Tugas EBM

Disusunoleh:

DarayaniAmalia

1102013070

FAKULTAS KEDOKTERAN

UNIVERSITAS YARSI

JL. LET. JEND. SUPRAPTO, CEMPAKA PUTIH,

JAKARTA PUSAT, 10510

SEPTEMBER 2013

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FAKULTAS KEDOKTERAN

1. Skenario: Ny.X adalah seorang wanita sehat berumur 50 tahun dengan osteoarthritis awal di

lutut, pinggul, dan kakinya. Dia sudah menggunakan ibuprofen hanya di beberapa waktu saja disaat ia sedang mengalami nyeri tersebut karena Ny.X enggan untuk berada di obat-obatan yang memerlukan jangka waktu yang panjang. Dan kemudian setelah iya mencari tahu tentang pengobatan alternatif, Ny.X ingin tahu tentang keefektifan dalam mengurangi rasa nyeri oleh alternatif akupuntur dan ibuprofen.

2. Pertanyaan khusus:Manakah yang lebih efektif dalam mengurangi rasa nyeri pada osteoarthritis,

ibuprofen atau akupuntur?

3. Komponen PICO:P : Wanita berumur 50 tahun dengan osteoarthritisI : AkupunturC : IbuprofenO : Mengurangi rasa nyeri

4. Kata Kunci:Osteoarthritis AND Acupuncture AND Ibuprofen

5. Type of Question: Theraphy

6. Type of Study: Randomized Control Trial

7. Pemilihan situs:http://www.ncbi.nlm.nih.gov/pubmed/?term=osteoarthritis+and+acupuncture+and+ibuprofen

8. Limitasi: -

9. Hasil Pencarian: 1 ArtikelDing MH, Zhang H, Li Y. 2009. A randomized controlled study on warming needle moxibustion for treatment of knee osteoarthritis. US National Library of Medicine National Institutes of Health (Online), 29(8):603-7. (http://www.ncbi.nlm.nih.gov/pubmed/19947259)

10. Artikel yang dipilih:Ding MH, Zhang H, Li Y. 2009. A randomized controlled study on warming needle moxibustion for treatment of knee osteoarthritis. US National Library of Medicine National Institutes of Health (Online), 29(8):603-7. (http://www.ncbi.nlm.nih.gov/pubmed/19947259)

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11. Lampiran Artikel yang Dipilih:

Zhongguo Zhen Jiu. 2009 Aug;29(8):603-7.

[A randomized controlled study on warming needle moxibustion for treatment of knee osteoarthritis].[Article in Chinese]Ding MH, Zhang H, Li Y.

Source

College of Acupuncture and Massage, Guangzhou University of TCM, Guangzhou, China.

Abstract

OBJECTIVE:

To assess the short-term and long-term therapeutic effect of warming needle moxibustion for treatment of knee osteoarthritis.

METHODS:

Ninety cases were randomly divided into a warming needle moxibustion group, a western medicine group and a waiting group, 30 cases in each group. The warming needle moxibustion group was treated with warming needle moxibustion on Xuehai (SP 10), Dubi (ST 35) and Zusanli (ST 36), etc.; the western medicine group was treated with oral administration of Ibuprofen sustained release capsule; the waiting group did not receive any treatment. Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and Chinese version of SF-16 were used to assess the therapeutic effect before treatment, after treatment and 10 weeks after treatment.

RESULTS:

After treatment for 2 weeks, the total effective rate was 86.7% in the warming needle moxibustion group, 90.0% in the western medicine group, and 60.0% in the waiting group, both the warming needle moxibustion group and the western medicine group being significantly better than the waiting group (both P<0.05) and with no significant difference between the warming needle moxibustion group and the western medicine group (P>0.05); 10 weeks after treatment, the total effective rate of 83.3% in the warming needle moxibustion group was better than that of 60.0% in the western medicine group (P<0.05). There were no significant differences in comparison of WOMAC and SF-16 scores after treatment between the warming needle moxibustion group and the western medicine group, and the warming needle moxibustion group in improvement of these scores was superior to the western medicine group (P<0.01, P<0.05).

CONCLUSION:

The therapy of warming needle moxibustion is effective for treatment of knee osteoarthritis, and the short-term therapeutic effect is same as that of oral administration of Ibuprofen and the long-term therapeutic effect is better than that of Ibuprofen.

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