Randomised trial of long term effect of acupuncture for shoulder pain
Randomised trial of long term effect of acupuncture for shoulder pain
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DOI：
10.1016/j.pain.2004.08.030
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发表时间：
2004-12-01
期刊：
影响因子：
7.4
通讯作者：
Moreno, MJG
中科院分区：
文献类型：
--
作者：
de Hoyos, JAG;Martín, MDA;Moreno, MJG
本研究的目的是比较电针与安慰剂针刺治疗肩痛的疗效。本研究包括一项前瞻性、随机、安慰剂对照试验，独立评价者在西班牙的一家公立初级保健诊所进行。参与者是年龄从25岁到83岁的肩痛患者。患者在8周内被随机分配到两种治疗组，分别是电针或皮肤非穿透性安慰剂针灸，如果需要剧烈疼痛，都可以服用双氯芬酸。主要结局指标为组间疼痛强度的差异（视觉模拟量表-VAS）。次要结局是两组之间的疼痛强度差异（采用Lattinen指数测量）、活动范围（测角器）、功能能力（SPADI）、生活质量（COOP-WONCA图表）、NSAIDS摄入量、可信度（Borkoveck和Nau量表）和总体满意度（10分模拟量表）。在治疗前、治疗期间以及治疗后3个月和6个月进行评估。治疗后6个月随访时，针刺组疼痛强度的改善明显大于对照组[VAS平均差异2.0（95% CI 1.2-2.9）]。针灸组在每个次要结局指标上都比对照组有更好的结果。针灸是一种有效的长期治疗肩痛患者（软组织病变）在初级保健设置。(C)2004年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
The objective of the study is to compare the efficacy of electro-acupuncture with placebo-acupuncture for the treatment of shoulder pain. This study comprised of a prospective, randomized, placebo controlled trial, with independent evaluator set in a Public primary care clinic in Spain. The participants are patients aged from 25 to 83 years with shoulder pain. Patients were randomly allocated to two treatments over eight weeks, with electro-acupuncture or skin non-penetrating placebo-acupuncture, both able to take diclofenac if needed for intense pain. Primary outcome measure was the difference between groups in pain intensity (visual analogue scale-VAS). Secondary outcomes were differences between groups in pain intensity measured by Lattinen index, in range of motion (goniometer), functional ability (SPADI), quality of life (COOP-WONCA charts), NSAIDS intake, credibility (Borkoveck and Nau scale) and global satisfaction (10 points analogue scale). Assessments were performed before, during and three and six months after treatment. At six month follow-up after treatment the acupuncture group showed a significantly greater improvement in pain intensity compared with the control group [VAS mean difference 2.0 (95% CI 1.2-2.9)]. The acupuncture group had consistently better results in every secondary outcome measure than the control group. Acupuncture is an effective long-term treatment for patients with shoulder pain (from soft tissues lesions) in a primary care setting. (C) 2004 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.