Mayhew E, Ernst E
Complementary Medicine, Peninsula Medical School, Universities of Exeter & Plymouth, 25 Victoria Park Road, Exeter EX2 4NT, UK.
Rheumatology (Oxford). 2007 May;46(5):801-4. doi: 10.1093/rheumatology/kel406. Epub 2006 Dec 19.
Acupuncture is often used and frequently advocated for the symptomatic treatment of fibromyalgia. A systematic review has previously demonstrated encouraging findings. As it is now outdated, we wanted to update it.
We searched seven electronic databases for relevant randomized clinical trials (RCTs). The data were extracted and validated independently by both authors. As no meta-analysis seemed possible, the results were evaluated in narrative form.
Five RCTs met our inclusion criteria, all of which used acupuncture as an adjunct to conventional treatments. Their methodological quality was mixed and frequently low. Three RCTs suggested positive but mostly short-lived effects and two yielded negative results. There was no significant difference between the quality of the negative and the positive RCTs. All positive RCTs used electro-acupunture.
The notion that acupuncture is an effective symptomatic treatment for fibromyaligia is not supported by the results from rigorous clinical trials. On the basis of this evidence, acupuncture cannot be recommended for fibromyalgia.
针灸常用于并常被提倡用于纤维肌痛的症状治疗。此前一项系统评价已得出了令人鼓舞的结果。由于该评价现已过时，我们希望对其进行更新。
我们在七个电子数据库中检索了相关随机临床试验（RCT）。数据由两位作者独立提取并验证。由于似乎无法进行荟萃分析，结果以叙述形式进行评估。
五项RCT符合我们的纳入标准，所有这些研究均将针灸用作传统治疗的辅助手段。它们的方法学质量参差不齐，且常常较低。三项RCT显示出积极但大多是短暂的效果，两项得出了阴性结果。阴性和阳性RCT的质量之间没有显著差异。所有阳性RCT均使用了电针。
严格的临床试验结果不支持针灸是纤维肌痛有效症状治疗方法这一观点。基于此证据，不建议将针灸用于纤维肌痛。
