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中医心身疗法:证据图谱。

Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map.

机构信息

Department of Preventive Medicine, Universidade Federal de São Paulo, UNIFESP, São Paulo, Brazil.

Brazilian Academic Consortium for Integrative Health (CABSIn), São Paulo, Brazil.

出版信息

Front Public Health. 2021 Dec 10;9:659075. doi: 10.3389/fpubh.2021.659075. eCollection 2021.


DOI:10.3389/fpubh.2021.659075
PMID:34988045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8722380/
Abstract

The mind-body therapies of traditional Chinese medicine include several intervention types and combine physical poses with conscious relaxation and breathing techniques. The purpose of this Evidence Map is to describe these different interventions and report related health outcomes. This evidence map is based on the 3iE Evidence Gap Map methodology. We searched seven electronic databases (BVS, PUBMED, EMBASE, PEDro, ScienceDirect, Web of Sciences, and PschyInfo) from inception to November 2019 and included systematic reviews only. Systematic reviews were analyzed based on AMSTAR 2. We used Tableau to graphically display quality assessment, the number of reviews, outcomes, and effects. The map is based on 116 systematic reviews and 44 meta-analyses. Most of the reviews were published in the last 5 years. The most researched interventions were Tai Chi and Qi Gong. The reviews presented the following quality assessment: 80 high, 43 moderate, 23 low, and 14 critically low. Every 680 distinct outcome effect was classified: 421 as potential positive; 237 as positive; 21 as inconclusive/mixed; one potential negative and none no effect. Positive effects were related to chronic diseases; mental indicators and disorders; vitality, well-being, and quality of life. Potential positive effects were related to balance, mobility, Parkinson's disease, hypertension, joint pain, cognitive performance, and sleep quality. Inconclusive/mixed-effects justify further research, especially in the following areas: Acupressure as Shiatsu and Tuiná for nausea and vomiting; Tai Chi and Qi Gong for acute diseases, prevention of stroke, stroke risk factors, and schizophrenia. The mind-body therapies from traditional Chinese medicine have been applied in different areas and this Evidence Map provides a visualization of valuable information for patients, professionals, and policymakers, to promote evidence-based complementary therapies.

摘要

中医的心身疗法包括几种干预类型,将身体姿势与有意识的放松和呼吸技术相结合。本证据图谱旨在描述这些不同的干预措施,并报告相关的健康结果。本证据图谱基于 3iE 证据差距图谱方法。我们从成立到 2019 年 11 月在七个电子数据库(BVS、PUBMED、EMBASE、PEDro、ScienceDirect、Web of Sciences 和 PschyInfo)中进行了搜索,仅纳入系统评价。我们根据 AMSTAR 2 对系统评价进行了分析。我们使用 Tableau 以图形方式显示质量评估、综述数量、结果和效果。该图谱基于 116 项系统评价和 44 项荟萃分析。大多数综述发表于过去 5 年。研究最多的干预措施是太极拳和气功。综述的质量评估结果如下:80 项为高度、43 项为中度、23 项为低度、14 项为极低度。每 680 个不同的结果效应进行了分类:421 个为潜在阳性;237 个为阳性;21 个为不确定/混合;1 个为潜在阴性;1 个为无效应。阳性效应与慢性病、精神指标和障碍、活力、幸福感和生活质量有关。潜在阳性效应与平衡、移动性、帕金森病、高血压、关节疼痛、认知表现和睡眠质量有关。不确定/混合效应需要进一步研究,特别是在以下领域:指压按摩作为 Shiatsu 和 Tuiná 用于治疗恶心和呕吐;太极拳和气功用于治疗急性疾病、预防中风、中风危险因素和精神分裂症。中医的心身疗法已应用于不同领域,本证据图谱为患者、专业人员和政策制定者提供了有价值的信息可视化,以促进基于证据的补充疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9050/8722380/d59068c8ce62/fpubh-09-659075-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9050/8722380/f57ba5379a61/fpubh-09-659075-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9050/8722380/2512228b0214/fpubh-09-659075-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9050/8722380/d59068c8ce62/fpubh-09-659075-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9050/8722380/f57ba5379a61/fpubh-09-659075-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9050/8722380/2512228b0214/fpubh-09-659075-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9050/8722380/d59068c8ce62/fpubh-09-659075-g0003.jpg

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本文引用的文献

[1]
Evidence and gap maps: a comparison of different approaches.

Campbell Syst Rev. 2018-10-12

[2]
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Cochrane Database Syst Rev. 2021-5-18

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Evid Based Complement Alternat Med. 2020-11-22

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Tai Chi and Qi Gong therapies as a complementary treatment in Parkinson's disease - a systematic review.

Complement Ther Med. 2021-1

[10]
Effects of Mind-Body Interventions Involving Meditative Movements on Quality of Life, Depressive Symptoms, Fear of Falling and Sleep Quality in Older Adults: A Systematic Review with Meta-Analysis.

Int J Environ Res Public Health. 2020-9-9

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