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低频脉冲电磁场治疗纤维肌痛症:一项随机、双盲、假对照的临床研究。

Low-frequency pulsed electromagnetic field therapy in fibromyalgia: a randomized, double-blind, sham-controlled clinical study.

机构信息

Fourth Physical Medicine and Rehabilitation Clinic, Ankara Physical Medicine and Rehabilitation Education and Research Hospital, Ankara, Turkey.

出版信息

Clin J Pain. 2009 Oct;25(8):722-8. doi: 10.1097/AJP.0b013e3181a68a6c.

Abstract

OBJECTIVE

To evaluate the clinical effectiveness of low-frequency pulsed electromagnetic field (PEMF) therapy for women with fibromyalgia (FM).

METHODS

Fifty-six women with FM, aged 18 to 60 years, were randomly assigned to either PEMF or sham therapy. Both the PEMF group (n=28) and the sham group (n=28) participated in therapy, 30 minutes per session, twice a day for 3 weeks. Treatment outcomes were assessed by the fibromyalgia Impact questionnaire (FIQ), visual analog scale (VAS), patient global assessment of response to therapy, Beck Depression Inventory (BDI), and Short-Form 36 health survey (SF-36), after treatment (at 4 wk) and follow-up (at 12 wk).

RESULTS

The PEMF group showed significant improvements in FIQ, VAS pain, BDI score, and SF-36 scale in all domains at the end of therapy. These improvements in FIQ, VAS pain, and SF-36 pain score during follow-up. The sham group also showed improvement were maintained on all outcome measures except total FIQ scores after treatment. At 12 weeks follow-up, only improvements in the BDI and SF-36 scores were present in the sham group.

CONCLUSION

Low-frequency PEMF therapy might improve function, pain, fatigue, and global status in FM patients.

摘要

目的

评估低频脉冲电磁场(PEMF)治疗纤维肌痛(FM)女性患者的临床疗效。

方法

将 56 名年龄在 18 至 60 岁之间的 FM 女性患者随机分为 PEMF 治疗组和假治疗组。PEMF 组(n=28)和假治疗组(n=28)均接受治疗,每次 30 分钟,每天 2 次,持续 3 周。治疗结束时(治疗后 4 周)和随访时(治疗后 12 周)通过纤维肌痛影响问卷(FIQ)、视觉模拟量表(VAS)、患者对治疗反应的总体评估、贝克抑郁量表(BDI)和 36 项简短健康调查(SF-36)评估治疗结果。

结果

PEMF 组在治疗结束时,FIQ、VAS 疼痛、BDI 评分和 SF-36 所有领域的评分均有显著改善。在随访期间,FIQ、VAS 疼痛和 SF-36 疼痛评分的改善仍保持不变。除治疗后总 FIQ 评分外,假治疗组在所有结局指标上均显示出改善。在 12 周随访时,只有假治疗组的 BDI 和 SF-36 评分有所改善。

结论

低频 PEMF 治疗可能改善 FM 患者的功能、疼痛、疲劳和整体状况。

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