针刺治疗中风后失眠临床疗效Meta分析  

A Meta-analysis on effectiveness of acupuncture on post-stroke insomnia

作　　者：聂芬芬 胡莎[2] 周丽莎 曾婷[1] 唐玲 李金香[2] NIE Fenfen;HU Sha;ZHOU Lisha(Hunan University of Chinese Medicine,Changsha 410208;不详)

机构地区：[1]湖南中医药大学,长沙410208 [2]湖南中医药大学第一附属医院,长沙410007

出　　处：《陕西中医》2020年第1期121-126,共6页Shaanxi Journal of Traditional Chinese Medicine

基　　金：湖南省技术创新引导计划-临床医疗技术创新引导项目(2018SK51208);湖南省科技创新计划项目-创新平台与人才(2017RS3052);湖南省院士专家工作站(石学敏)开放基金项目(2018YSZJJ09)

摘　　要：目的:采用Meta分析方法综合评价针刺治疗中风后失眠的临床疗效。方法:通过计算机检索中国知网(CNKI)、万方数据库(Wanfang Data)、维普中文科技期刊数据库(VIP)、PubMed、Cochrane Library中针刺治疗中风后失眠的随机对照研究文献,按照文献纳入、排除标准进行筛选,选取符合标准的文献,将资料录入Excel表,并使用Cochrane Revman5.3软件进行Meta分析。结果:共纳入19项随机对照研究文献,其中单纯针刺12项,针刺联合7项,共纳入研究病例1535例。单纯针刺治疗中风后失眠Meta分析结果显示其临床疗效优于口服药物,漏斗图基本对称,潜在偏倚可能性较小;针刺联合其他疗法(耳穴贴压、认知疗法、中西药物等)其临床疗效亦优于单纯口服药物,考虑为多疗法综合效应。结论:针刺治疗中风后失眠确有疗效,针刺联合其他疗法或可协同增效,但仍需更多高质量研究提供可靠的证据。Objective:To evaluate the effectiveness of acupuncture post-stroke insomnia synthetically with Meta-analysis.Methods:Clinical randomized controlled trials of post-stroke insomnia were searched from database of CNKI,VIP and WanFang,PubMed,Cochrane library,according to literature inclusion and exclusion criteria,choosed documents that met the criteria,entering the data into an Excel,and performing Meta-analysis by Cochrane Revman 5.3.Results:A total of 19 studies,including simple-acupuncture 12 studies and joint acupuncture 7 studies,1535 cases were included in the studies.The simple-acupuncture could be considered to be with higher effectiveness compared with drugs,the funnel plot of it showed an asymmetry distribution,there was little potential bias;In addition,acupuncture combined with other treatments,like ear acupoint,cognitive treatment,drugs and so on,more attention should be on complex effect or the addictive effect of acupuncture.Conclusion:Acupuncture treatment for post-stroke insomnia was effective,acupuncture combined with other methods may synergically.However,more high-quality researches in order to increase the strength of the evidence are still needed.

关 键 词：中风后失眠 临床疗效 针刺 META分析 系统评价 随机对照试验 

分 类 号：R256.23[医药卫生—中医内科学]