针对慢性腰部疼痛的基于正念的干预措施:系统性审查和元分析
Myrella Paschali1, Asimina Lazaridou1,2, Jason Sadora2
1Department of Anesthesiology, Perioperative & Pain Medicine, Harvard Medical School, Brigham & Women's Hospital.
The Clinical journal of pain
|November 9, 2023
概括
基于正念的干预措施 (MBI) 有效地减少慢性腰痛 (CLBP) 的强度. 虽然有希望,但需要进一步的大规模试验来证实这些发现并评估长期影响.
科学领域:
- 综合医学是一个整体的医学.
- 疼痛管理 疼痛管理
- 心理治疗方法 心理治疗方法
背景情况:
- 慢性腰部疼痛 (CLBP) 严重影响数百万人,导致残疾.
- 目前用于CLBP的药理疗法具有有限的疗效和潜在的长期风险.
- 基于正念的干预措施 (MBI) 提供了一个安全的替代方案,证明了对CLBP的有效性.
研究的目的:
- 系统地审查和综合关于MBI对CLBP有效性的证据.
- 评估MBIs对CLBP患者疼痛强度的影响.
主要方法:
- 在Ovid/Medline,PubMed,Embase和Cochrane图书馆系统搜索相关研究.
- 包括随机对照试验 (RCT),试点RCT和单臂研究.
- 18项使用经过验证的疼痛结果指标的研究的元分析.
主要成果:
- MBIs包括各种实践,如正念冥想,MBSR,MBCT和ACT.
- 一项对18项研究的元分析表明,MBI在降低CLBP强度方面具有很大的效果.
- 疼痛强度是使用数值评分尺度 (0-10) 进行测量.
结论:
- MBIs显示在降低CLBP疼痛强度方面具有显著的益处.
- 研究结果需要谨慎解释,因为数据有限,方法变化和偏差风险.
- 更大规模的RCT是必要的,以确定可靠的效果大小和维持MBI在CLBP中的效果.
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