针治疗对与癌症相关的失眠的有效性:系统性审查和网络元分析
Liying Chen1,2, Jiaqi Li3, Shiting Xu1,2
1Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China.
Frontiers in neurology
|February 28, 2024
概括
耳道疗法与moxibustion和单独的耳道疗法是癌症相关失眠 (CRI) 的最有效的针治疗方法. 这些疗法显著改善了患有失眠的癌症幸存者的睡眠质量.
科学领域:
- 综合性瘤学是一种综合性瘤学.
- 睡眠的药物 睡眠的药物
- 传统中国医药 传统中国医药
背景情况:
- 与癌症相关的失眠 (CRI) 显著影响癌症幸存者的生活质量.
- 现有的针治疗CRI缺乏比较有效性的数据.
- 确定最佳的针治疗方案对于管理CRI至关重要.
研究的目的:
- 为了比较评估和排名各种针疗法对CRI的有效性.
- 为癌症幸存者和失眠患者确定最有效的针干预措施.
主要方法:
- 随机对照试验 (RCT) 的系统审查和网络元分析,公布时间为2023年7月31日.
- 包括37个RCT,共有3,246名参与者和16个干预措施.
- 评估了偏差风险,并使用匹兹堡睡眠质量指数 (PSQI) 进行有效性评估,根据PRISMA指南使用STATA,R和OpenBUGS进行分析.
主要成果:
- 听力疗法与摩克西布施联合 (SUCRA 98.98%) 和单独听力疗法 (SUCRA 77.47%) 在有效性方面排名最高.
- 这些干预措施与对照,药物治疗,常规护理和假针相比,显示出更高的疗效.
- 分析了37项涉及3,246名参与者的研究.
结论:
- 耳道疗法与催眠疗法相结合,是CRI的主要针方法.
- 单独使用耳道疗法也是一种非常有效的治疗选择.
- 进一步的研究应该集中在优化针干预对CRI.
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