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Pediatrics:专业人士对儿童施针灸安全有效

来源:新华网 2011-11-24 15:53

11月21日,加拿大研究人员在美国《儿科学》杂志网络版上报告说,儿童接受针灸治疗的情况目前已经比较普遍,如果针灸由经过适当培训的专业人士实施,其总体上对儿童是安全的。

加拿大艾伯塔大学的研究人员分析了过去60年中多个国家和地区的37项针灸研究,并对针灸与各种副作用之间的关系进行了评估。参与这些研究的儿童年龄从刚出生到17岁不等。

研究人员共发现279例副作用事件,其中253例为轻微副作用。研究人员认为,副作用主要与执业人员的医疗条件有关,与针灸本身关联不大。他们的结论是由专业人士对儿童实施的针灸是安全的。

美国儿科学会当天也发表声明支持儿童针灸。据统计,美国每年接受针灸治疗的儿童约有15万人次。(生物谷 Bioon.com)

The Safety of Pediatric Acupuncture: A Systematic Review

Denise Adams, PhD, Florence Cheng, MD, Hsing Jou, MD, Steven Aung, MD, PhD, Yutak Yasui, PhD, Sunita Vohra, MD, MSc

Context: Acupuncture is increasingly used in children; however, the safety of pediatric acupuncture has yet to be reported from systematic review.

Objective: To identify adverse events (AEs) associated with needle acupuncture in children.

Methods: Eighteen databases were searched, from inception to September 2010, irrespective of language. Inclusion criteria were that the study (1) was original peer-reviewed research, (2) included children from birth to 17 years, inclusively, (3) involved needle acupuncture, and (4) included assessment of AEs in a child. Safety data were extracted from all included studies.

Results: Of 9537 references identified, 450 were assessed for inclusion. Twenty-eight reports were included, and searches of reference lists identified 9 additional reports (total: 37). A total of 279 AEs were identified, 146 from randomized controlled trials, 95 from cohort studies, and 38 from case reports/series. Of the AEs, 25 were serious (12 cases of thumb deformity, 5 infections, and 1 case each of cardiac rupture, pneumothorax, nerve impairment, subarachnoid hemorrhage, intestinal obstruction, hemoptysis, reversible coma, and overnight hospitalization), 1 was moderate (infection), and 253 were mild. The mild AEs included pain, bruising, bleeding, and worsening of symptoms. We calculated a mild AE incidence per patient of 168 in 1422 patients (11.8% [95% confidence interval: 10.1–13.5]).

Conclusions: Of the AEs associated with pediatric needle acupuncture, a majority of them were mild in severity. Many of the serious AEs might have been caused by substandard practice. Our results support those from adult studies, which have found that acupuncture is safe when performed by appropriately trained practitioners.

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