针灸治疗小儿慢性疼痛：系统综述。

IF 2.8 4区医学 Q1 PEDIATRICS

Jornal de pediatria Pub Date : 2024-04-30 DOI:10.1016/j.jped.2024.03.013

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引用次数: 0

摘要

目的调查、分析并讨论支持使用针灸及相关技术治疗儿科慢性疼痛的科学证据：根据 PRISMA 声明，采用检索策略对数据库（MEDLINE、Scopus 和 Scielo）进行了调查，不限制发表日期和语言。如果临床研究（临床试验、单臂研究和病例系列研究）的参与者年龄不超过 22 岁，则接受该研究的审查。研究质量由 MMAT 评估，随机临床试验则根据 STRICTA 标准进行分析。在排除重复文章后，1335 篇文章通过了初选。只有 16 篇文章被选中进行全文阅读，其中 5 篇被纳入综述，包括 2 篇病例系列、2 篇单臂研究和 1 篇随机临床试验。根据采用的标准，这些文章被认为质量良好：所分析的研究显示了重要的临床结果，如减轻了疼痛强度，改善了就学和社交生活。然而，在研究设计和样本量方面存在很多局限性。因此，支持在小儿慢性疼痛中使用针灸的证据不足，但积极的结果加强了进一步调查该主题的必要性，即进行更大规模和设计良好的研究，以获得更多数据和更科学的研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acupuncture for pediatric chronic pain: a systematic review

Objectives

To survey, analyze and discuss the scientific evidence supporting the use of acupuncture and related techniques in the management of chronic pain in the pediatric population.

Sources

A survey of databases (MEDLINE, Scopus and Scielo) was carried out with search strategies, following the PRISMA statement, without limits on publication dates and languages. Clinical studies (clinical trials, single-arm, and case series) were accepted for review if they included participants aged up to 22 years. Study quality was assessed by MMAT, and the randomized clinical trial was analyzed under the STRICTA criteria.

Summary of the findings

2369 articles were retrieved. After excluding repetitions, 1335 underwent the initial selection. Only 16 articles were selected for full reading, of which 5 were included in the review, being two case series, two single-arm studies, and one randomized clinical trial. The articles were considered of good quality by the adopted criteria.

Conclusion

The analyzed studies showed important clinical results such as the reduction of pain intensity, and improvement in school attendance and social life. However, there are many limitations in study design and sample size. Therefore, there is weak evidence to support the use of acupuncture in the context of pediatric chronic pain, but the positive results reinforce the need for further investigation of the topic with the conduct of larger and well-designed studies, to obtain more data and greater scientific conviction of the findings.

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.