台湾针灸治疗后神经损伤的发生率。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Chia-Lin Lin , Andy Chern , Ming-Jen Wang , Shun-Ku Lin
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引用次数: 0

摘要

目的:针刺是一种广泛使用的传统治疗方式,以其缓解疼痛和多种疾病的疗效而闻名,但由于其侵袭性,可能会在不经意间造成机械性神经损伤。本研究旨在确定针刺后神经损伤的发生率,识别相关危险因素,并绘制神经损伤部位的分布图。方法:在国家健康保险研究数据库(NHIRD) 2000-2018年200万队列中进行病例对照研究。排除针刺前曾诊断为神经损伤、手术或退行性变的患者。病例定义为在手术后14天内接受针灸治疗并因神经损伤(ICD9-CM代码950-957)就诊的患者,对照组为接受针灸治疗且无后续不良事件的患者。排除有创治疗前的不良事件和针刺后超过14天发生的不良事件。为了确保病例-对照的可比性,使用倾向评分匹配控制年龄、性别、社会经济地位和医疗机构环境等因素。结果:该研究包括对886,753例患者进行的14,507,847次针灸治疗,确定了8361例针刺后神经损伤,发生率约为5.76 / 10,000例。年龄是一个重要的危险因素,调整后的优势比随着年龄的增长而增加。一些合并症包括糖尿病、甲状腺功能减退、肝硬化、慢性肾病、带状疱疹、肝炎病毒、类风湿关节炎、系统性红斑狼疮、痴呆和脑血管意外与针刺后神经损伤的风险增加有关。结论:考虑到各种人口统计学、系统性和治疗相关因素对神经损伤发生率的明显影响,本研究强调了细致的患者分析和谨慎的针灸治疗方法的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Incidence of nerve injury following acupuncture treatments in Taiwan

Incidence of nerve injury following acupuncture treatments in Taiwan

Objective

Acupuncture, a widely employed traditional therapeutic modality known for its efficacy in pain alleviation and diverse condition management, may inadvertently result in mechanical nerve injury due to its invasive nature. This research aimed to ascertain the incidence of nerve injuries post-acupuncture, identify associated risk factors, and map the distribution of nerve injury sites.

Methods

A case-control study nested in the National Health Insurance Research Database (NHIRD) 2000–2018 two million cohort was conducted. Patients previously diagnosed with nerve injury, surgery, or degeneration before acupuncture were excluded. Cases were defined as patients receiving acupuncture and seeking medical attention for nerve injury (ICD9-CM code 950–957) within 14 days post-procedure, while control groups comprised patients undergoing acupuncture without subsequent adverse events. Invasive treatments prior to adverse events and adverse events occurring more than 14 days post-acupuncture were excluded. To ensure case-control comparability, factors such as age, gender, socioeconomic status, and medical facility environment were controlled using propensity score matching.

Results

The study encompassed 14,507,847 acupuncture treatments administered to 886,753 patients, with 8361 instances of post-acupuncture nerve injury identified, representing an incidence rate of approximately 5.76 per 10,000 procedures. Age emerged as a significant risk factor, with the adjusted odds ratios escalating with age. Several comorbidities including diabetes, hypothyroidism, liver cirrhosis, chronic kidney disease, herpes zoster, hepatitis virus, rheumatoid arthritis, systemic lupus erythematosus, dementia, and cerebrovascular accidents were associated with an elevated risk of nerve injury post-acupuncture.

Conclusion

This study underscores the importance of meticulous patient profiling and cautious therapeutic approach in acupuncture, considering the evident influence of various demographic, systemic, and treatment-related factors on the incidence of nerve injuries.

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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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