[1]聂芬芬,胡 莎,周丽莎,等.针刺治疗中风后失眠临床疗效Meta分析*[J].陕西中医,2020,(1):121-126.
　NIE Fenfen,HU Sha,ZHOU Lisha,et al.A Metaanalysis on effectiveness of acupuncture on poststroke insomnia[J].,2020,(1):121-126.
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针刺治疗中风后失眠临床疗效Meta分析*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年1期
页码:
121-126
栏目:
Meta 分析
出版日期:
2020-01-05

文章信息/Info

Title:
A Metaanalysis on effectiveness of acupuncture on poststroke insomnia
文章编号:
DOI:10.3969/j.issn.10007369.2020.01.035
作者:
聂芬芬1; 胡 莎2; 周丽莎1; 曾 婷1; 唐 玲1; 李金香2△
1.湖南中医药大学（长沙 410208）；2.湖南中医药大学第一附属医院（长沙 410007）
Author(s):
NIE Fenfen; HU Sha; ZHOU Lisha; et al.
Hunan University of Chinese Medicine（Changsha 410208）
关键词:
中风后失眠; 临床疗效; 针刺; Meta分析; 系统评价; 随机对照试验
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗Poststroke insomnia; Clinical effectiveness; Acupuncture; Metaanalysis; Systematic review; Randomized controlled trial
分类号:
R256.23
文献标志码:
A
摘要:
摘 要 目的：采用Meta分析方法综合评价针刺治疗中风后失眠的临床疗效。方法：通过计算机检索中国知网（CNKI）、万方数据库（Wanfang Data）、维普中文科技期刊数据库（VIP）、PubMed、Cochrane Library中针刺治疗中风后失眠的随机对照研究文献，按照文献纳入、排除标准进行筛选，选取符合标准的文献，将资料录入Excel表，并使用Cochrane Revman5.3软件进行Meta分析。结果：共纳入19项随机对照研究文献，其中单纯针刺12项，针刺联合7项，共纳入研究病例1535例。单纯针刺治疗中风后失眠 Meta分析结果显示其临床疗效优于口服药物，漏斗图基本对称，潜在偏倚可能性较小；针刺联合其他疗法（耳穴贴压、认知疗法、中西药物等）其临床疗效亦优于单纯口服药物，考虑为多疗法综合效应。结论：针刺治疗中风后失眠确有疗效，针刺联合其他疗法或可协同增效，但仍需更多高质量研究提供可靠的证据。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective：To evaluate the effectiveness of acupuncture poststroke insomnia synthetically with Metaanalysis.Methods：Clinical randomized controlled trials of poststroke insomnia were searched from database of CNKI,VIP and WanFang,PubMed,Cochrane library,according to literature inclusion and exclusion criteria,choosed documents that met the criteria,entering the data into an Excel,and performing Metaanalysis by Cochrane Revman 5.3.Results：A total of 19 studies,including simpleacupuncture 12 studies and joint acupuncture 7 studies,1535 cases were included in the studies.The simpleacupuncture could be considered to be with higher effectiveness compared with drugs,the funnel plot of it showed an asymmetry distribution,there was little potential bias;In addition,acupuncture combined with other treatments,like ear acupoint,cognitive treatment,drugs and so on,more attention should be on complex effect or the addictive effect of acupuncture.Conclusion：Acupuncture treatment for poststroke insomnia was effective,acupuncture combined with other methods may synergically.However,more highquality researches in order to increase the strength of the evidence are still needed.

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备注/Memo

备注/Memo:
*湖南省技术创新引导计划临床医疗技术创新引导项目（2018SK51208）
更新日期/Last Update: 2020-02-17