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经皮电刺激对纤维肌痛综合征患者的影响:一项随机、双盲、假对照试验的研究方案

Effects of Transcutaneous Electrical Acustimulation on Patients with Fibromyalgia Syndrome: Study Protocol of a Randomized, Double-Blind, Sham-Controlled Trial.

作者信息

Li Yanpi, Fan Bifa, Wang Xiyun, Hu Naichong, Zhou Xinyi, Zhang Yi, Mao Peng, Li Yifan

机构信息

Beijing University of Chinese Medicine, Beijing, People's Republic of China.

Department of Pain Management, China-Japan Friendship Hospital, Beijing, People's Republic of China.

出版信息

J Pain Res. 2025 May 24;18:2663-2677. doi: 10.2147/JPR.S523538. eCollection 2025.

Abstract

BACKGROUND

Fibromyalgia Syndrome (FMS) is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and localized tenderness. Transcutaneous Electrical Acustimulation (TEA) is a non-invasive therapy that combines Traditional Chinese Medicine with electrical stimulation at specific acupoints. Previous studies have shown that TEA is effective in treating pain-related conditions. This study aims to evaluate the efficacy and mechanisms of TEA treatment for FMS.

DESIGN

This is a prospective, randomized, double-blind, and placebo-controlled trial with two parallel groups, conducted at a single center. Forty participants will be randomly assigned to either the TEA group or the sham-TEA group in a 1:1 ratio. Participants will receive 2 weeks of treatment followed by 2 weeks of follow-up. The primary outcome is the change in VAS pain scores before and after treatment. Secondary outcomes include FMS and pain-related questionnaire scales, infrared thermography (IRT), vibration-controlled transient elastography (VCTE), blood neurobiological markers, cytokines, and metabolomics.

TRIAL REGISTRATION

http://itmctr.ccebtcm.org.cn/ identifier ITMCTR2024000638.

摘要

背景

纤维肌痛综合征(FMS)是一种慢性疾病,其特征为广泛的肌肉骨骼疼痛、疲劳和局部压痛。经皮电刺激疗法(TEA)是一种将中医与特定穴位的电刺激相结合的非侵入性疗法。先前的研究表明,TEA在治疗疼痛相关病症方面有效。本研究旨在评估TEA治疗FMS的疗效和机制。

设计

这是一项在单一中心进行的前瞻性、随机、双盲、安慰剂对照试验,有两个平行组。40名参与者将按1:1的比例随机分配到TEA组或假TEA组。参与者将接受2周的治疗,随后进行2周的随访。主要结局是治疗前后视觉模拟评分(VAS)疼痛评分的变化。次要结局包括FMS和疼痛相关问卷量表、红外热成像(IRT)、振动控制瞬时弹性成像(VCTE)、血液神经生物学标志物、细胞因子和代谢组学。

试验注册

http://itmctr.ccebtcm.org.cn/ 标识符ITMCTR2024000638。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fba3/12118493/6bbbf261acae/JPR-18-2663-g0001.jpg

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