瑜伽缓解围绝经期失眠症状有效性的meta分析

The efficiency of yoga treating menopausal insomnia:a meta-analysis

目的:评价瑜伽缓解围绝经期失眠症状的有效性。方法:检索Cochrane Library、PubMed、EMBASE、中国期刊全文数据库、中国生物医学文献数据库、万方数据库平台中所有瑜伽干预围绝经期睡眠的文献资料,检索时间为建库至2017年8月。根据纳入排除标准筛选文献、提取资料并进行质量评价,运用Stata12.0软件进行meta分析。结果:最终纳入5篇随机对照试验和1篇非随机对照试验。meta分析结果显示,瑜伽缓解围绝经期女性失眠症状与空白对照有统计学意义[SMD=-0.21,95%CI-0.37~?0.05,z=2.52,P=0.012],与其他对照措施无统计学意义[SMD=-0.17,95%CI-0.76~0.41,z=0.58,P=0.56;SMD=0.18,95%CI-0.18~0.53,z=0.98,P=0.327;SMD=-0.71,95%CI-1.46~0.04,z=1.84,P=0.065;SMD=-0.24,95%CI-0.62~0.14,z=1.25,P=0.21]。结论:瑜伽缓解围绝经期失眠症状与健康意识教育、其他锻炼形式比较无明显优势。

Objective：The aim of this meta-analysis was to evaluate the effectiveness of yoga treating menopausal insomnia.Methods：The information of this literature was retrieved from several databases from database built up to August 2017,which include the Cochrane Library,PubMed,EMBASE,China Journal Full Text Database,Chinese Biomedical Literature Database and Wanfang Database.The literature screening,data extraction and quality assessment were conducted according to the inclusion and exclusion criteria,and the meta-analysis was done by Stata12.0.Results：Five randomized controlled trial（RCTs）and one non-randomized control study were included.The result of meta-analysis showed：The efficiency of patients in yoga treating menopausal insomnia group had statistical significance higher than that of women in non-intervention group[SMD=-0.21,95%CI（-0.37,-0.05）,z=2.52,P=0.012],the efficiency of patients in yoga treating menopausal insomnia group had no statistical significance different when compared with that of women in other measures group[SMD=-0.17,95%CI（-0.76,0.41）,z=0.58,P=0.56;SMD=0.18,95%CI（-0.18,0.53）,z=0.98,P=0.327;SMD=-0.71,95%CI（-1.46,0.04）,z=1.84,P=0.065;SMD=-0.24,95%CI（-0.62,0.14）,z=1.25,P=0.21].Conclusion：Compared with non-intervention,yoga has some effectiveness on releasing menopausal insomnia.However,there is no significant difference between yoga with wellness education and other exercise.