[논문]섬유근통의 통증 및 우울증상에 대한 침치료의 효과성: 체계적 문헌고찰 및 메타분석

이현우; 박찬; 방태훈; 지형민; 김종우; 정선용

doi:10.7231/jon.2023.34.2.095

섬유근통의 통증 및 우울증상에 대한 침치료의 효과성: 체계적 문헌고찰 및 메타분석
Effectiveness of Acupuncture for Pain and Depressive Symptoms in Fibromyalgia: Systematic Review and Meta-Analysis 원문보기

동의신경정신과학회지 = Journal of oriental neuropsychiatry, v.34 no.2, 2023년, pp.95 - 113

이현우 (경희대학교 대학원 한방신경정신과) , 박찬 (경희대학교 대학원 한방신경정신과) , 방태훈 (경희대학교 대학원 한방신경정신과) , 지형민 (경희대학교 대학원 한방신경정신과) , 김종우 (경희대학교 한의과대학 한방신경정신과학교실) , 정선용 (경희대학교 한의과대학 한방신경정신과학교실)

Abstract ▼ AI-Helper

Objectives: To review studies evaluating effects of acupuncture on pain and depressive symptoms in fibromyalgia. Methods: Quantitative evidences (RCTs) were systematically reviewed. Literature were searched for a combination of fibromyalgia and depression (The Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE, medline (via PubMed), Kmbase, KISS, ScienceON, OASIS, CiNii, CNKI). Quantitative research findings were critically appraised by Cochrane risk of bias (RoB) tool and pooled. Meta-analysis was then conducted using Review Manager (RevMan) 5.4. Results: Eighteen studies were selected. American College of Rheumatology (ACR) classification criteria for Fibromyalgia Syndrome was most frequently used as diagnostic criteria for fibromyalgia. As for outcome measurement, Hamilton Rating Scale for Depression (HAMD), Visual Analog Scale (VAS), and Total Effective Rate (TER) were used most commonly. Meta-analysis of ten studies revealed that both Depression and VAS scores of the Acupuncture+Western Medicine group were significantly lower than those of Western Medicine group (Depression: SMD, -0.94, 95% CI, -1.17 to -0.70; VAS: MD, -1.51, 95% CI, -1.83 to -1.19). Also, TERs of both Acupuncture group and Acupuncture+Western Acupuncture+Western Medicine group were significantly higher than those of the Western Medicine group (OR: 2.38, 95% CI: 1.29 to 4.41; and OR: 7.40, 95% CI: 3.41 to 16.07). There was no significant difference in Depression or VAS score between the Acupuncture Group and the Western Medicine Group. Conclusions: Acupuncture might be an effective option for pain and depressive symptoms of fibromyalgia when it is combined with Western Medicine treatment. For more accurate results, more types of Korean medicine treatment should be conducted.

주제어

표/그림 (11)

표 Table 1. 2010 American College of Rheumatology Diagnostic Criteria
그림 Fig. 1. Flow chart of the trial selection process.
표 Table 2. Characteristics of Included Study
표 Table 2. Continued 1
그림 Fig. 2. (A) Risk of bias summary. Low, unclear, and high risk, respectively, are represented with the following symbols: "+", "?", and "-". (B) Risk of bias graph. Review of authors' judgments about each risk-of-bias item presented as percentages across all included studies.
그림 Fig. 4. Forest plot of comparison: acupuncture+Western medicine (medication) vs. medication, outcome: visual analogue scale.
그림 Fig. 3. Forest plot of comparison: acupuncture vs. Western medicine (medication), outcome: visual analogue scale.
그림 Fig. 5. Forest plot of comparison: acupuncture vs. Western medicine (medication), outcome: depression-related score.
그림 Fig. 6. Forest plot of comparison: acupuncture+Western medicine (medication) vs. medication, outcome: depression-related score.
그림 Fig. 7. Forest plot of comparison: acupuncture vs. Western medicine (medication), outcome: total effective rate.
그림 Fig. 8. Forest plot of comparison: acupuncture+Western medicine (medication) vs. medication, outcome: total effective rate.

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