19 maart 2024: zie ook dit artikel: https://kanker-actueel.nl/acupunctuur-en-massage-zorgen-voor-pijnvermindering-en-verbeterde-vermoeidheid-slapeloosheid-en-kwaliteit-van-leven-onderling-zagen-de-onderzoekers-geen-verschil.html

3 mei 2023: zie ook dit artikel: https://kanker-actueel.nl/patienten-met-long-covid-hebben-al-een-verergering-van-symptomen-zoals-vermoeidheid-moeite-met-het-reguleren-van-de-lichaamstemperatuur-en-cognitieve-disfunctie-zelfs-na-een-lichte-inspanning.html

3 mei 2023: Bron: 2017 Mar 23;17(1):163

Voor de oorzaak en het behandelen van het Chronisch VermoeidheidsSyndroom (CVS) is nog geen afdoende verklaring of effectieve behandeling gevonden. Zo lijken de klachten en symptomen die patiënten met langdurige Covid (long Covid) ervaren ook sterk op de klachten bij ME-CVS, zie dit artikel. 

Toch zijn er wel behandelingen die ME/CVS kunnen verbeteren. Uit een systematische review - meta-analyse van de effectiviteit van verschillende westerse medicijnen en bepaalde TCM - Traditionele Chinese Medicijnen / Kruiden bij patiënten met het Chronisch VermoeidheidsSyndroom (CVS) komt naar voren dat acupunctuur en / of moxibustie het meest effectief de klachten en symptomen van ME/CVS verbeteren.

Hier de vertaalde resultaten uit de meta-analyse:

Resultaten:
In totaal werden 31 gerandomiseerde gecontroleerde onderzoeken (RCT's) opgenomen in analyses.
  • In een traditionele directe meta-analyse ontdekten we dat CbAM (gecombineerde acupunctuur en moxibustie, wat betekende dat twee of meer soorten acupunctuur en moxibustie werden toegepast) in vergelijking met de Chinese kruidengeneeskunde een hoger totaal effectief percentage had (RR (95% BI) , 1,17 (1,09 ~ 1,25)).
  • Vergeleken met Chinese kruidengeneeskunde, westerse geneeskunde en schijnacupunctuur, had SAM (enkele acupunctuur of enkele moxibustie) een hoger totaal effectief percentage, met RR (95% BI) van 1,22 (1,14 ~ 1,30), 1,51 (1,31-1,74), 5,90 (3,64-9,56).
  • Bovendien had CbAM in vergelijking met SAM een hoger totaal effectief percentage (RR (95% CI), 1,23 (1,12 ~ 1,36)).
  • In netwerkmeta-analyses werden vergelijkbare resultaten geregistreerd.
  • Vervolgens hebben we alle behandelingen gerangschikt van hoog naar laag effectief en de volgorde was als volgt qua effectiviteit: CbAM, SAM, Chinese kruidengeneeskunde, westerse geneeskunde en schijnacupunctuur.
Conclusie uit de meta-analyse: 

Bij de behandeling van CVS kunnen CbAM en SAM een beter effect hebben dan andere behandelingen. De opgenomen onderzoeken zijn echter van relatief slechte kwaliteit, daarom zijn studies van hoge kwaliteit nodig om onze bevinding te bevestigen.

Het volledige studierapport is gratis in te zien. Klik op de titel van het abstract:

 2017; 17: 163.
Published online 2017 Mar 23. doi: 10.1186/s12906-017-1647-x
PMCID: PMC5363012
PMID: 28335756

Acupuncture and moxibustion for chronic fatigue syndrome in traditional Chinese medicine: a systematic review and meta-analysis

Taiwu Wang, Cong Xu, Keli Pan, and Hongyan Xiongcorresponding author
Author information Article notes Copyright and License information Disclaimer

Abstract

Background

As the etiology of chronic fatigue syndrome (CFS) is unclear and the treatment is still a big issue. There exists a wide range of literature about acupuncture and moxibustion (AM) for CFS in traditional Chinese medicine (TCM). But there are certain doubts as well in the effectiveness of its treatment due to the lack of a comprehensive and evidence-based medical proof to dispel the misgivings. Current study evaluated systematically the effectiveness of acupuncture and moxibustion treatments on CFS, and clarified the difference among them and Chinese herbal medicine, western medicine and sham-acupuncture.

Methods

We comprehensively reviewed literature including PubMed, EMBASE, Cochrane library, CBM (Chinese Biomedical Literature Database) and CNKI (China National Knowledge Infrastructure) up to May 2016, for RCT clinical research on CFS treated by acupuncture and moxibustion. Traditional direct meta-analysis was adopted to analyze the difference between AM and other treatments. Analysis was performed based on the treatment in experiment and control groups. Network meta-analysis was adopted to make comprehensive comparisons between any two kinds of treatments. The primary outcome was total effective rate, while relative risks (RR) and 95% confidence intervals (CI) were used as the final pooled statistics.

Results

A total of 31 randomized controlled trials (RCTs) were enrolled in analyses. In traditional direct meta-analysis, we found that in comparison to Chinese herbal medicine, CbAM (combined acupuncture and moxibustion, which meant two or more types of acupuncture and moxibustion were adopted) had a higher total effective rate (RR (95% CI), 1.17 (1.09 ~ 1.25)). Compared with Chinese herbal medicine, western medicine and sham-acupuncture, SAM (single acupuncture or single moxibustion) had a higher total effective rate, with RR (95% CI) of 1.22 (1.14 ~ 1.30), 1.51 (1.31–1.74), 5.90 (3.64–9.56). In addition, compared with SAM, CbAM had a higher total effective rate (RR (95% CI), 1.23 (1.12 ~ 1.36)). In network meta-analyses, similar results were recorded. Subsequently, we ranked all treatments from high to low effective rate and the order was CbAM, SAM, Chinese herbal medicine, western medicine and sham-acupuncture.

Conclusions

In the treatment of CFS, CbAM and SAM may have better effect than other treatments. However, the included trials have relatively poor quality, hence high quality studies are needed to confirm our finding.

Electronic supplementary material

The online version of this article (doi:10.1186/s12906-017-1647-x) contains supplementary material, which is available to authorized users.

Figures

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acupunctuur, moxibustie, CVS - Chronisch Vermoeidheids Syndroom, effectiviteit, TCM, Traditionele Chinese Medicijnen / Kruiden


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