疼痛患者对针灸信任度与针灸疗效关系的观察

目的初步了解针灸治疗疼痛的疗效是否受病人对针灸的信任度影响.方法共观察15例疼痛患者.以直观模拟标尺法让患者自我评价自己对针灸疗效的信任度(信任度VAS)以及疼痛程度(疼痛度VAS).记录针灸治疗前后患者的疼痛度VAS分数作为疗效评价的指标.结果治疗后疼痛度VAS平均降低(3.3±2.8)分(P＜0.05).患者的信任度VAS与其针灸治疗前后疼痛度VAS的变化率之间无明显的相关性(R=0.462,P=0.083).结论初步结果表明,疼痛患者对针灸的信任度与临床疗效之间无明显相关.

Clinical observation on the relation between the confident degree of the patient with pain in acupuncture and moxibustion with the therapeutic effect

OBJECTIVE: To understand preliminary relation between patient's confident degree in acupuncture and moxibustion with the therapeutic effect on pain. METHODS: Fifteen cases with pain were investigated. The confident degree for acupuncture and moxibustion and pain degree were evaluated by the patient with visual analogue scale (VAS), and the pain VAS scores before and after acupuncture were recorded as the indexes for assessment of the therapeutic effect. RESULTS: After acupuncture treatment, the average pain VAS score was decreased by 3.3 +/- 2.8 (P< 0 . 5). There was no significant correlativity between the patient's confident degree VAS and the pain VAS change rate before and after the treatment (R = 0.62, P = 0.83). CONCLUSION: There is no significant correlativity between the confident degree of the patient of pain in acupuncture and moxibustion and clinical therapeutic effect.