针灸治疗失眠症的随机对照试验评价

Evaluation of randomized controlled trial in acupuncture treatment of insomnia

目的:对用针灸治疗失眠症的临床效果进行评价。方法:通过文献检索分析研究的方法,检索到2009年1月至2012年12月有关针灸治疗失眠症的临床对照试验相关文献共128篇,删除没有明确说明随机分配方法的RCT研究论文69篇,仅对剩余的59篇文献进行归类分析。结果:符合条件的7篇RCT共425例患者满足纳入标准,将针灸组和药物组进行对比,比值(OR)为3.25,95%的置信区间[2.50,5.05],P<0.0001,差异显著,具有统计学意义。结论:针灸治疗失眠症可能有效,目前还不能明确针灸治疗失眠症的临床效果。

Objective： To evaluate clinical effects of acupuncture in treatment of insomnia. Methods： Through the literature re- search and analysis method, 128 clinical controlled trial-related documents about acupuncture in the treatment of insomnia from Janu- ary 2009 to the end of December 2012 were retrieved, wherein 69 RCT research articles without the specification of random assignment method were deleted and the rest were classified and analyzed. Results： 425 patients in 7 RCT articles meeting the diagnostic criteria were divided into acupuncture group and drug group and compared. The ratio （OR） was 3.25, 95% confidence interval was [2.50, 5.05 ] , and P〈0. 0001. The difference was significant and had the statistical significance. Conclusions： Acupuncture in the treatment of insomnia may be effective, but the clinical effects are still uncertain now.