目的:本研究旨在评估中国传统运动疗法在缓解疼痛方面的有效性,改善睡眠质量,减少纤维肌痛患者的焦虑和抑郁症状。
方法:我们对各种数据库进行了全面的搜索,包括PubMed,科克伦图书馆,Embase,WebofScience,中国国家知识,VIP数据库,还有万方,确定随机对照试验(RCT),以检查中国传统运动(TCE)干预对纤维肌痛的影响。两名独立作者根据预定义的纳入和排除标准从选定的研究中提取数据。使用RevMan5.3进行Meta分析。
结果:分析包括15项随机对照试验,包括936名参与者。荟萃分析显示,TCE在降低纤维肌痛患者的疼痛评分方面显著超过对照组,FIQ[MD=-3.30,95%CI(-5.37,-0.69),z=2.53,p=0.01]和VAS[MD=-1.87,95%CI(-2.12,-1.61),z=6.98,p<0.00001]。此外,TCE显示睡眠质量(PSQI)显着提高[MD=-2.23,95%CI(-2.86,-1.61),z=6.98,p<0.0001],以及缓解焦虑和抑郁症状[MD=-0.59,95%CI(-0.80,-0.39),z=5.63,p<0.0001]。
结论:中医运动(TCE)在改善疼痛方面具有显着的功效,提高睡眠质量,减轻纤维肌痛患者的焦虑和抑郁症状。
OBJECTIVE: This study aims to assess the effectiveness of traditional Chinese exercise therapy in alleviating pain, improving sleep quality, and reducing symptoms of anxiety and depression among fibromyalgia patients.
METHODS: We conducted a comprehensive search across various databases, including PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge, VIP database, and Wanfang, to identify randomized controlled trials (RCTs) examining the impact of Traditional Chinese Exercise (TCE) interventions on fibromyalgia. Two independent authors extracted data from the selected studies based on predefined inclusion and exclusion criteria. Meta-analyses were performed using RevMan 5.3.
RESULTS: The analysis encompassed 15 RCTs, comprising 936 participants. The meta-analysis revealed that TCE significantly surpassed the control group in reducing pain scores for fibromyalgia patients, as evidenced by improvements in FIQ [MD = -3.30, 95% CI (- 5.37, - 0.69), z = 2.53, p = 0.01] and VAS [MD = -1.87, 95% CI (- 2.12, - 1.61), z = 6.98, p < 0.00001]. Additionally, TCE demonstrated notable enhancements in sleep quality (PSQI) [MD = -2.23, 95% CI (- 2.86, - 1.61), z = 6.98, p < 0.0001], as well as in alleviating symptoms of anxiety and depression [MD = - 0.59, 95% CI (- 0.80, - 0.39), z = 5.63, p < 0.0001].
CONCLUSIONS: Traditional Chinese Exercise (TCE) exhibits significant efficacy in ameliorating pain, enhancing sleep quality, and alleviating symptoms of anxiety and depression in fibromyalgia patients.