背景:慢性疲劳综合征(CFS)是一种长期而复杂的慢性疾病,严重影响患者的身心健康和生活质量。按摩,作为中医的方法之一,可以治疗症状和根本原因,并广泛用于治疗CFS。主要目的是系统评估按摩疗法对CFS患者的疗效和安全性的影响,为临床实践提供参考。
方法:通过搜索PubMed上发表的文献,科克伦图书馆,WebofScience,Embase,万方数据库,VIP数据库,直到2023年11月,根据既定的纳入和排除标准选择随机对照试验研究。Cochrane系统评估手册用于评估纳入研究的质量,采用RevMan5.4软件进行Meta分析。
结果:共纳入32项随机对照试验,共有2594名CFS患者。Meta分析显示,治疗组疲劳量表(FS-14)总分,MD=-1.59,95%CI(-1.84,-1.34),P<.00001;身体疲劳评分,MD=-1.30,95%CI(-1.60,-1.00),P<.00001;精神疲劳评分,MD=-0.84,95%CI(-0.99,-0.72),P<.0001];有效率[RR=1.23,95%CI(1.19,1.28),P<.00001];各项指标均优于对照组,只有一项研究报告了不良反应,包括局部肿胀,皮肤瘀伤,和恶心。
结论:我们的研究结果表明,按摩疗法对CFS有显著的治疗效果,避免不良反应,改善疲劳症状。因此,慢性疲劳综合征的按摩疗法应进一步推广和应用。
BACKGROUND: Chronic fatigue syndrome (CFS) is a long-term and complex chronic disease that seriously affects the physical and mental health and quality of life of patients.
Massage, as one of the methods in traditional Chinese medicine, can treat both symptoms and root causes and is widely used to treat CFS. The main purpose is to systematically evaluate the impact of
massage therapy on the efficacy and safety of CFS patients, providing a reference for clinical practice.
METHODS: By searching for literature published in PubMed, Cochrane Library, Web of Science, Embase, Wanfang Database, VIP Database, and China National Knowledge Infrastructure Database until November 2023, randomized controlled trial studies were selected according to the established inclusion and exclusion criteria. The Cochrane system evaluation manual was used to evaluate the quality of the included studies, and RevMan5.4 software was used for meta-analysis.
RESULTS: 32 randomized controlled trials were included, with a total of 2594 CFS patients. Meta-analysis showed that the total score of the fatigue scale (FS-14) in the treatment group, MD = -1.59, 95% CI (-1.84, -1.34), P < .00001; Physical fatigue score, MD = -1.30, 95% CI (-1.60, -1.00), P < .00001; Mental fatigue score, MD = -0.84, 95% CI (-0.99, -0.72), P < .0001]; Effective rate [RR = 1.23, 95% CI (1.19,1.28), P < .00001]; all indicators were superior to the control group, Only one study reported adverse reactions, including local swelling, skin bruising, and nausea.
CONCLUSIONS: Our research findings suggest that
massage therapy has a significant therapeutic effect on CFS, avoiding adverse reactions and improving fatigue symptoms. Therefore,
massage therapy for chronic fatigue syndrome should be further promoted and applied.