长期COVID的补充和替代医学:随机对照试验的系统审查
Juan Yang1, Kia Hui Lim2, Kia Teng Lim2
1Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Therapeutic advances in chronic disease
|October 16, 2023
概括
补充和替代医学 (CAM) 在治疗疲劳和认知问题等长期COVID症状方面表现有前途. 需要进一步的研究来证实这些干预措施的有效性和安全性.
科学领域:
- 综合医学是一个整体的医学.
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 补充和替代医学 (CAM) 的使用在长期COVID中正在增加.
- 在长期COVID管理中,CAM疗效的证据仍然有限.
- 需要对现有研究进行全面审查.
研究的目的:
- 系统地审查有关长期COVID的CAM干预措施的已发表研究.
- 评估各种CAM方法的有效性和安全性.
- 综合现有关于长期COVID患者CAM的证据.
主要方法:
- 随机对照试验 (RCT) 的系统审查.
- 搜索了多个数据库和注册表 (2019年9月 - 2023年1月).
- 使用Cochrane"偏差风险"工具评估方法质量;因异质性而进行定性分析.
主要成果:
- 包括14个RCT,共有1195名参与者.
- 对神经精神疾病,嗅觉功能障碍,认知障碍,疲劳,呼吸困难和轻微的肺纤维化有好处.
- 干预包括迷走神经刺激,冥想,补充剂,嗅觉训练,芳香疗法和呼吸练习.
结论:
- 在长期的COVID症状中,CAM干预似乎是有效,安全和可接受的.
- 由于方法上的局限性,研究结果应谨慎解释.
- 需要更严格的临床试验来验证CAM在长期COVID治疗中的作用.
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