慢性疼痛的综合性和补充性健康实践:临床指南建议的摘要
Marcus Tolentino Silva1, Daniel Miele Amado2, Paulo Roberto Sousa Rocha2
1Universidade de Brasília, Departamento de Saúde Coletiva, Brasília, DF, Brazil.
概括
临床指南建议治疗慢性疼痛的辅助疗法,如针和,但证据质量往往低至中度. 与标准治疗相比,这些做法显示出潜在的有效性和安全性.
科学领域:
- 整合性和补充性健康实践
- 疼痛管理 疼痛管理
- 临床指南评价临床指南评价
背景情况:
- 慢性疼痛影响了大量的成年人群,需要不同的管理策略.
- 临床指南越来越多地包含整合性和补充性健康实践 (ICHP).
- 建议评估,开发和评价 (GRADE) 系统的评级是指导方针制定的一个关键工具.
研究的目的:
- 批判性地评估使用GRADE系统用于成人慢性疼痛管理中的ICHP的临床指南.
- 确定通常推的ICHP并评估支持它们的证据.
主要方法:
- 用于敏捷和严格的证据综合的快速审查方法.
- 在主要数据库 (Medline,Embase,Scopus) 进行相关临床指南的搜索.
- 使用研究和评估指南评估II (AGREE II) 工具评估所包含的指南的方法质量.
主要成果:
- 分析了18条指导方针 (2011-2024年),其中8条指导方针表现出高的方法质量.
- 针,骨疗,手术,,太极拳,冥想和放松技巧经常被推用于各种慢性疼痛疾病.
- 证据质量主要低到中等,大多数建议都很弱,尽管干预措施显示出有利的安全性.
结论:
- 有限的证据质量强调了需要在慢性疼痛中进行更强大的ICHP研究.
- 针,骨疗,手术和显示出有希望的有效性和安全性,特别是在巴西统一卫生系统.
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