Singh Betsy B, Wu Wen-Shuo, Hwang San Hong, Khorsan Raheleh, Der-Martirosian Claudia, Vinjamury Sivarama Prasad, Wang Chiao-Nien, Lin Shiyng Yu
Southern California University of Health Sciences, Whittier, USA.
Altern Ther Health Med. 2006 Mar-Apr;12(2):34-41.
Fibromyalgia syndrome (FMS) is a prevalent musculoskeletal disorder associated with pain, mood state alteration, and disability. A structured and effective treatment plan for palliative care has not been established. The genesis of FMS is not clear. FMS occurs primarily in adult women.
Using a quasi-experimental clinical design and following the criteria of the American College of Rheumatology (ACR), for FMS, 21 participants completed the study. The mean age was 53.6 years. The data were collected at baseline and at 1 and 2 months. Acupuncture treatments included 17 points for FMS symptoms, and 8 outcome measures were collected.
The Fibromyalgia Impact Questionnaire (FIQ) showed significant differences at 1 and 2 months. For the SF-12, 3 subscales showed significant differences between baseline and 2 months. Four of 6 items were significantly changed. The mean number of general health symptoms was significantly decreased by 2 months. For the Catastrophe Index, significant differences were found for baseline vs 2 months. Pain threshold scores were significantly different at end of treatment for 5 bilateral tender points. There was significant improvement in Beck Depression items for both 1- and 2-month periods. In a multivariate regression model, 5 covariates were included--age, number of weeks in treatment, number of doctors treating, number of general symptoms, and baseline FIQ score. The results indicated significant age effect. This analysis showed that the higher the FIQ score, the more positive the change experienced by study participants. Number of weeks in treatment, number of doctors who treated, and total number of general health symptoms did not have a significant effect on outcomes.
Significant improvement was experienced by participants at 8 weeks of treatment. Acupuncture treatment as delivered was effective at reducing FMS symptoms in this outcome study.
纤维肌痛综合征（FMS）是一种常见的肌肉骨骼疾病，与疼痛、情绪状态改变和残疾有关。尚未建立针对姑息治疗的结构化有效治疗方案。FMS的病因尚不清楚。FMS主要发生于成年女性。
采用准实验临床设计，并遵循美国风湿病学会（ACR）的标准，21名FMS参与者完成了该研究。平均年龄为53.6岁。在基线、1个月和2个月时收集数据。针灸治疗包括针对FMS症状的17个穴位，并收集了8项结局指标。
纤维肌痛影响问卷（FIQ）在1个月和2个月时显示出显著差异。对于SF-12，3个分量表在基线和2个月之间显示出显著差异。6项中的4项有显著变化。一般健康症状的平均数量在2个月时显著减少。对于灾难指数，在基线与2个月之间发现显著差异。5个双侧压痛点在治疗结束时的疼痛阈值评分有显著差异。贝克抑郁量表项目在1个月和2个月时均有显著改善。在多变量回归模型中，纳入了5个协变量——年龄、治疗周数、治疗医生数量、一般症状数量和基线FIQ评分。结果表明年龄有显著影响。该分析表明，FIQ评分越高，研究参与者经历的变化越积极。治疗周数、治疗医生数量和一般健康症状总数对结局没有显著影响。
参与者在治疗8周时经历了显著改善。在这项结局研究中，所实施的针灸治疗在减轻FMS症状方面是有效的。
