近十年电针治疗失眠的临床研究综述  

Review of Clinical Research on Electroacupuncture for Insomnia

作　　者：王奕娴 俞莹 王晓梅[2,3] 吴焕淦[2,3] 刘雅楠[2,3] 李峰[2,3] WANG Yixian;YU Ying;WANG Xiaomei;WU Huangan;LIU Yanan;LI Feng(College of Acupuncture-Moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China;Yueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学针灸推拿学院,上海201203 [2]上海市针灸经络研究所,上海200030 [3]上海中医药大学附属岳阳临床医学院,上海200437

出　　处：《世界中医药》2024年第5期645-651,共7页World Chinese Medicine

基　　金：国家重点基础研究发展计划项目(2015CB554500)。

摘　　要：目的:评述近十年电针治疗失眠的临床研究现状。方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)、PubMed、Cochrane Library、Embase关于电针治疗失眠的随机对照试验。检索年限从2012年1月1日至2021年12月31日。提取文献诊断标准、治疗方法、腧穴选择与归经、电针参数、治疗时间与疗程、疗效观察指标等。结果:共纳入文献55篇。研究发现电针治疗失眠干预手段主要分为单纯使用电针、电针配合其他外治法、电针配合口服药3类。诊断标准及疗效评价指标的使用缺乏统一标准,治疗方法差异较大,实验设计不够完善。选取穴位以足太阳膀胱经、督脉、足少阳胆经、足阳明胃经所属经穴较多,多位于头部、四肢末端及背部。结论:目前电针治疗失眠的临床研究总体质量偏低,在诊断标准、治疗方法、疗效评价指标及试验设计方面都不甚完善,影响临床研究结果的可重复性及临床结论可信度。Objective:To review the clinical studies about electroacupuncture for insomnia in the last decade.Methods:The randomized controlled trials(RCTs)of electroacupuncture for insomnia were retrieved from China National Knowledge Infrastructure,China Biology Medicine disc,China Science Periodical Database,Chinese Citation Database,PubMed,Cochrane Library,and Embase with the time interval from January 1,2012 to December 31,2021.The diagnostic criteria,treatment methods,acupoint selection and meridian affiliation,electroacupuncture parameters,treatment duration and courses,and efficacy evaluation indicators were extracted from the included RCTs.Results:A total of 55 articles were included.The intervention methods included electroacupuncture alone,electroacupuncture combined with other external treatment methods,and electroacupuncture combined with oral drugs.The diagnostic criteria and efficacy evaluation indicators lacked unified standards.The treatment methods varied greatly and the experimental design was not perfect.The commonly selected acupoints were at the bladder meridian of foot greater yang,governor vessel,gallbladder meridian of foot lesser yang,and stomach meridian of foot yang brightness,and mostly located on the head,extremities,and back.Conclusion:The RCTs about electroacupuncture for insomnia generally have low quality,with the diagnostic criteria,treatment methods,efficacy evaluation indicators,and trial design remain to be improved.These limitations affect the repeatability of the research results and the reliability of conclusions.

关 键 词：电针 失眠 睡眠障碍 诊断标准 穴位 归经 疗效判定 随机对照试验 文献研究 

分 类 号：R245[医药卫生—针灸推拿学] R749[医药卫生—中医临床基础]