Acupuncture as an adjunct to standard treatment for pelvic girdle pain in pregnant women: randomised double-blinded controlled trial comparing acupuncture with non-penetrating sham acupuncture
Acupuncture as an adjunct to standard treatment for pelvic girdle pain in pregnant women: randomised double-blinded controlled trial comparing acupuncture with non-penetrating sham acupuncture
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DOI：
10.1111/j.1471-0528.2008.01904.x
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发表时间：
2008-12-01
影响因子：
5.8
通讯作者：
Hagberg, H.
中科院分区：
文献类型：
--
作者：
Elden, H.;Fagevik-Olsen, M.;Hagberg, H.
为了调查针灸是否有更大的治疗效果比非穿透假针灸妇女骨盆带疼痛（PGP）在怀孕期间。随机双盲对照试验。东医院，哥德堡，和25产前初级保健单位在该地区的Vastra Gotaland，瑞典：共有115名临床诊断为PGP的孕妇，在100 mm视觉模拟量表（VAS）上得分>= 50分。。女性被随机分配到标准治疗加针灸或标准治疗加非穿透假针灸，持续8周。主要结局指标是疼痛。次要结果是病假频率，功能状态，PGP不适，健康相关的生活质量和PGP严重程度的恢复，由独立examinator.After治疗后，疼痛中位数从66减少到36，从69减少到41，在非穿透性假手术组（P = 0.493）的VAS评估。针刺组妇女的定期工作程度高于假手术组妇女（n = 28/57 vs 16/57，P = 0.041）。针刺组有上级能力进行日常活动的残疾评级指数（DRI）测量（44比55，P = 0.001）。两组患者在生活质量、PGP不适感和PGP严重程度恢复方面无显著差异。与非穿透假针相比，针刺对疼痛或病假程度无显著影响。根据DRI，在进行日常活动方面有一些改善。这些数据意味着，针穿透有助于在有限的程度上，以前报道的针灸的有益效果。
To investigate whether acupuncture has a greater treatment effect than non-penetrating sham acupuncture in women with pelvic girdle pain (PGP) during pregnancy.Randomised double-blinded controlled trial.East Hospital, Gothenburg, and 25 antenatal primary care units in the region of Vastra Gotaland, Sweden.A total of 115 pregnant women with a clinical diagnosis of PGP who scored >= 50 on a 100-mm visual analogue scale (VAS).Women were randomly allocated to standard treatment plus acupuncture or to standard treatment plus non-penetrating sham acupuncture for 8 weeks.Main outcome measure was pain. Secondary outcomes were frequency of sick leave, functional status, discomfort of PGP, health-related quality of life and recovery of severity of PGP as assessed by the independent examiner.After treatment, median pain decreased from 66 to 36 in the acupuncture group and from 69 to 41 in the non-penetrating sham group (P = 0.493) as assessed on a VAS. Women in the acupuncture group were in regular work to a higher extent than women in the sham group (n = 28/57 versus 16/57, P = 0.041). The acupuncture group had superior ability to perform daily activities measured with the disability rating index (DRI) (44 versus 55, P = 0.001). There were no significant differences in quality of life, discomfort of PGP and recovery from severity of PGP between the groups.Acupuncture had no significant effect on pain or on the degree of sick leave compared with non-penetrating sham acupuncture. There was some improvement in performing daily activities according to DRI. The data imply that needle penetration contributes to a limited extent to the previously reported beneficial effects of acupuncture.