摘要
Abstract
Objective To systematically review the treatment effect of acupressure on insomnia. Methods The randomized controlled trials (RCTs) about acupressure in the treatment of insomnia were searched in The Cochrane Library, Web of Science, PubMed, Embase, OVID, EBSCO, CBM, CNKI, VIP and WanFang Data from the date of establishment to June 2015. The screening was carried on according to the inclusion and exclusion criteria. Data extraction and methodological quality assessment were completed by two reviewers. Meta-analysis was conducted using RevMan5 and Stata12 software. Results Twenty-three RCTs including 1 798 patients were enrolled. In all trials, the results indicated that the effect of routine care plus acupressure group was superior to that of control group in terms of clinical effective rate ( OR=4.60, 95%CI:2.11~10.05, P<0.01), decreasing the score of Pittsburgh Sleep Quality Index scale (PSQI) (SMD=-0.70, 95%CI:-0.84~-0.56, P<0.01) and extending the total sleep time after two-day intervention (SMD=0.54, 95%CI:0.21~0.87, P<0.01), and all differences were statistically significant. The comparison between acupressure group and medication group indicated that acupressure group was superior to control group in terms of clinical effective rate (OR=5.25, 95%CI:2.89~9.53, P<0.01), decreasing total score of PSQI (SMD=-1.41, 95%CI:-2.30~-0.52, P<0.01), shortening sleep latency (SMD=-103.14, 95%CI:-115.50~-90.69, P<0.01) and extending the total sleep time after four-day intervention (SMD=67.46, 95%CI:59.32~75.60, P<0.01), and all differences were statistically significant. Conclusion Acupressure is beneficial to the treatment of insomnia. However, due to the poor methodological quality of studies included, larger sample and quality randomized controlled trials are needed.关键词
穴位按摩/失眠/系统评价/随机对照试验Key words
acupressure/insomina/systematic review/randomized controlled trial分类
医药卫生
