电针对原发性失眠患者PSQI评分影响的系统评价

Electro- acupuncture for Primary Insomnia and PSQI: A Systematic Review

目的:系统评价电针治疗原发性失眠的疗效及其对匹兹堡睡眠质量指数(PSQI)评分的影响。方法:利用计算机检索Cochrane Library、Pub Med、Embase、CNKI、VIP、Wanfang数据库等收集研究论文,并对论文后的参考文献进行补充检索,检索时间范围为1985年1月至2015年7月,收集电针对比阳性药物、安慰剂或空白对照等治疗原发性失眠的临床随机对照试验(RCT)论文,结果用Revman5.3.5软件Meta分析方法进行系统评价。结果:共获得文献1055篇,其中RCT论文649篇,纳入标准的文献10篇,纳入患者487例,Meta分析结果表明,电针治疗原发性失眠能降低PSQI评分。结论:电针是治疗原发性失眠的有效疗法,能够改善睡眠质量,目前有关电针治疗原发性失眠RCT的研究质量有待于进一步提高。

Objective： To systematically evaluate the effectiveness of electro- acupuncture（ EA） on primary insomnia and Pittsburgh sleep quality index（ PSQI）. Methods： Clinical randomized controlled trials（ RCT） of EA for primary insomnia were searched from database of Cochrane library,Pub Med,Embase,CNKI,VIP and Wan Fang,and further retrieval was carried out concerning the reference of the related papers. These RCTs were conducted between January 1985 and July 2015. Trials that EA was compared with positive drugs,placebo,or blank were collected. Quality assessment and Meta- analysis would be made by using software Rev Man5. 3. 5for the included studies. Results： A total of 649 RCTs were searched from the database,and 10 studies involving487 cases were included in the study. Meta analysis showed that EA treatment for primary insomnia had a better clinical efficacy than that in the control group; EA could decrease the scores of PSQI. Conclusion： EA treatment for primary insomnia shows a tendency that it is more effective than other treatments in terms of overall clinical efficacy,however,more high quality researches in order to increase the strength of the evidence are still needed.