对于肌肉骨疼痛综合征的高压氧气疗法的有效性:系统性审查
Sebastián Eustaquio Martín Pérez1,2,3, Eduardo Iboleón Laynez4, José Antonio Acevedo Rodríguez5
1Faculty of Health Sciences, Universidad Europea de Canarias, 38300 La Orotava, Santa Cruz de Tenerife, Spain.
Muscles (Basel, Switzerland)
|December 24, 2025
概括
高压氧气疗法 (HBOT) 显示出降低疼痛和改善某些肌肉骨疼痛综合征的功能. 然而,需要更多高质量的研究来确认其有效性,并建立标准化的协议.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 康复医学 康复医学 康复医学
背景情况:
- 肌肉骨疼痛综合征 (MPSs) 是导致残疾的主要原因.
- 对于MPS的传统治疗方法提供有限的缓解.
- 高压氧气疗法 (HBOT) 可能调节炎症并促进组织修复.
研究的目的:
- 评估HBOT对MPS患者疼痛,功能和生活质量的有效性.
- 评估与MPS中HBOT相关的生理结果.
- 审查有关肌肉骨疾病的HBOT现有文献.
主要方法:
- 在多个数据库中进行的系统审查 (2025年6月至9月).
- 包括以英语,西班牙语或葡萄牙语出版的评估HBOT的研究.
- 通过使用PRISMA,PEDro,NIH,RoB 2.0和GRADE评估方法质量,偏差风险和证据确定性.
主要成果:
- 包括18项研究 (17项RCT,1个病例系列;n=671).
- 对于HBOT的协议有所不同 (3-60次,60-90分钟,1.3-2.5 ATA).
- 在纤维肌痛和术后条件 (膝关节关节整形术,神经修复) 中观察到一致的疼痛减轻和功能改善;对于肌肉疼痛和带损伤的结果不一致.
结论:
- 在某些肌肉骨疼痛综合征中,HBOT可能提供辅助益处.
- 目前的证据有限,需要进一步调查.
- 需要标准化的协议和高质量的试验来确定HBOT的临床适用性.
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