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按摩对慢性疲劳综合征患者的影响:一项系统评价与荟萃分析。

The effect of massage on patients with chronic fatigue syndrome: A systematic review and meta-analysis.

作者信息

Li Jingnan, Piao Feng, Zeng Qiaoqiao, Yan Huixin, Bi Yunpeng, Zhang Shaobo, Song Bailin

机构信息

Acupuncture and Massage College of Changchun University of Traditional Chinese Medicine, Changchun, China.

出版信息

Medicine (Baltimore). 2024 May 3;103(18):e37973. doi: 10.1097/MD.0000000000037973.

Abstract

BACKGROUND

Chronic fatigue syndrome (CFS) is a long-term and complex chronic disease that seriously affects the physical and mental health and quality of life of patients. Massage, as one of the methods in traditional Chinese medicine, can treat both symptoms and root causes and is widely used to treat CFS. The main purpose is to systematically evaluate the impact of massage therapy on the efficacy and safety of CFS patients, providing a reference for clinical practice.

METHODS

By searching for literature published in PubMed, Cochrane Library, Web of Science, Embase, Wanfang Database, VIP Database, and China National Knowledge Infrastructure Database until November 2023, randomized controlled trial studies were selected according to the established inclusion and exclusion criteria. The Cochrane system evaluation manual was used to evaluate the quality of the included studies, and RevMan5.4 software was used for meta-analysis.

RESULTS

32 randomized controlled trials were included, with a total of 2594 CFS patients. Meta-analysis showed that the total score of the fatigue scale (FS-14) in the treatment group, MD = -1.59, 95% CI (-1.84, -1.34), P < .00001; Physical fatigue score, MD = -1.30, 95% CI (-1.60, -1.00), P < .00001; Mental fatigue score, MD = -0.84, 95% CI (-0.99, -0.72), P < .0001]; Effective rate [RR = 1.23, 95% CI (1.19,1.28), P < .00001]; all indicators were superior to the control group, Only one study reported adverse reactions, including local swelling, skin bruising, and nausea.

CONCLUSION

Our research findings suggest that massage therapy has a significant therapeutic effect on CFS, avoiding adverse reactions and improving fatigue symptoms. Therefore, massage therapy for chronic fatigue syndrome should be further promoted and applied.

摘要

背景

慢性疲劳综合征(CFS)是一种长期且复杂的慢性疾病,严重影响患者的身心健康和生活质量。按摩作为中医的治疗方法之一,具有标本兼治的特点,被广泛应用于慢性疲劳综合征的治疗。主要目的是系统评价按摩疗法对慢性疲劳综合征患者疗效和安全性的影响,为临床实践提供参考。

方法

通过检索截至2023年11月在PubMed、Cochrane图书馆、Web of Science、Embase、万方数据库、维普数据库和中国知网数据库发表的文献,根据既定的纳入和排除标准筛选随机对照试验研究。采用Cochrane系统评价手册评估纳入研究的质量,使用RevMan5.4软件进行荟萃分析。

结果

纳入32项随机对照试验,共2594例慢性疲劳综合征患者。荟萃分析显示,治疗组疲劳量表(FS-14)总分,MD = -1.59,95%CI(-1.84,-1.34),P <.00001;身体疲劳得分,MD = -1.30,95%CI(-1.60,-1.00),P <.00001;精神疲劳得分,MD = -0.84,95%CI(-0.99,-0.72),P <.0001];有效率[RR = 1.23,95%CI(1.19,1.28),P <.00001];各项指标均优于对照组,仅1项研究报告了不良反应,包括局部肿胀、皮肤瘀斑和恶心。

结论

我们的研究结果表明,按摩疗法对慢性疲劳综合征有显著治疗作用,且避免了不良反应,改善了疲劳症状。因此,慢性疲劳综合征的按摩疗法应进一步推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ad5/11062744/a46c416ab3a5/medi-103-e37973-g001.jpg

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