Randomized controlled trial of a special acupuncture technique for pain after thoracotomy
Randomized controlled trial of a special acupuncture technique for pain after thoracotomy
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DOI：
10.1016/j.jtcvs.2008.07.053
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发表时间：
2008-12-01
影响因子：
6
通讯作者：
Cassiletha, Barrie
中科院分区：
文献类型：
--
作者：
Deng, Gary;Rusch, Valerie;Cassiletha, Barrie
目的：我们试图确定与假针灸技术（对照）相比，专为肿瘤外科人群开发的针灸技术（干预）是否能减轻开胸手术后的疼痛或镇痛效果。方法：162 名接受开胸手术的癌症患者被随机分为 A 组（术前植入小皮内针，保留 4 周）或 B 组（术前在相同位置放置假针）。时间表）。在住院期间评估疼痛和阿片类药物总使用量的数字评定量表，并在出院后至术后 3 个月内评估简要疼痛量表和药物定量量表。 结果：主要分析，即 30 天随访时的简要疼痛量表疼痛强度评分比较，显示干预组和对照组之间没有显着差异。干预组的疼痛评分略高（0.05；95% 置信区间，0.74 至 -0.64；P = .9）。次要终点（包括 60 天和 90 天的慢性疼痛评估、住院疼痛以及医院内和出院后的药物使用情况）组间也没有统计学上的显着差异。结论：本研究中提供的特殊针灸技术并没有比假手术更能减轻开胸术后的疼痛或止痛药物的使用。
Objective: We sought to determine whether an acupuncture technique specially developed for a surgical oncology population (intervention) reduces pain or analgesic use after thoracotomy compared with a sham acupuncture technique (control).Methods: One hundred sixty-two patients with cancer undergoing thoracotomy were randomized to group A (preoperative implantation of small intradermal needles that were retained for 4 weeks) or group B (preoperative placement of sham needles at the same schedule). The numeric rating scale of pain and total opioid use was evaluated during the in-patient stay, and the Brief Pain Inventory and Medication Quantification Scale were evaluated after discharge up to 3 months after the operation.Results: The principal analysis, a comparison of Brief Pain Inventory pain intensity scores at the 30-day followup, showed no significant difference between the intervention and control groups. Pain scores were marginally higher in the intervention group (0.05; 95% confidence interval, 0.74 to -0.64; P = .9). There were also no statistically significant differences between groups for secondary end points, including chronic pain assessments at 60 and 90 days, in-patient pain, and medication use in the hospital and after discharge.Conclusion: A special acupuncture technique, as provided in this study, did not reduce pain or use of pain medication after thoracotomy more than a sham technique.