摘要
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.
Abstract
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.
基金项目
国家重点基础研究发展计划(973计划)(2015CB554500)
维普
万方数据