医用臭氧作为控制肌肉骨骼疼痛的治疗选择:考虑程序和设备安全与质量指标的临床试验批判性回顾》。

IF 2.5 3区 工程技术 Q2 BIOLOGY
Yale Journal of Biology and Medicine Pub Date : 2024-09-30 eCollection Date: 2024-09-01 DOI:10.59249/HGTG9363
Lila T de Araújo, Patricia C da Silva, Marcos Masini
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引用次数: 0

摘要

背景:药物疗法已被广泛应用于疼痛治疗,但也存在一些重要的副作用,如与皮质类固醇和阿片类药物相关的副作用。最近的研究表明,医用臭氧作为一种安全、有效、低成本的疼痛控制干预措施,具有良好的效果。目的:回顾并批判性分析使用臭氧疗法治疗肌肉骨骼疼痛的临床研究。方法:对各种数据库进行文献检索,以确定相关研究。在总共 249 条记录中,纳入了 27 项研究。我们考虑了质量指标、对产生证据有重大影响的人为和设备因素,如研究设计和设备安全性。我们还考虑了干预措施本身的安全性和有效性,以减少偏差。研究结果在安全性方面,77 项(8%)研究报告称无不良反应;在疗效方面,医用臭氧是一种有效的肌肉骨骼疼痛控制干预措施。有关所用设备的重要信息缺失。结论:医用臭氧安全有效;医护人员的资质和设备的安全性是强制性的。然而,目前还缺乏确定最佳治疗方案的要求;需要进一步进行更长时间的严格临床试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Ozone as a Therapeutic Option in Musculoskeletal Pain Control: A Critical Review of Clinical Trials Considering Safety and Quality Indicators for Procedures and Devices.

Background: Drug therapies have been widely applied for pain management, however, there are important side effects such as those related to corticosteroids and opioids. Recent studies demonstrated promising results using medical ozone as a safe, effective, and low-cost intervention for pain control. Objective: to review and critically analyze clinical studies that used ozone therapy for musculoskeletal pain. Methods: a literature search of various databases was performed to identify relevant studies. From a total of 249 records, 27 studies were included. Quality indicators, human and device factors that strongly influence the generation of evidence were considered, such as study design and device safety. We also mitigated biases, considering the safety and efficacy of the intervention itself. Results: Regarding safety, 77 (8%) of studies reported no adverse effects; concerning efficacy outcomes, medical ozone shows to be an effective intervention on musculoskeletal pain control. Important information about used devices were missing. Conclusions: medical ozone shows to be safe and effective; qualification of health professionals as well as the device safety are mandatory. However, there is a lack of requirements to identify the best therapeutic scheme; further longer, clinical and rigorous trials are needed.

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来源期刊
Yale Journal of Biology and Medicine
Yale Journal of Biology and Medicine Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology
CiteScore
5.00
自引率
0.00%
发文量
41
期刊介绍: The Yale Journal of Biology and Medicine (YJBM) is a graduate and medical student-run, peer-reviewed, open-access journal dedicated to the publication of original research articles, scientific reviews, articles on medical history, personal perspectives on medicine, policy analyses, case reports, and symposia related to biomedical matters. YJBM is published quarterly and aims to publish articles of interest to both physicians and scientists. YJBM is and has been an internationally distributed journal with a long history of landmark articles. Our contributors feature a notable list of philosophers, statesmen, scientists, and physicians, including Ernst Cassirer, Harvey Cushing, Rene Dubos, Edward Kennedy, Donald Seldin, and Jack Strominger. Our Editorial Board consists of students and faculty members from Yale School of Medicine and Yale University Graduate School of Arts & Sciences. All manuscripts submitted to YJBM are first evaluated on the basis of scientific quality, originality, appropriateness, contribution to the field, and style. Suitable manuscripts are then subject to rigorous, fair, and rapid peer review.
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