针治疗与癌症相关的失眠:随机对照试验的系统审查和元分析
Ping Liu1, Linxuan Li2, Dazhao Xu3
1Capital Medical University Electric Power Teaching Hospital, Beijing, China.
BMJ supportive & palliative care
|October 9, 2024
概括
针通过提高睡眠质量得分,适度改善与癌症相关的失眠 (CRI). 这一系统性审查证实针作为癌症患者患有失眠的安全和有效的治疗选择.
科学领域:
- 综合性瘤学 综合性瘤学
- 睡眠医学 睡眠医学
- 补充和替代医学 补充和替代医学
背景情况:
- 针被认为可以治疗非癌症患者的失眠.
- 对针治疗癌症相关失眠 (CRI) 的有效性的证据有限.
- 这项研究解决了对CRI针的证据需求.
研究的目的:
- 系统地审查和分析针治疗癌症相关失眠 (CRI) 的疗效和安全性.
- 评估针对癌症患者睡眠质量的影响.
主要方法:
- 在PubMed,EMBASE,Scopus和Cochrane图书馆系统搜索英语同行评审的出版物.
- 包括10个随机对照试验 (RCT),涉及561名参与者.
- 使用RevMan V.5.3进行的元分析,计算聚合赔率比率 (OR) 并评估异质性.
主要成果:
- 与对照组相比,针显著改善了匹兹堡睡眠质量指数 (PSQI) 评分和与癌症有关的失眠 (CRI).
- 聚合的OR显示了针 (1.66),电针 (5.90) 和耳针 (2.30) 的有效性.
- 针也改善了失眠严重性指数 (ISI) 的得分,在不同分析中,合并的OR从1.31到5.29不等.
结论:
- 针在改善癌症患者失眠症状方面表现出适度的疗效,PSQI和ISI得分的变化证明了这一点.
- 这些发现支持针作为癌症相关失眠的安全有效的补充治疗.
- 这支持将针整合到临床实践中,用于在瘤学中治疗失眠.
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