电针治疗失眠的有效性和安全性:系统性审查和元分析
Han-Yu Xu1, Lin-Na Wu1, Yuan Zhang1
1Acupuncture and Moxibustion Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China; National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China.
Journal of integrative medicine
|June 13, 2024
概括
电针显著改善了失眠患者的睡眠质量. 这种疗法是安全有效的,在治疗七到九周后就能看到最佳的结果.
科学领域:
- 综合医学是一个整体医学.
- 睡眠科学 睡眠科学
- 神经学 神经学
背景情况:
- 电针 (EA) 是一种广泛用于治疗失眠的疗法.
- 对EA治疗失眠的疗效和安全性需要全面评估.
研究的目的:
- 系统地审查和元分析随机临床试验 (RCT),评估电治疗失眠的疗效和安全性.
- 为了比较EA与假针,没有治疗,通常的护理 (UC) 和一般针.
主要方法:
- 在2023年1月15日之前,对多个数据库进行了系统搜索.
- 31个涉及2226名参与者的RCT被纳入了元分析.
- 用Stata 15.0.0分析了睡眠质量 (PSQI,ISI得分) 和临床反应率的数据.
主要成果:
- 与对照组相比,电针在改善失眠方面表现出更高的疗效 (RR = 1.21; 95% CI: [1.16, 1.27]).
- 在治疗后和随访时,EA显著降低了匹兹堡睡眠质量指数 (PSQI) 的得分 (WMD = -3.23; 95% CI: [-4.29, -2.17).
- 在EA和对照组之间没有观察到不良事件的显著差异 (RR = 1.48; 95% CI: [0.91, 2.40]).
结论:
- 电是一种有效和安全的治疗方法,可以改善失眠患者的睡眠质量.
- 治疗持续时间为七到九周似乎是最大限度地提高EA疗效的最佳方法.
- 由于包含的研究的局限性,建议进一步进行高质量的多中心研究.
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