针刺疗法治疗阻塞性睡眠呼吸暂停低通气综合征临床疗效的Meta分析  

Clinical Effect of Acupuncture Therapy on Obstructive Sleep Apnea Hypopnea Syndrome:a Meta-analysis

作　　者：焦素芹[1] 朱金妹[1] 何俊[1] 钱雪 JIAO Suqin;ZHU Jin-mei;HE Jun;QIAN Xue(Rehabilitation Center,Dean Hospital of Changzhou,Changzhou 213000,China)

机构地区：[1]江苏省常州市德安医院康复中心,213000

出　　处：《实用心脑肺血管病杂志》2018年第6期5-9,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2017年江苏省科技发展计划项目(BE2017752);2017年常州市科技支撑计划项目(CE20175033)

摘　　要：目的评价针刺疗法治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的临床疗效。方法计算机检索中国知网(CNKI)、维普网(VIP)、万方数据知识服务平台、中国生物医学文献数据库(CBM)等2008—2018年发表的关于针刺疗法治疗OSAHS的随机对照试验,其中对照组患者采用持续气道正压通气(CPAP)、常规治疗或药物治疗等,治疗组患者采用针刺疗法治疗。采用RevMan 5.3软件进行Meta分析。结果最终共纳入9篇文献,包括722例患者。Meta分析结果显示,治疗组患者临床有效率[RR=1.23,95%CI(1.13,1.34)]、治疗后夜间最低血氧饱和度[MD=5.40,95%CI(2.13,8.67)]高于对照组,治疗后呼吸暂停低通气指数[MD=-3.50,95%CI(-6.62,-0.38)]、Epworth嗜睡量表评分[MD=-1.64,95%CI(-3.02,-0.25)]低于对照组(P<0.05)。结论现有文献证据表明,针刺疗法治疗OSAHS的临床疗效较好,且具有累积效应、作用持续时间长。Objective To evaluate the clinical effect of acupuncture therapy on obstructive sleep apnea hypopnea syndrome(OSAHS).Methods Computer was used to screen clinical randomized controlled trials about clinical effect of acupuncture therapy on OSAHS in CNKI,VIP,Wangfang Data,CBM and so on from 2008-2018,there into patients in control group received CPAP,conventional treatment and drug therapy,while patients in treatment group received acupuncture therapy.The Meta-analysis was performed by RevMan 5.3 software.Results A total of 9 literatures were involved eventually,including 722 patients.Meta-analysis results showed,clinical efficiency〔RR=1.23,95%CI(1.13,1.34)〕and LSaO2 after treatment〔MD=5.40,95%CI(2.13,8.67)〕in treatment group was statistically significantly higher than that in control group,AHI〔MD=-3.50,95%CI(-6.62,-0.38)〕and ESS score〔MD=-1.64,95%CI(-3.02,-0.25)〕in treatment group were statistically significantly lower than those in control group after treatment(P<0.05).Conclusion Existing literature evidence suggests that,acupuncture therapy has relatively good clinical effect in treating OSAHS,with cumulative effect and long continuous action.

关 键 词：睡眠呼吸暂停 阻塞性 针刺疗法 META分析 

分 类 号：R563.8[医药卫生—呼吸系统] R245.3[医药卫生—内科学]