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宫旋转-引操纵宫激光病:对随机对照试验的系统审查和元分析

Tianxiao Feng^1,2, Xu Wang^1,2, Hanmei Bu^1,2

¹Academic Development Office, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing, 100102, People's Republic of China.

Journal of pain research

|December 4, 2024

概括

宫旋转拉动操纵 (CRTM) 有效地减少了宫激素病 (CR) 患者的疼痛. 这种技术还改善了宫运动,没有报告的不良事件,表明这是一个安全的治疗选择.

科学领域:

整形外科整形外科整形外科
物理疗法物理治疗
肌肉骨系统疾病肌肉骨系统疾病

背景情况:

宫干细胞病变 (CR) 是一种普遍存在的全球肌肉骨疾病.
宫旋拉力操纵 (CRTM) 是传统中国骨科中用于CR管理的公认技术.

研究的目的:

系统地审查和元分析CRTM在治疗宫根基病的疗效和安全性.
评估CRTM对CR患者疼痛,功能和运动范围的影响.

主要方法:

在8个数据库中进行了全面的文献搜索,确定了截至2023年12月的随机对照试验 (RCT).
主要结果:视觉模拟尺度 (VAS). 二次结果:部残疾指数 (NDI),日本整形医学协会 (JOA) 评分,宫运动范围,宫曲率和不良事件.
使用RevMan 5.4和Stata 15.0进行了元分析,证据质量通过GRADE进行评估.

主要成果:

分析了9个涉及904名患者的RCT.
CRTM显著降低了VAS分数 (低质量证据),但没有显著改变NDI,JOA分数或宫曲线.
观察到宫运动范围 (侧向曲,旋转) 的改善 (质量很低的证据),没有报告的不良事件.

结论:

CRTM在治疗子宫根病症方面表现出有效性和安全性,主要是通过减轻疼痛和增强子宫移动性.
建议进一步进行高质量的RCT,以加强CRTM临床应用的证据基础.

关键词:

宫根本性病变 (cervical radiculopathy) 是一种导致宫根本性病变的疾病.宫运动范围的范围.宫旋转-引操纵的使用方法这是一个元分析.疼痛疼痛疼痛随机对照试验是随机对照试验.系统性审查系统性审查

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Blinding

Blinding

Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.