穴位按摩治疗失眠效果的系统评价  

Systematic review on effect of point massage in treatment of insomnia

作　　者：俞梦盈 刘丹[1] 杨晓婷[1] 刘晓[1] 何桂娟[1] 

机构地区：[1]浙江中医药大学护理学院,浙江杭州310053

出　　处：《护理与康复》2017年第8期811-815,819,共6页Journal of Nursing and Rehabilitation

基　　金：浙江省中医药科技计划项目;编号:2013ZA062

摘　　要：目的基于随机对照试验数据,系统评价穴位按摩治疗失眠的效果。方法由2名研究者在中国知网、万方数据知识服务平台、中文生物医学文献服务系统、维普期刊资源整合服务平台、Cochrane图书馆、PubMed和EBSCO数据库独立检索中英文文献,提取数据,做质量评价和使用RevMan 5.3软件进行数据分析。结果共纳入12篇(n=1 159)随机对照试验的文献(干预组581例和对照组578例),年龄为40.5~77.7岁。干预时间10~30d,干预组为穴位按摩(4篇,n=224)、穴位指针法(3篇,n=118)、穴位按摩结合中药足浴(2篇,n=133)和穴位按摩结合耳穴压豆(2篇,n=76)的匹兹堡睡眠质量指数总分均较对照组有显著下降,MD为-12.90^-0.86,95%CI为(-14.72,-0.02),P<0.05。干预组为穴位按摩结合脑电波生理治疗仪(1篇,n=30)在睡眠状况自评量表总分上较对照组有显著下降,MD=-5.33,95%CI为(-7.61,-3.25),P<0.01。结论穴位按摩治疗失眠疗效较佳,短期效果明显,但需进一步高质量、大样本、多中心研究来验证其疗效及安全性。Objective To make systematic review on effect of point massage in treatment of insomnia based on randomized controlled trial.Method 2 researchers search for Chinese and English literature independently in China Knowledge Network, Wangfang Data, SinoMed, Chongqing VIP, Cochrane Library, PubMed and EBSCO database.Extract the data.Make quality evaluation and analyze the data by software of RevMan 5.3.Result 12 documents （n=1 159） are included from randomized controlled trial （581 cases in intervention group and 578 cases in control group）.Ages are 40.5~77.7.The intervention lasts for 10~30d.Intervention group includes point massage （4 documents, n=224）, acupressure （3 documents, n=118）, point massage combined with Chinese medicine foot bath （2 documents, n=133） and point massage combined pressing beans （2 documents, n=76）.The total score on Pittsburgh sleep quality index （PSQI） in intervention group is obviously lower than the score in control group, MD=-12.90^-0.86, 95%CI （-14.72,-0.02）, P〈0.05.Intervention group includes point massage combined with brain wave apparatus （1 document, n=30）.The total score on self-rating scale of sleep （SRSS） is obviously lower than the score in control group, MD=-5.33, 95%CI （-7.61,-3.25）, P〈0.01.Conclusion Point massage has a nice short-term effect on insomnia, but it needs a multicenter study with high quality and large sample to verify its efficacy and safety

关 键 词：穴位按摩 失眠 随机对照试验 系统评价 

分 类 号：R245.9[医药卫生—针灸推拿学]