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使用双耳听觉节拍的脑部引入是否会影响急性和慢性疼痛中的疼痛感知? :一个系统的审查

Fatemeh Shamsi¹, Fatemeh Azadinia², Maryam Shaygan³

¹Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, PO Box 71345-1359, Shiraz, Iran.

BMC complementary medicine and therapies

|January 12, 2024

概括

双耳鼓动可能有助于减少急性疼痛感知,特别是使用α或delta-alpha频率. 然而,需要更多高质量的研究来确认它们在慢性疼痛管理中的有效性.

科学领域:

神经科学是一个神经科学.
疼痛管理疼痛管理
听觉神经科学听觉神经科学

背景情况:

疼痛显著影响生活质量,并产生重大社会经济成本.
通过双声节拍进行大脑引入是作为一种非药物止痛方法进行探索的.
现有关于双耳鼓动缓解疼痛的研究显示出混合的结果,需要进行系统的审查.

研究的目的:

系统地审查对双耳听力节拍在减少成人疼痛感知方面的有效性进行随机临床试验.
评估双耳鼓动对急性和慢性疼痛条件的影响.

主要方法:

在主要数据库 (PubMed, Web of Science, Scopus, CENTRAL, Embase) 和手动搜索中进行系统的文献搜索.
包括英语随机临床试验,重点关注成人疼痛感知.
使用修订后的Cochrane RoB 2工具进行偏差风险评估和使用GRADE进行证据质量评估.

主要成果:

16项研究 (13项急性,3项慢性疼痛) 符合资格标准.
高异质性排除了元分析;使用了叙事综合.
大多数研究都表现出高偏差风险,证据质量低至非常低.
阿尔法或三角阿尔法频率双耳跳动显示出急性疼痛减轻的潜力.

结论:

双耳鼓动,特别是在α或delta-alpha范围,显示作为一种非药物干预急性疼痛的承诺.
由于有限的高质量证据,双耳鼓动对慢性疼痛的疗效仍然不确定.
进一步的严格研究是必不可少的,以确定关于双耳鼓动治疗疼痛的最终结论.

关键词:

止痛药止痛药是一种止痛药.双耳式节拍是指双耳式节拍.半球半球同步时间疼痛疼痛疼痛疼痛

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