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首页> 外文期刊>Journal of orthopaedic nursing >Temporal relationships between sleep improvement and pain relief in patients with musculo-skeletal pain treated with two types of acupuncture
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Temporal relationships between sleep improvement and pain relief in patients with musculo-skeletal pain treated with two types of acupuncture

机译：两种针灸治疗肌肉骨骼疼痛患者的睡眠改善与疼痛缓解之间的时间关系

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摘要

Although there is a close relationship between sleep disorders and musculo-skeletal pain, no general agreement exists on which of the two factors is the cause and which the consequence. This relationship was addressed in the present study. One hundred and eighteen consecutive patients (38 men, 80 women), aged 20-70 years, suffering from musculo-skeletal pain in the cervical and/or lumbar region(s) for more than 3 months were treated with eight acupuncture sessions during a 6-week period plus two more optional treatment sessions during the following 2 months. Two types of acupuncture were used showing no significant difference between the two (data not provided in this study). Sleep and pain were estimated by standard visual analogue scales in the morning, at noon and in the evening immediately before the start of treatment and at 1 week, and 1, 3 and 6 months after treatment cessation. Only the patients who showed improvement in pain in the evening during the study period experienced improved sleep in the succeeding night (Friedman's ANOVA: p< 0.0001 and p<0.01, respectively). Correspondingly, the patients with improved sleep during the study period experienced pain reduction in the morning (p< 0.0001 and p<0.01, respectively). It can be concluded that improvement of pain in the evening promoted a favourable development of sleep; correspondingly, improved sleep promoted pain relief in the morning.
机译：尽管睡眠障碍和肌肉骨骼疼痛之间存在密切的关系，但对于这两个因素中的哪个是原因以及哪个是结果，并没有普遍的共识。本研究解决了这种关系。连续11例（男性38例，女性80例），年龄在20-70岁之间，在颈椎和/或腰椎区遭受了肌肉骨骼疼痛超过3个月，在手术中接受了八次针灸治疗。在接下来的2个月中，为期6周，再进行两次可选治疗。两种类型的针灸方法均显示无明显差异（本研究未提供数据）。在开始治疗前，治疗开始后1周，停药后1、3和6个月，通过标准视觉模拟量表评估睡眠和疼痛程度。在研究期间，只有在晚上表现出疼痛改善的患者才能在随后的夜晚改善睡眠（Friedman's ANOVA：分别为p <0.0001和p <0.01）。相应地，研究期间睡眠改善的患者早晨疼痛减轻（分别为p <0.0001和p <0.01）。可以得出结论，晚上疼痛的改善促进了睡眠的良好发展。相应地，改善睡眠促进了早晨的疼痛缓解。

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