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治疗性贴扎治疗原发性痛经的安全性和有效性:系统评价和荟萃分析。

Safety and efficacy of therapeutic taping in primary dysmenorrhea: a systematic review and meta-analysis.

机构信息

Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya, 20400, Sri Lanka.

Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

出版信息

Sci Rep. 2022 May 3;12(1):7146. doi: 10.1038/s41598-022-11034-w.

Abstract

Primary dysmenorrhea (PD) is a common gynecological condition among adolescent and adult women. Several pharmacological and alternative therapies (e.g. therapeutic taping) have been used to treat PD, with varying effect. This systematic review and meta-analysis was performed to evaluate the safety and efficacy of therapeutic taping on clinical symptoms of PD, considering pain as the primary outcome. MEDLINE, Cochrane Library, Embase, PEDro, CINAHL and gray literature sources were searched from inception to February 2022 for randomized controlled trials (RCTs) that assessed the effect of therapeutic taping for PD. The language was restricted to English. A total of ten studies were included in the systematic review, involving 685 participants. Eight studies were included in quantitative analysis. The quality of the studies ranged from 4 to 7 with a median of 5 as assessed by PEDro scale. Meta-analyses indicated short-term improvements of pain compared to sham and no interventions. Elastic therapeutic taping (ETT) indicated short term improvements in anxiety associated with PD. Moderate to high quality of evidence suggested that ETT is an effective intervention in improving pain, anxiety, and quality of life of women with PD. A scarcity of evidence on the long-term effects of therapeutic taping in PD is observed.

摘要

原发性痛经(PD)是青春期和成年女性常见的妇科疾病。为治疗 PD,已经使用了多种药理学和替代疗法(例如治疗性贴扎),但效果不一。本系统评价和荟萃分析旨在评估治疗性贴扎治疗 PD 临床症状的安全性和有效性,将疼痛作为主要结局。从建库至 2022 年 2 月,我们检索了 MEDLINE、Cochrane 图书馆、Embase、PEDro、CINAHL 和灰色文献来源,以评估评估 PD 治疗性贴扎效果的随机对照试验(RCT)。语言限制为英语。系统评价共纳入 10 项研究,涉及 685 名参与者。8 项研究纳入定量分析。PEDro 量表评估的研究质量范围为 4 至 7 分,中位数为 5 分。荟萃分析表明,与假治疗和无干预相比,治疗性贴扎在短期内可减轻疼痛。弹性治疗性贴扎(ETT)可短期减轻 PD 相关的焦虑。高质量证据表明,ETT 是改善 PD 妇女疼痛、焦虑和生活质量的有效干预措施。目前观察到治疗性贴扎在 PD 中的长期效果的证据有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87b8/9065045/bd988777397d/41598_2022_11034_Fig1_HTML.jpg

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