针对肩部冲刺综合征的影响:系统性审查和元分析
Sang-Joon An1, Woo-Chul Shin2, Sungjun Joo1
1Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
Medicine
|September 17, 2024
概括
手动针有效地减少疼痛,并改善肩部功能,对于肩部冲击综合征 (SIS) 患者. 这种有针对性的方法为慢性肩部疼痛缓解提供了有希望的治疗选择.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 综合医学是一个整体医学.
背景情况:
- 肩部阻塞综合征 (SIS) 是慢性肩部疼痛的一个普遍原因.
- 之前对SIS针的研究往往缺乏具体性,结合了各种技术并排除了关键数据库.
- 需要评估手动针对SIS的独特疗效.
研究的目的:
- 系统地评估手动针作为肩部冲击综合征独立治疗的有效性.
- 综合来自随机对照试验的证据,专注于SIS的手动针.
主要方法:
- 在多个数据库中进行了全面的系统搜索,包括PubMed,Cochrane Central,Embase,中国国家知识基础设施和几个韩国数据库.
- 五个随机对照试验被纳入了元分析.
- 研究的质量是使用Cochrane偏差风险评估工具版本2来评估的. 疼痛评分,肩膀功能和残疾是主要和次要结局.
主要成果:
- 手动针显著减少了疼痛 (SMD = -0.50,95% CI = -0.74至 -0.27).手动针显著减少了疼痛 (SMD = -0.50,95% CI = -0.74至 -0.27).
- 在肩膀功能和残疾方面观察到改善 (SMD = -0.57,95% CI = -0.96至 -0.19).
- 短期治疗 (≤4周) 显示出明显的疼痛减轻与低异质性 (SMD = -0.37,95% CI = -0.73 至 -0.02).
结论:
- 手动针在缓解疼痛和增强SIS患者的肩膀功能和残疾方面表现出显著的有效性.
- 虽然有希望,但建议进一步研究更大的样本大小和减少异质性,以巩固这些发现.
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