针与慢性腰部疼痛的常规护理:即时和中间影响的系统审查和元分析
Spyridon Sotiropoulos1, Eleftherios Kalafatis2, Evaggelos Michalakakos2
1Department of Physiotherapy, University of West Attica, Athens, Greece - Musculoskeletal Physiotherapy Research Laboratory, University of West Attica, Athens, Greece.
SICOT-J
|February 3, 2026
概括
与通常的护理相比,针显著减少慢性腰痛 (CLBP) 患者的疼痛和残疾. 然而,证据的确定性很低,需要仔细考虑这些发现.
科学领域:
- 综合医学是一个整体的医学.
- 疼痛管理 疼痛管理
- 基于证据的实践.
背景情况:
- 慢性腰部疼痛 (CLBP) 是全球残疾的主要原因.
- 针越来越多地用于CLBP,但它的有效性与常规护理相比尚不清楚.
研究的目的:
- 评估针的直接和中间效应,与常见的治疗疼痛和残疾的成年人与CLBP相比.
主要方法:
- 8个随机对照试验 (1,123名参与者) 的系统审查和元分析.
- 搜索了主要的数据库到2024年11月,包括MEDLINE,CENTRAL,Scopus和PEDro.
- 使用PEDro尺度评估偏差风险,使用GRADE评估证据确定性.
主要成果:
- 针在即时和中间随访期间显著减少了疼痛和残疾.
- 减轻疼痛的效果大小为-0.73 (即时) 和-1.13 (中间).
- 减少残疾的效果大小为-0.49 (即时) 和-0.79 (中间).
结论:
- 针在缓解CLBP患者的疼痛和残疾方面表现出比常规护理更大的疗效.
- 证据的确定性低到非常低,需要谨慎地解释结果.
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