针刺治疗原发性失眠临床疗效研究现状与分析
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摘要
目的:了解针刺治疗原发性失眠(PI)临床疗效研究现状,分析探索今后研究方向。方法:通过检索中国期刊全文数据库(CNKI)、万方数据库、Pub Med和Bio Med Central(BMC)数据库,纳入近6年针刺治疗PI并与镇静催眠药物比较临床疗效的41项前瞻性随机对照试验(RCT)研究,从诊断标准、疗效标准、观察时间、对照药物、选穴特点及规律等方面进行综述和分析。结果:针刺治疗PI以头部取穴为主,配合辨证取穴,显示出短期疗效和安全性优势,但在诊断标准、疗效评定、观察时间、对照药物等诸多方面欠规范完善。结论:目前证据显示针刺治疗PI有效,但有必要增加更多严谨的RCTs,并引入客观监测指标来加强证据强度和提升整体研究水平。
Objective To grasp the clinical efficacy of acupuncture in the treatment of primary insomnia(PI), and analyze its future research directions. Methods A total of 41 prospective randomized controlled trials(RCTs) were conducted in which the clinical efficacy of acupuncture for treatment of PI was compared with sedative and hypnotic drugs in recent six years by searching databases of CNKI, WANFANG database, Pub Med, and Bio Med Central(BMC), the aspects of diagnostic criteria, efficacy standards, observation time, control drugs, characteristics of acupoint selection and regularity were used to review and analyse. Results Acupuncture treatment for PI was mainly based on acupoints in the head, combined with selecting the points according to the different syndrome, showing short-term efficacy and safety advantages, but it was not well-established in many aspects such as diagnostic criteria, efficacy evaluation, observation time, and control drugs. Conclusion Current evidence shows that acupuncture treatment is effective, but it is necessary to add more stringent RCTs, and introduce objective monitoring indicators to strengthen the evidence and enhance the overall level of research.
Objective To grasp the clinical efficacy of acupuncture in the treatment of primary insomnia(PI), and analyze its future research directions. Methods A total of 41 prospective randomized controlled trials(RCTs) were conducted in which the clinical efficacy of acupuncture for treatment of PI was compared with sedative and hypnotic drugs in recent six years by searching databases of CNKI, WANFANG database, Pub Med, and Bio Med Central(BMC), the aspects of diagnostic criteria, efficacy standards, observation time, control drugs, characteristics of acupoint selection and regularity were used to review and analyse. Results Acupuncture treatment for PI was mainly based on acupoints in the head, combined with selecting the points according to the different syndrome, showing short-term efficacy and safety advantages, but it was not well-established in many aspects such as diagnostic criteria, efficacy evaluation, observation time, and control drugs. Conclusion Current evidence shows that acupuncture treatment is effective, but it is necessary to add more stringent RCTs, and introduce objective monitoring indicators to strengthen the evidence and enhance the overall level of research.
引文
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