电针治疗纤维肌痛：一项对照试验的结果
Electroacupuncture in fibromyalgia: results of a controlled trial.
作者信息
Deluze C, Bosia L, Zirbs A, Chantraine A, Vischer T L
机构信息
Division of Physical Medicine and Rehabilitation, University Hospital, Geneva, Switzerland.
出版信息
BMJ. 1992 Nov 21;305(6864):1249-52. doi: 10.1136/bmj.305.6864.1249.
OBJECTIVE
To determine the efficacy of electroacupuncture in patients with fibromyalgia, a syndrome of unknown origin causing diffuse musculoskeletal pain.
DESIGN
Three weeks' randomised study with blinded patients and evaluating physician.
SETTING
University divisions of physical medicine and rehabilitation and rheumatology, Geneva.
PATIENTS
70 patients (54 women) referred to the division for fibromyalgia as defined by the American College of Rheumatology.
INTERVENTIONS
Patients were randomised to electroacupuncture (n = 36) or a sham procedure (n = 34) by means of an electronic numbers generator.
MAIN OUTCOME MEASURES
Pain threshold, number of analgesic tablets used, regional pain score, pain recorded on visual analogue scale, sleep quality, morning stiffness, and patient's and evaluating physician's appreciation.
RESULTS
Seven of the eight outcome parameters showed a significant improvement in the active treatment group whereas none were improved in the sham treatment group. Differences between the groups were significant for five of the eight outcome measures after treatment.
CONCLUSIONS
Electroacupuncture is effective in relieving symptoms of fibromyalgia. Its potential in long term management should now be studied.
目的
确定电针疗法对纤维肌痛患者的疗效，纤维肌痛是一种病因不明的综合征，可导致弥漫性肌肉骨骼疼痛。
设计
一项为期三周的随机研究，患者和评估医生均不知情。
地点
日内瓦大学物理医学与康复科及风湿病科。
患者
70例患者（54名女性），根据美国风湿病学会的定义，被转诊至纤维肌痛科。
干预措施
通过电子数字发生器将患者随机分为电针组（n = 36）或假治疗组（n = 34）。
主要观察指标
疼痛阈值、使用的止痛片数量、局部疼痛评分、视觉模拟量表记录的疼痛、睡眠质量、晨僵以及患者和评估医生的评价。
结果
八个结局参数中的七个在积极治疗组中显示出显著改善，而假治疗组中无一改善。治疗后，八个结局指标中的五个指标在两组之间存在显著差异。
结论
电针疗法可有效缓解纤维肌痛症状。现在应研究其在长期管理中的潜力。
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