开天门疗法治疗失眠疗效的Meta分析

Meta-analysis on Efficacy of Head Massage in Treatment for Insomnia

评价开天门疗法对失眠的治疗效果。方法在CNKI、WanFang、VIP、SinoMed和Cochrane Library、PubMed、EMBase数据库中全面检索开天门疗法治疗失眠的随机对照研究。采用RevMan 5.3软件对纳入文献进行Meta分析,并按照GRADE评价标准对结局指标进行证据质量评价。结果纳入10篇文献,共计868例研究对象。Meta分析结果显示:开天门疗法治疗失眠的临床有效率较对照组高[RR=1.18,95%CI=(1.10,1.26),P<0.00001],匹兹堡睡眠质量指数(PSQI)较对照组更低[MD=-2.62,95%CI=(-4.11,-1.14),P<0.00001]。结论开天门疗法能明显提高失眠患者的临床疗效,但仍需更多高质量的临床研究去验证。

Objective To systematically evaluate the efficacy of head massage in the treatment for insomnia.Method The databases of CNKI,VIP,Wangfang,SinoMed and Cochrane Library,PubMed and EMBase were retrieved by computer,and the randomized controlled trails about the effect of head massage treating insomnia were collected.RevMan 5.3 software was used for Meta-analysis,and the quality of the outcome indicators was evaluated according to GRADE standards.Result A total of 10 randomized controlled trials involving 868 patients were included.Meta-analysis showed that the head massage treatment group was better than that of the control group in the effective rate[RR=1.18,95%CI=(1.10,1.26),P<0.00001].The PSQI score of the head massage treatment group was lower than that of the control group[MD=-2.62,95%CI=(-4.11,-1.14),P<0.00001].Conclusion Head massage in insomnia patients had better clinical efficacy.However,more high-quality clinical studies are still needed to prove its efficacy.