疗法对甲状腺功能低下症的影响:系统性审查
Rudra B Bhandari1, Pintu K Mahto1
1Department of Yoga Science, University of Patanjali, Haridwar, Uttarakhand, India.
Annals of neurosciences
|November 15, 2024
概括
可以改善甲状腺特征,脂质特征和低甲状腺症患者的心理健康. 这一系统性审查表明,是一种有益的,廉价的补充疗法,用于管理这种常见的内分泌疾病.
科学领域:
- 内分泌学 在内分泌学.
- 综合医学是一个整体的医学.
- 公共卫生 公共卫生
背景情况:
- 甲状腺功能低下症 (HT) 是一种普遍存在的内分泌疾病,影响大约十分之一的成年人.
- 在女性和老年人群中,HT更为常见.
- 目前的管理重点是激素替代治疗,对补充疗法感兴趣.
研究的目的:
- 系统地审查对生化标志物和与甲状腺功能低下相关的并发性疾病的影响.
- 评估作为甲状腺功能低下症辅助疗法的潜力.
主要方法:
- 这是一项在PROSPERO注册的系统审查 (CRD42022312990).
- 搜索了数据库 (谷歌学者,PubMed,Cochrane,EMBASE) 的英语干预研究从1947-2023使用关键词与和甲状腺功能低下有关.
- 包括8项研究 (3项RCT,2项试点,2项前后研究,1项案例研究) 涉及421名患者 (392名女性,29名男性) 和3-6个月的干预. 使用Cochrane工具评估偏差风险.
主要成果:
- 干预表明甲状腺特征,脂质特征和心率可变性得到改善.
- 在肺功能,焦虑和抑郁症状方面观察到显著的积极影响.
- 患者报告的生活质量也显示了与练习的改善.
结论:
- 似乎是一种有效的,廉价的补充治疗甲状腺功能减退症,改善各种健康标志物和并发性疾病.
- 临床和方法上的异质性阻止了元分析,突出了需要更严格的RCT的需要.
- 需要进一步的精心设计的元分析来确定最终的结论,并阐明在HT管理中的疗效机制.
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