Riera Rachel, Braga Vinícius Lopes, Rocha Luana Pompeu Dos Santos, Bernardo Daniel Damasceno, Andrade Luísa Avelar Fernandes de, Hsu Jessica Chiu, Silva Luciana Di Giovanni Marques da, Suetsugu Rodrigo Cesar de Sá, Dittrich Nicole Hosni, Lima Lucas Riguete Pereira de, Silveira Vicente Penido da, Kruglensky Barbara Caon, Leonel Letícia de Freitas, Barros Edivando de Moura, Costa Anderson Adriano Leal Freitas da, Quintella Miguel Lins, Pacheco Rafael Leite, Cruz Carolina de Oliveira, Martimbianco Ana Luiza Cabrera, Pachito Daniela Vianna, Mozetic Vania, Teixeira Tatiana de Bruyn Ferraz, Torloni Maria Regina, Atallah Alvaro Nagib
MD, MSc, PhD. Rheumatologist; Adjunct Professor, Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp); and Researcher, Cochrane Brazil, São Paulo (SP), Brazil.
Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.
Sao Paulo Med J. 2018 May-Jun;136(3):251-261. doi: 10.1590/1516-3180.2018.0172170418. Epub 2018 Jun 25.
This study identified and summarized all Cochrane systematic reviews (SRs) on the effects of ten integrative practices that were recently added to the Brazilian public healthcare system (SUS).
Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp).
Review of Cochrane SRs on the following interventions were identified, summarized and critically assessed: apitherapy, aromatherapy, bioenergetics, family constellation, flower therapy, chromotherapy, geotherapy, hypnotherapy, hand imposition or ozone therapy.
We included a total of 16 SRs: 4 on apitherapy, 4 on aromatherapy, 6 on hypnotherapy and 2 on ozone therapy. No Cochrane SR was found regarding bioenergetics, family constellation, chromotherapy, clay therapy, flower therapy or hand imposition. The only high-quality evidence was in relation to the potential benefit of apitherapy, specifically regarding some benefits from honey dressings for partial healing of burn wounds, for reduction of coughing among children with acute coughs and for preventing allergic reactions to insect stings.
Except for some specific uses of apitherapy (honey for burn wounds and for acute coughs and bee venom for allergic reactions to insect stings), the use of ten integrative practices that have recently been incorporated into SUS does not seem to be supported by evidence from Cochrane SRs.
本研究识别并总结了所有关于最近被纳入巴西公共医疗体系（SUS）的十种综合疗法效果的Cochrane系统评价（SRs）。
在圣保罗联邦大学保罗医科大学（EPM）循证医学学科进行的系统评价综述。
识别、总结并批判性评估了关于以下干预措施的Cochrane SRs：蜂疗、芳香疗法、生物能量疗法、家庭系统排列、花精疗法、色光疗法、泥土疗法、催眠疗法、手部按压或臭氧疗法。
我们共纳入了16项SRs：4项关于蜂疗，4项关于芳香疗法，6项关于催眠疗法，2项关于臭氧疗法。未找到关于生物能量疗法、家庭系统排列、色光疗法、泥土疗法、花精疗法或手部按压的Cochrane SR。唯一的高质量证据是关于蜂疗的潜在益处，特别是蜂蜜敷料对烧伤创面部分愈合、减轻急性咳嗽儿童咳嗽以及预防昆虫叮咬过敏反应的一些益处。
除了蜂疗的一些特定用途（蜂蜜用于烧伤创面和急性咳嗽，蜂毒用于昆虫叮咬过敏反应）外，最近纳入SUS的十种综合疗法的使用似乎没有得到Cochrane SR证据的支持。
