基于社区的常见非药物干预措施对纤维肌痛患者睡眠的影响:系统综述和网络荟萃分析。

IF 3.4 4区 医学 Q2 RHEUMATOLOGY
Rui Zhang, Hui Li, Tiantian Kong, Ligang Shan, Pengxiang Wang, Yimin Kang, Fan Wang
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引用次数: 0

摘要

目的:纤维肌痛综合征(FM)患者经常会出现睡眠障碍,对预后产生不利影响。积极的非药物疗法被认为是治疗纤维肌痛综合征的主要手段,但最佳治疗选择仍存在争议。我们的目的是通过量化随机对照试验(RCTs)的信息,对治疗伴有睡眠障碍的 FM 的社区非药物干预措施进行比较和排序:两位作者独立选择研究并提取数据。我们检索了Embase、MEDLINE、PubMed、CNKI、Scopus、Google Scholar、Web of Science和Cochrane对照试验中央注册中心(CENTRAL)从数据库开始到2022年6月的数据。采用基于频率的方法进行网络荟萃分析。研究方案已在系统综述前瞻性注册中心(PROSPERO,CRD 42022373704)注册。共有 11 项 RCT(n=729)被纳入分析:结果:与常规治疗相比,正念疗法(MBT)(SMD=-0.84(95% CI:-1.49 至 -0.20))和认知行为疗法(CBT)(SMD=-0.54(95% CI:-1.04 至 -0.04))与FM患者睡眠症状的显著改善相关:MBT在改善睡眠方面成为最有效干预措施的可能性最高(91.14%),其次是CBT(72.39%)。与其他干预措施相比,甲基溴治疗具有明显优势,在改善睡眠障碍方面可能具有最佳疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of community-based, common, non-pharmaceutical interventions on sleep in patients with fibromyalgia: a systematic review and network meta-analysis.

Objectives: Patients with fibromyalgia syndrome (FM) often suffer from sleep disorders, adversely affecting their prognosis. Active non-pharmacological therapies are considered the mainstay of treatment for FM, but the optimal treatment choice remains contentious. We aimed to compare and rank community-based non-pharmacological interventions for FM with sleep disorder by quantifying information from randomised controlled trials (RCTs).

Methods: Two authors independently selected studies and extracted data. We searched Embase, MEDLINE, PubMed, CNKI, Scopus, Google Scholar, Web of Science, and the Cochrane Central Register of Controlled Trials (CENTRAL) from the database inception to June 2022. Network meta-analyses were conducted using a frequency-based method. The study protocol is registered with the Prospective Register of Systematic Reviews (PROSPERO, CRD 42022373704). Eleven RCTs (n=729) were included in the analysis.

Results: Mindfulness-based therapy (MBT) (SMD=-0.84 (95% CI: -1.49 to -0.20)) and cognitive behavioural therapy (CBT) (SMD=-0.54 (95% CI: -1.04 to -0.04)) were associated with significantly improved sleep symptoms in a patient with FM compared with usual care.

Conclusions: MBT exhibited the highest probability (91.14%) of being the most effective intervention in sleep improvement, followed by CBT (72.39%). MBT exhibited marked advantages over other interventions and is likely to have optimal efficacy in ameliorating sleep disorders.

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来源期刊
CiteScore
6.10
自引率
18.90%
发文量
377
审稿时长
3-6 weeks
期刊介绍: Clinical and Experimental Rheumatology is a bi-monthly international peer-reviewed journal which has been covering all clinical, experimental and translational aspects of musculoskeletal, arthritic and connective tissue diseases since 1983.
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