目的:评估16种干预措施对减轻儿童针刺操作性疼痛的效果。方法:计算机检索PubMed、CENTRAL、EMbase、Web of Science、万方(WanFang Data)、中国知网(CNKI)和中国生物医学文献数据库(CBM)中有关缓解儿童针刺操作性疼痛的随机对照试验,...目的:评估16种干预措施对减轻儿童针刺操作性疼痛的效果。方法:计算机检索PubMed、CENTRAL、EMbase、Web of Science、万方(WanFang Data)、中国知网(CNKI)和中国生物医学文献数据库(CBM)中有关缓解儿童针刺操作性疼痛的随机对照试验,检索时间为建库至2021年3月。经过筛选、质量评价和资料提取后,采用Stata 14.2软件进行Meta分析。结果:共纳入45项随机对照试验,网状Meta分析结果显示,在缓解儿童针刺痛方面,9种干预方法具有明显优于常规护理的效果。排序概率图结果显示,最佳镇痛效果排名前3名的分别为麻醉贴+电子游戏(SUCRA=0.99)、Buzzy工具+分心卡(SUCRA=0.77)和局部皮肤麻醉剂喷敷(SUCRA=0.73)。结论:现有证据表明,针刺操作可延迟60~90 min时,建议采用局部麻醉贴联合电子游戏镇痛。如需迅速镇痛,则采用非药物方法Buzzy工具联合分心卡,以达到最优疼痛缓解效果。展开更多
Objective To study and verify the efficacy of acupuncture on depression caused by chronic pain and to further analyze the advantages of acupuncture. Methods According to random number table, the cases were randomized ...Objective To study and verify the efficacy of acupuncture on depression caused by chronic pain and to further analyze the advantages of acupuncture. Methods According to random number table, the cases were randomized into experimental group and western medicine group, treated with acupuncture and antidepression drug （deanxit） respectively. Hamilton Depressive Scale （HAMD） and Visual Analogue Scale （VAS） were adopted for the evaluation before treatment and in the 1, 2 and 4 weeks after treatment in two groups successively. Results ① Very significant differences had been achieved on the comparisons of HAMD, VAS and HAMD reducing rate before and after treatment in experimental group （P 〈 0.01）. Very significant differences had been achieved in the comparisons of HAMD, VAS and HAMD reducing rate before and after treatment in western medicine group （P 〈 0.01 ）. ③Significant differences in HAMD reducing rate^＊ and VAS score^＊ ＊ had been achieved in the comparison between experiment group and western medicine group 1 week after treatment （^＊ P〈0.01, ^＊ ＊ P〈0.05）. ④ The significant differences had not been received in HAMD, VAS score and HAMD reducing rate in 2 and 4 weeks after treatment in the comparison between experimental group and western medicine group （P 〉0.05）. ⑤ No any harmful effect happened in experimental group after treatment, but it happened in western medicine group. Conclusion Both acupuncture and deanxit have achieved the definite therapeutic effects on depression caused by chronic pain, with similar efficacy. But the effects of acupuncture are obtained more quickly. In comparison of western medicine, acupuncture has no side and harmful effect. Additionally, acupuncture applies the multi-targeting and holistic modulation to the whole body.展开更多
文摘Objective To study and verify the efficacy of acupuncture on depression caused by chronic pain and to further analyze the advantages of acupuncture. Methods According to random number table, the cases were randomized into experimental group and western medicine group, treated with acupuncture and antidepression drug （deanxit） respectively. Hamilton Depressive Scale （HAMD） and Visual Analogue Scale （VAS） were adopted for the evaluation before treatment and in the 1, 2 and 4 weeks after treatment in two groups successively. Results ① Very significant differences had been achieved on the comparisons of HAMD, VAS and HAMD reducing rate before and after treatment in experimental group （P 〈 0.01）. Very significant differences had been achieved in the comparisons of HAMD, VAS and HAMD reducing rate before and after treatment in western medicine group （P 〈 0.01 ）. ③Significant differences in HAMD reducing rate^＊ and VAS score^＊ ＊ had been achieved in the comparison between experiment group and western medicine group 1 week after treatment （^＊ P〈0.01, ^＊ ＊ P〈0.05）. ④ The significant differences had not been received in HAMD, VAS score and HAMD reducing rate in 2 and 4 weeks after treatment in the comparison between experimental group and western medicine group （P 〉0.05）. ⑤ No any harmful effect happened in experimental group after treatment, but it happened in western medicine group. Conclusion Both acupuncture and deanxit have achieved the definite therapeutic effects on depression caused by chronic pain, with similar efficacy. But the effects of acupuncture are obtained more quickly. In comparison of western medicine, acupuncture has no side and harmful effect. Additionally, acupuncture applies the multi-targeting and holistic modulation to the whole body.
