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针刺疗法治疗纤维肌痛的疗效:随机试验的系统评价与荟萃分析

Efficacy of acupuncture for the treatment of fibromyalgia: systematic review and meta-analysis of randomized trials.

作者信息

Martin-Sanchez Eva, Torralba Eva, Díaz-Domínguez Elena, Barriga Andrés, Martin Jose Luis R

机构信息

Department of Clinical Research, Castile-La Mancha Health Research Foundation (FISCAM), Toledo, Spain.

出版信息

Open Rheumatol J. 2009 Jun 16;3:25-9. doi: 10.2174/1874312900903010025.

Abstract

OBJECTIVE

The study sought to ascertain the effectiveness of acupuncture as a treatment for fibromyalgia

MATERIALS AND METHODS

THE FOLLOWING ELECTRONIC DATABASES WERE SEARCHED: PubMed; The Cochrane Library (CENTRAL); EMBASE; CINAHL; and Pascal Biomed (last date of search: January 2008). We analyzed pain intensity and patient withdrawals prior to termination of the study. A meta-analysis was performed, and a weighted global effect obtained using the inverse of variance.

RESULTS

This review covered a total of 6 studies (323 subjects). No statistically significant differences were observed in terms of pain intensity (VAS): 0.02 (-0.24 a 0.28) or withdrawals: RR 0.91 (0.53 a 1.58)

CONCLUSION

This systematic review found no evidence of benefit resulting from acupuncture versus placebo, as a treatment for fibromyalgia.

摘要

目的

本研究旨在确定针灸治疗纤维肌痛的有效性。

材料与方法

检索了以下电子数据库:PubMed;考克兰图书馆(CENTRAL);EMBASE;护理学与健康领域数据库(CINAHL);以及巴斯德生物医学数据库(检索截止日期:2008年1月)。我们分析了研究终止前的疼痛强度和患者退出情况。进行了荟萃分析,并使用方差倒数获得加权总体效应。

结果

本综述共涵盖6项研究(323名受试者)。在疼痛强度(视觉模拟评分法)方面未观察到统计学显著差异:0.02(-0.24至0.28),在退出情况方面也未观察到统计学显著差异:风险比0.91(0.53至1.58)。

结论

本系统评价未发现针灸治疗纤维肌痛相对于安慰剂有获益的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4629/2705855/e55afdc317ff/TORJ-3-25_F1.jpg

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