不宁腿综合征(RLS)被定义为一种不可抗拒的运动腿的冲动,通常每周至少两次伴有感觉异常或感觉异常,影响欧洲和北美2%-4%的成年人。本系统评价评估了目前RLS的补充和替代选择,以及这些治疗对睡眠质量的潜在益处。情绪障碍,和生活质量。对PubMed的系统搜索,Embase,科克伦,并进行了WebofScience数据库。18项研究符合纳入标准,其中包括使用国际RLS研究组标准。已发现补充和替代疗法在原发性和继发性RLS中均有效。运动训练可以显着改善原发性RLS症状的严重程度,经皮脊髓直流电刺激,气动压缩装置,光疗法,重复经颅磁刺激,和针灸。气动压缩装置和瑜伽也改善了与RLS相关的疾病。运动训练在减少尿毒症RLS的症状严重程度和相关影响如生活质量差方面非常有效。对于并发RLS和浅表静脉功能不全的患者,静脉内激光消融可能是一个不错的选择。
Restless legs syndrome (RLS) is defined as an irresistible urge to move the legs, which is usually accompanied by paresthesias or dysesthesias at least twice weekly, and affects 2%-4% of adults in Europe and North America. This systematic
review assesses the current complementary and alternative options for RLS and the potential benefits of those treatments on sleep quality, mood disorder, and quality of life. A systematic search of the PubMed, Embase, Cochrane, and Web of Science databases was conducted. Eighteen studies met the inclusion criterion, which included the use of the international RLS study group criteria. Complementary and alternative therapies have been found to be effective in both primary and secondary RLS. The severity of primary RLS symptoms can be significantly ameliorated by exercise training, transcutaneous spinal direct current stimulation, pneumatic compression devices, light therapy, repetitive transcranial magnetic stimulation, and acupuncture. Pneumatic compression devices and yoga also improve RLS-related disorders. Exercise training is highly efficacious in the reduction of symptom severity in
uremic RLS and related effects such as poor quality of life. Endovenous laser ablation may be a good choice for patients with concurrent RLS and superficial venous insufficiency.