针刺加耳穴贴压治疗失眠疗效的系统评价

Systematic Evaluation of Therapeutic Effect of Acunpucture Combined with Auricular Point Sticking and Acupucture for Treatment of Insomnia in Clinical Study

目的:评价针刺加耳穴贴压治疗失眠的疗效。方法:对针刺加耳穴贴压治疗失眠的随机对照试验(RCT)或半随机对照试验(CCT)按Cochrane协作网推荐的方法进行系统评价,并使用专用的统计分析软件RevMan4.2版进行Meta分析统计学处理。结果:8篇随机对照试验(RCT)或半随机对照试验(CCT)满足纳入标准,纳入人数范围从60人至104人,共629人,均为低质量试验。经Meta分析,纳入的8个试验结果表明了针刺加耳穴贴压治疗失眠的疗效优于对照组。结论:虽然针刺加耳穴贴压治疗失眠的疗效优于对照组,且无毒副反应,但由于纳入研究数量和质量上存在缺陷,因此开展更多高质量、内在真实性好的大规模、多中心的RCT研究非常必要。

Objective：To assess the therapeutic effect of acupuncture combined with auricular point sticking on Insomnia.Methods：A systematic review including all the relevant randomized controlled trials（RCT）or（CCT）of acupuncture combined with auricular point sticking for treatment of Insomnia was performed by using the method recommended by the cochrane collaboration.The data were statistically analyzed with a special analysis software RevMan 4.2.Results：Eleven papers including randomized controlled trials（RCT）or（CCT）met the enrolled criteria.The number of included persons ranged from 60 to 104 and totaled 629.All of the trials were of lower methodological quality.Meta—analysis of enrolled 8 trials showed that the treatment group had a better therapeutic effect on Insomnia than the control group.Conclusion：Although the acupuncture combined with auricular point sticking group had a better therapeutic effect on Insomnia than the control group and without toxic side effects,the relevant literatures on the study are not many and the quality of study is not good enough.Therefore,it is necessary to perform more multi-central randomized controlled trials in good internal validity and high quality in the future.