针对中风后失眠的不同治疗方法的比较有效性:一个网络元分析
Zhaoming Song1, Ying Chen2, Jian Li3
1Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, 215006, China.
Heliyon
|November 29, 2023
概括
针和草药治疗在中风后失眠 (PSI) 中显示出前景,与埃斯塔佐拉姆相比,显著改善睡眠质量. 需要进一步的研究来证实它们在治疗这种常见并发症的长期有效性.
科学领域:
- 神经学 神经学
- 睡眠医学 睡眠医学
- 基于证据的医学 基于证据的医学
背景情况:
- 脑卒中后失眠 (PSI) 是一种常见的并发症,阻碍了患者的康复.
- 虽然存在各种治疗方法,但它们的相对有效性仍然不清楚.
研究的目的:
- 为了比较治疗中风后失眠的不同治疗方法的疗效.
- 确定改善中风幸存者的睡眠质量最有效的干预措施.
主要方法:
- 对23项随机对照试验 (RCT) 进行了贝叶斯网络元分析.
- 在CNKI,PubMed和Cochrane图书馆进行了搜索,截至2022年10月.
- 使用平均差异和95%置信区间 (CI) 评估结果.
主要成果:
- 与埃斯塔佐拉姆相比,针和草药治疗显示PSQI得分在统计学上有显著的改善.
- 德克索皮克隆,电刺激,rTMS和佐皮克隆与其他治疗方法没有统计学上显著的差异.
- 在改善PSQI得分方面,草药,佐皮克隆和针比rTMS和德克索皮克隆更有效.
结论:
- 针和草药疗法在治疗中风后失眠方面是有效和有前途的.
- 虽然这些治疗方法在统计学上并没有什么区别,但相对于Estazolam,它们具有显著的优势.
- 需要进一步的研究来巩固针和草药在PSI管理中的作用.
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