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近十年电针治疗失眠的临床研究综述

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目的:评述近十年电针治疗失眠的临床研究现状.方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)、PubMed、Cochrane Library、Embase关于电针治疗失眠的随机对照试验.检索年限从2012年1月1日至2021年12月31日.提取文献诊断标准、治疗方法、腧穴选择与归经、电针参数、治疗时间与疗程、疗效观察指标等.结果:共纳入文献55篇.研究发现电针治疗失眠干预手段主要分为单纯使用电针、电针配合其他外治法、电针配合口服药3类.诊断标准及疗效评价指标的使用缺乏统一标准,治疗方法差异较大,实验设计不够完善.选取穴位以足太阳膀胱经、督脉、足少阳胆经、足阳明胃经所属经穴较多,多位于头部、四肢末端及背部.结论:目前电针治疗失眠的临床研究总体质量偏低,在诊断标准、治疗方法、疗效评价指标及试验设计方面都不甚完善,影响临床研究结果的可重复性及临床结论可信度.
Review of Clinical Research on Electroacupuncture for Insomnia
Objective:To review the clinical studies about electroacupuncture for insomnia in the last decade.Methods:The ran-domized controlled trials(RCTs)of electroacupuncture for insomnia were retrieved from China National Knowledge Infrastructure,China Biology Medicine disc,China Science Periodical Database,Chinese Citation Database,PubMed,Cochrane Library,and Em-base with the time interval from January 1,2012 to December 31,2021.The diagnostic criteria,treatment methods,acupoint selec-tion and meridian affiliation,electroacupuncture parameters,treatment duration and courses,and efficacy evaluation indicators were extracted from the included RCTs.Results:A total of 55 articles were included.The intervention methods included electroacupunc-ture alone,electroacupuncture combined with other external treatment methods,and electroacupuncture combined with oral drugs.The diagnostic criteria and efficacy evaluation indicators lacked unified standards.The treatment methods varied greatly and the ex-perimental design was not perfect.The commonly selected acupoints were at the bladder meridian of foot greater yang,governor ves-sel,gallbladder meridian of foot lesser yang,and stomach meridian of foot yang brightness,and mostly located on the head,extremi-ties,and back.Conclusion:The RCTs about electroacupuncture for insomnia generally have low quality,with the diagnostic crite-ria,treatment methods,efficacy evaluation indicators,and trial design remain to be improved.These limitations affect the repeat-ability of the research results and the reliability of conclusions.

ElectroacupunctureInsomniaSleep disordersDiagnostic criteriaAcupointsMeridian affiliationEfficacy evalua-tionRandomized controlled trialLiterature research

王奕娴、俞莹、王晓梅、吴焕淦、刘雅楠、李峰

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上海中医药大学针灸推拿学院,上海,201203

上海市针灸经络研究所,上海,200030

上海中医药大学附属岳阳临床医学院,上海,200437

电针 失眠 睡眠障碍 诊断标准 穴位 归经 疗效判定 随机对照试验 文献研究

国家重点基础研究发展计划(973计划)

2015CB554500

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(5)
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