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一项双盲随机安慰剂对照可行性研究,评估个体化顺势疗法对膝关节骨关节炎疼痛的管理效果。

A double-blind randomized placebo-controlled feasibility study evaluating individualized homeopathy in managing pain of knee osteoarthritis.

作者信息

Koley Munmun, Saha Subhranil, Ghosh Shubhamoy

机构信息

Clinical Research Unit (Homeopathy), Siliguri, under Central Council for Research in Homeopathy, Government of India, Gokhel Road, Arabindapally, Siliguri, Darjeeling, West Bengal, India

Clinical Research Unit (Homeopathy), Siliguri, under Central Council for Research in Homeopathy, Government of India, Gokhel Road, Arabindapally, Siliguri, Darjeeling, West Bengal, India.

出版信息

J Evid Based Complementary Altern Med. 2015 Jul;20(3):186-91. doi: 10.1177/2156587214568668. Epub 2015 Jan 30.

Abstract

UNLABELLED

Few homeopathic complexes seemed to produce significant effects in osteoarthritis; still, individualized homeopathy remained untested. We evaluated the feasibility of conducting an efficacy trial of individualized homeopathy in osteoarthritis. A prospective, parallel-arm, double-blind, randomized, placebo-controlled pilot study was conducted from January to October 2014 involving 60 patients (homeopathy, n = 30; placebo, n = 30) who were suffering from acute painful episodes of knee osteoarthritis and visiting the outpatient clinic of Mahesh Bhattacharyya Homeopathic Medical College and Hospital, West Bengal, India. Statistically significant reduction was achieved in 3 visual analog scales (measuring pain, stiffness, and loss of function) and Osteoarthritis Research Society International scores in both groups over 2 weeks (P < .05); however, group differences were not significant (P > .05). Overall, homeopathy did not appear to be superior to placebo; still, further rigorous evaluation in this design involving a larger sample size seems feasible in future.

TRIAL REGISTRATION

Clinical Trials Registry, India (CTRI/2014/05/004589).

摘要

未标注

几乎没有顺势疗法复方制剂似乎对骨关节炎产生显著效果;不过,个体化顺势疗法仍未得到检验。我们评估了开展一项关于个体化顺势疗法治疗骨关节炎疗效试验的可行性。2014年1月至10月进行了一项前瞻性、平行组、双盲、随机、安慰剂对照的试点研究,纳入60例患有膝关节骨关节炎急性疼痛发作且前往印度西孟加拉邦Mahesh Bhattacharyya顺势疗法医学院及医院门诊就诊的患者(顺势疗法组,n = 30;安慰剂组,n = 30)。两组在2周内3个视觉模拟量表(测量疼痛、僵硬和功能丧失)及国际骨关节炎研究学会评分均有统计学意义的降低(P < .05);然而,组间差异不显著(P > .05)。总体而言,顺势疗法似乎并不优于安慰剂;不过,未来采用更大样本量在该设计下进行进一步严格评估似乎是可行的。

试验注册

印度临床试验注册中心(CTRI/2014/05/004589)

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