Department of Complementary Medicine, Peninsula Medical School, 25 Victoria Park Road, Exeter, Devon, EX2 4NT, UK.
Clin Rheumatol. 2010 May;29(5):457-64. doi: 10.1007/s10067-009-1361-2. Epub 2010 Jan 23.
Homoeopathy is often advocated for fibromyalgia (FM) and many FM patients use it. To critically evaluate all randomised clinical trials (RCTs) of homoeopathy as a treatment for FM, six electronic databases were searched to identify all relevant studies. Data extraction and the assessment of the methodological quality of all included studies were done by two independent reviewers. Four RCTs were found, including two feasibility studies. Three studies were placebo-controlled. None of the trials was without serious flaws. Invariably, their results suggested that homoeopathy was better than the control interventions in alleviating the symptoms of FM. Independent replications are missing. Even though all RCTs suggested results that favour homoeopathy, important caveats exist. Therefore, the effectiveness of homoeopathy as a symptomatic treatment for FM remains unproven.
顺势疗法常用于纤维肌痛 (FM) 的治疗,许多 FM 患者使用它。为了批判性地评估顺势疗法作为 FM 治疗的所有随机临床试验 (RCT),我们检索了六个电子数据库以确定所有相关的研究。两位独立的评审员进行了数据提取和纳入研究的方法学质量评估。共发现了 4 项 RCT,包括 2 项可行性研究。其中 3 项为安慰剂对照试验。没有一项试验没有严重缺陷。这些试验的结果无一例外地表明,顺势疗法在缓解 FM 症状方面优于对照组干预措施。缺乏独立的重复研究。尽管所有 RCT 都表明了有利于顺势疗法的结果,但存在重要的警告。因此,顺势疗法作为 FM 的对症治疗的有效性仍未得到证实。