穴位贴敷治疗失眠临床疗效的Meta分析
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摘要
目的:系统评价穴位贴敷治疗失眠的临床疗效。方法:计算机检索PubMed、CochraneLibrary、ScienceDirect、中国知网、万方数据库、维普数据库中穴位贴敷治疗失眠的临床随机对照试验,同时筛检并纳入文献的参考文献,对符合标准的文献应用RevMan5.3软件进行Meta分析。结果:共纳入8篇文献,包括830例患者。Meta分析结果显示,与对照组相比,穴位贴敷治疗失眠患者的临床有效率显著提高[RR=1.57,95%CI(1.16,2.12),Z=2.96,P<0.01],说明穴位贴敷对失眠的治疗是积极有效的。结论:穴位贴敷可以有效缓解患者的失眠状况,值得临床广泛推广。
Objective: To systematically evaluate the clinical effect of acupoint application in the treatment of insomnia.Methods: The literature of randomized controlled trial(RCT)on insomnia treated by acupoint application were retrieved from PubMed, Cochrane Library, Science Direct, CNKI, Wanfang and VIP. Screening and bring into the literature sections of identified reference. The date that meet the requirements were analyzed by RevMan5.3 software.Results: A total of 8 articles were included for a total of 830 Patients. The results of Meta analysis showed that compared with the control group, the acupoint application has a positive effect to insomnia [RR=1.57, 95%CI(1.16, 2.12),Z =2.96, P<0.01]. Conclusions: The research showed that the acupoint application was effective in the treatment of insomnia,and it is worthy to spread in clinical.
Objective: To systematically evaluate the clinical effect of acupoint application in the treatment of insomnia.Methods: The literature of randomized controlled trial(RCT)on insomnia treated by acupoint application were retrieved from PubMed, Cochrane Library, Science Direct, CNKI, Wanfang and VIP. Screening and bring into the literature sections of identified reference. The date that meet the requirements were analyzed by RevMan5.3 software.Results: A total of 8 articles were included for a total of 830 Patients. The results of Meta analysis showed that compared with the control group, the acupoint application has a positive effect to insomnia [RR=1.57, 95%CI(1.16, 2.12),Z =2.96, P<0.01]. Conclusions: The research showed that the acupoint application was effective in the treatment of insomnia,and it is worthy to spread in clinical.
引文
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[24]汪洪波.温灸神阙穴治疗失眠45例[J].中国社区医师(医学专业),2012,14(16):219-219.
[25]杨跃涛.交泰丸膏穴位贴敷治疗心肾不交型失眠随机平行对照研究[J].实用中医内科杂志,2016,30(7):17-19.
[26]何石燃.吴茱萸粉调醋穴位贴敷双涌泉穴治疗冠心病失眠[J].中医临床研究,2018,10(27):26-28.
[27]谢晨,邴兴红,杨文佳,等.穴位贴敷治疗失眠的文献分析[J].中医药导报,2018,24(11):109-114.
[28]赵满忱,曹烨民,赵诚.中药足浴治疗糖尿病足高危足临床疗效的meta分析[J].上海医药,2018,39(11):25-30+34.
[29]SchulZ KF,Chalmers I,Hayes RJ,et al.EmPirical evidence of bias.Dimensions of methodological quality assoCIated with estimates of treatment effects in controlled trials[J].JAMA,1995,273(5):408-412.
[30]孙延娜.中医药治疗失眠研究简况[J].实用中医内科杂志,2017,31(7):85-88.
[31]张志伟,叶红艳.中西医药物治疗失眠的概述[J].中国药物经济学,2014,9(S1):429-430.
[2]薛爱珍,王君.失眠探微[J].实用中医内科杂志,2016,30(8):49-51.
[3]周祖贻.中药治疗失眠症[J].家庭医药,2016(11):46-47.
[4]Cunnington D,Junge M F,Fernando A T.Insomnia:prevalence,consequences and effective treatment[J].Medical Journal of Australia,2013,199(8):S36-S40.
[5]夏娟,陈其文,邓青龙,等.百乐眠治疗失眠的疗效和安全性的Meta分析[J].临床神经病学杂志,2017,30(4):245-250.
[6]周祖贻.中药治疗失眠症[J].家庭医药,2016(11):46-47.
[7]刘登军.联合用药治疗失眠分析[J].临床医药文献电子杂志,2018,5(16):160-160.
[8]刘威.焦富英安神散神阙贴敷辨治失眠[J].实用中医内科杂志,2016,30(10):10-11+61.
[9]中华中医药学会.中医养生保健技术操作规范:穴位贴敷[M].北京:中国中医药出版社,2010:1.
[10]李燕云,吴玉苗,李文彦,等.穴位贴敷治疗恶性肿瘤晚期终末阶段症状的临床观察[J].上海医药,2017,38(4):29-30.
[11]杨旋芳.穴位敷贴治疗慢性咳嗽的疗效观察与护理[J].中国药物经济学,2016,11(10):137-139.
[12]胡雁.循证护理学[M].北京:人民卫生出版社,2012:73-99.
[13]杜绪华,黄元和,秦秀荣.辨证论治穴位敷贴治疗失眠的临床疗效观察[J].中外健康文摘,2013(49):12-13.
[14]胡金霞,张磊,胡晓灵,等.应用中药穴位贴敷治疗不寐的临床疗效观察[J].光明中医,2013,28(10):2103-2105.
[15]赵娜,杨文佳,谢晨,等.穴位敷贴治疗肝郁脾虚型慢性失眠症临床研究[J].国际中医中药杂志,2017,39(9):798-802.
[16]付霆,许斌,张介眉.宁神贴敷脐治疗失眠症[J].吉林中医药,2014,34(2):142-144.
[17]李恒飞,李勇.中药穴位贴敷治疗失眠的临床效果[J].中国当代医药,2017,24(15):117-119.
[18]梁钢,梁家柱,杨旭豪.中药穴位贴敷治疗精神病患者失眠症的临床观察[J].广西中医药,2013,36(6):15-17.
[19]魏清,胡金霞,胡晓灵.景衣安神散穴位贴敷治疗失眠临床观察[J].吉林中医药,2012,32(3):299-300.
[20]杨跃涛.交泰丸膏穴位贴敷治疗心肾不交型失眠随机平行对照研究[J].实用中医内科杂志,2016,30(7):17-19.
[21]徐静茹,范利锋.安神贴足部反射疗法治疗失眠症的临床疗效观察[J].农垦医学,2016,38(4):347-349.
[22]续海啸,迟莉丽.神阙穴与气、脏腑经络关系及现代医学认识和穴位贴敷初探[J].实用中医内科杂志,2011,25(8):37-38.
[23]李黄彤.神阙穴敷贴治疗老年性失眠50例临床观察[C].//中国针灸学会2005年学术年会论文汇编.2005:77-79.
[24]汪洪波.温灸神阙穴治疗失眠45例[J].中国社区医师(医学专业),2012,14(16):219-219.
[25]杨跃涛.交泰丸膏穴位贴敷治疗心肾不交型失眠随机平行对照研究[J].实用中医内科杂志,2016,30(7):17-19.
[26]何石燃.吴茱萸粉调醋穴位贴敷双涌泉穴治疗冠心病失眠[J].中医临床研究,2018,10(27):26-28.
[27]谢晨,邴兴红,杨文佳,等.穴位贴敷治疗失眠的文献分析[J].中医药导报,2018,24(11):109-114.
[28]赵满忱,曹烨民,赵诚.中药足浴治疗糖尿病足高危足临床疗效的meta分析[J].上海医药,2018,39(11):25-30+34.
[29]SchulZ KF,Chalmers I,Hayes RJ,et al.EmPirical evidence of bias.Dimensions of methodological quality assoCIated with estimates of treatment effects in controlled trials[J].JAMA,1995,273(5):408-412.
[30]孙延娜.中医药治疗失眠研究简况[J].实用中医内科杂志,2017,31(7):85-88.
[31]张志伟,叶红艳.中西医药物治疗失眠的概述[J].中国药物经济学,2014,9(S1):429-430.