncture and factors for including electrostimulation.

电针治疗创伤中心急性疼痛科的疼痛疗效:回顾性观察研究
背景:针灸治疗疼痛的证据越来越多。针灸针的电刺激(电针)是治疗疼痛的常用方法,被认为可以增强治疗效果:目的:研究单次针灸治疗后,包含电刺激(EA)与不包含电刺激(NEA)的疼痛结果之间的关联:方法:利用电子健康记录对急性疼痛服务机构护理的急性疼痛成人患者的针灸疗程进行回顾性观察研究。采用配对 t 检验和线性回归来报告单次针灸治疗后和纳入 EA 后疼痛强度的变化。有序逻辑回归用于报告分类疼痛缓解情况。逻辑回归用于探讨加入 EA 与患者年龄、性别和治疗前疼痛的几率:从 2017 年 7 月 24 日到 2020 年 11 月 9 日,465 个针灸疗程记录了 EA(n = 194)或 NEA(n = 271)。与 EA 状态无关,针灸可将疼痛强度平均降低 2.5 点。EA 比 NEA 的疼痛强度平均降低 0.38 点(置信区间 [95%CI]:-0.75 至 -0.01)。在报告分类疼痛缓解的疗程中(n = 415),EA 更有可能带来更多的缓解(几率比 = 2.16,95% CI:1.52-3.08)。EA与患者的年龄、性别和治疗前的疼痛强度之间没有关联:结论:单次针灸治疗后,EA和NEA都能减轻疼痛强度。结论:针刺一次后,EA 和 NEA 均可减轻疼痛强度,EA 的分类疼痛缓解率更高,但其临床意义尚不确定。未来的研究应侧重于明确界定的电针适用人群和包括电刺激在内的因素。
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来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
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