耳穴贴压对围绝经期睡眠障碍患者干预效果的Meta分析

Meta-Analysis of the Effect of Auricular Point Plaster Therapy on Insominia in Patients With Perimenopausal Period

目的采用Meta分析的方法评价耳穴贴压对围绝经期睡眠障碍患者的干预效果。方法计算机检索Wanfang Data、CNKI、VIP、CBM、PubMed、The Cochrane library、Web of science中耳穴贴压对围绝经期睡眠障碍患者干预效果的随机对照试验(RCTs),检索时间为建库至2019年7月31日。两名研究者分别筛选文献、提取数据及文献质量评价后,数据分析使用Revman 5.3软件。结果最终纳入8篇RCT,531例患者。Meta分析结果显示:对围绝经期睡眠障碍患者实施耳穴贴压的有效率[RR=1.18,95%CI(1.10~1.27),Z=4.39,P<0.0001]、睡眠改善情况(匹兹堡睡眠指数)[SMD=-0.90,95%CI(-1.29,-0.52),P<0.0001],均高于对照组。结论耳穴贴压能提高围绝经期睡眠障碍治疗的有效率,改善患者的失眠状况。

Objective To explore the effect of auricular point plaster therapy on insominia in patients with perimenopausal period by meta-analysis.Methods Two researchers used a computer to search Wan fang data,CNKI,VIP,CBM,PubMed,Cochrane library,Web of science.The research time was the from building of date bases to July 31,2019,and was included in a randomized controlled trial(RCT)involving intervention of auricular point plaster therapy on insominia in patients with perimenopausal period.Meta analysis was performed using Revman 5.3 software.Results A total of 8 articles including 531 patients were included in the study.Meta-analysis showed that auricular point plaster therapy had a significant effect on insominia in patients with perimenopausal period(RR=1.18,95%CI(1.10~1.27),Z=4.39 P<0.0001);auricular point plaster therapy can help patients improve sleep(PSQI[SMD=-0.90,95%CI(-1.29,-0.52),P<0.0001]).Conclusion Auricular point plaster therapy had a significant effect on insominia in patients with perimenopausal period,and can improve the insomnia of patients.