期刊文献+

浅针疗法治疗失眠的系统评价和Meta分析

Systematic Review and Meta-analysis of Shallow Needling Therapy for the Treatment of Insomnia
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摘要 【目的】系统评价浅针治疗失眠的临床疗效。【方法】计算机检索中国知网期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、美国生物医学信息检索系统(PubMed)、荷兰医学文摘(Embase)、国际循证医学图书馆(Cochrane Library)等各大数据库。收集有关浅针治疗失眠的随机对照试验文献。检索语言为中文和英文;检索时间为各数据库自建库以来至2022年11月15日。采用RevMan 5.4.1软件对纳入文献进行Meta分析。【结果】检索并筛选后共纳入17篇文献进行Meta分析,共978例患者。Meta分析结果表明:①有效率:浅针组治疗失眠的有效率高于对照组,RR=1.09,95%CI[1.02,1.15],Z=2.79,P=0.005;浅针联合常规针刺治疗失眠的有效率优于常规针刺组,RR=1.29,95%CI[1.05,1.58],Z=2.42,P=0.02。②PSQI总评分:浅针组降低匹兹堡睡眠质量指数量表(PSQI)总评分优于对照组,MD=1.52,95%CI[0.84,2.20],Z=4.39,P<0.0001,但结果需谨慎对待;疗程为28~30 d时,浅针组PSQI总评分低于对照组,MD=1.94,95%CI[1.45,2.43],Z=7.80,P<0.00001;浅针组较对照组更能降低肝郁化火型失眠的PSQI总评分,MD=2.29,95%CI[1.73,2.84],Z=8.09,P<0.00001。③5-羟色胺(5-HT)值:浅针组治疗后5-HT水平显著高于对照组,MD=34.22,95%CI[24.50,43.94],Z=6.90,P<0.00001。【结论】浅针治疗失眠是安全有效的,可以提高临床有效率,改善患者血清5-HT含量,但受纳入研究的文献数量和质量影响,本研究结论需要更多高质量的研究证据支持。 Objective To systematically evaluate the clinical efficacy of shallow needling in the treatment of insomnia.Methods Computer searches were performed on major databases such as CNKI,Wanfang,VIP,PubMed,Embase,and Cochrane Library.Literature on randomized controlled trials of superficial acupuncture for insomnia was collected.The search languages were Chinese and English;the search period was from the establishment of each database to 15 November 2022.Meta-analysis of the included literature was performed using RevMan 5.4.1 software.Results A total of 17 papers were included for Meta-analysis,with a total of 978 patients.The results of Meta-analysis showed that:①the effective rate of treating insomnia in the shallow needling group was higher than that of the control group,RR=1.09,95%CI[1.02,1.15],Z=2.79,P=0.005;the effective rate of treating insomnia with shallow needling combined with conventional acupuncture was superior to that of the conventional acupuncture group,RR=1.29,95%CI[1.05,1.58],Z=2.42,P=0.02.②the reduction of shallow needling group on the PSQI total score was superior to the control group,MD=1.52,95%CI[0.84,2.20],Z=4.39,P<0.0001,whereas the results need to be treated with caution;after 28-30 days of treatment,the total score of PSQI in the shallow needling group was lower than that of the control group,MD=1.94,95%CI[1.45,2.43],Z=7.80,P<0.00001;compared with the control group,the shallow needling group could lower the total PSQI score of liver constraint transforming into fire type of insomnia,MD=2.29,95%CI[1.73,2.84],Z=8.09,P<0.00001.③5-Hydroxytryptamine(5-HT)value:the 5-HT level was significantly higher in the shallow needling group than in the control group after treatment,MD=34.22,95%CI[24.50,43.94],Z=6.90,P<0.00001.Conclusion Shallow needling is safe and effective in the treatment of insomnia,and it can increase the clinical effectiveness rate and improve the serum 5-HT level,but it is subject to the quantity and quality of literature included in the study influence,the conclusions of this s
作者 黄佳容 陈娇凤 冯嘉欣 陈惠珊 张颖 程慧林 田清霖 HUANG Jia-Rong;CHEN Jiao-Feng;FENG Jia-Xin;CHEN Hui-Shan;ZHANG Ying;CHENG Hui-Lin;TIAN Qing-Lin(Fuzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350001 Fujian,China;Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)
出处 《广州中医药大学学报》 CAS 2023年第12期3225-3234,共10页 Journal of Guangzhou University of Traditional Chinese Medicine
基金 福州市卫生健康科技创新平台-“福州市中医药传承创新平台”(编号:2021-S-wp3)
关键词 失眠 浅针 有效率 系统评价 META分析 insomnia shallow needling effective rate systematic review Meta-analysis
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