Moura Caroline de Castro, Chaves Erika de Cássia Lopes, Cardoso Ana Carolina Lima Ramos, Nogueira Denismar Alves, Azevedo Cissa, Chianca Tânia Couto Machado
Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brasil.
Universidade Federal de Alfenas, Escola de Enfermagem, Alfenas, MG, Brasil.
Rev Esc Enferm USP. 2019 Aug 19;53:e03461. doi: 10.1590/S1980-220X2018021703461.
To investigate randomized clinical trials on the action of auricular acupuncture for chronic back pain in adults, and to identify the most commonly used outcomes for assessing this condition, the protocol used for applying the intervention, and the efficacy of the therapy on pain intensity.
A systematic review and a metanalysis were carried out between June 2017 and May 2018, based on the PubMed, CINAHL, PEDro, Embase, Scopus, and the Virtual Health Library databases. Reference lists of systematic reviews were also explored.
427 studies were located, 15 included in the qualitative analysis, and seven in the quantitative analysis. Auricular acupuncture led to positive results in 80% of the studies. The most commonly used outcomes were pain intensity and quality, medication consumption, physical disability, and quality of life. There is a lack of protocol standardization for auricular acupuncture for chronic back pain. The metanalysis results showed that auricular acupuncture was effective in reducing pain intensity scores (p=0.038).
Auricular acupuncture is a promising practice for the treatment of chronic back pain in adults.
调查关于耳针疗法对成人慢性背痛作用的随机临床试验,确定评估该病症最常用的结果指标、实施干预所采用的方案以及该疗法对疼痛强度的疗效。
于2017年6月至2018年5月间,基于PubMed、CINAHL、PEDro、Embase、Scopus和虚拟健康图书馆数据库进行了系统评价和荟萃分析。还对系统评价的参考文献列表进行了检索。
共找到427项研究,15项纳入定性分析,7项纳入定量分析。80%的研究显示耳针疗法取得了阳性结果。最常用的结果指标是疼痛强度和质量、药物消耗、身体残疾和生活质量。针对成人慢性背痛的耳针疗法缺乏方案标准化。荟萃分析结果表明,耳针疗法在降低疼痛强度评分方面有效(p = 0.038)。
耳针疗法是治疗成人慢性背痛的一种有前景的方法。