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从肝肾论治围绝经期失眠的临床疗效Meta分析

高毅东 张松涛 黄俊山 谢利坤 詹夏菲 邓晶晶

北京中医药大学学报2017,Vol.40Issue(2):172-176,5.
北京中医药大学学报2017,Vol.40Issue(2):172-176,5.DOI:10.3969/j.issn.1006-2157.2017.02.016

从肝肾论治围绝经期失眠的临床疗效Meta分析

Clinical effect of traditional Chinese medicine therapy on perimenopausal insomnia from the standpoint of regulating liver and kidney:a Meta-analysis

高毅东 1张松涛 1黄俊山 2谢利坤 1詹夏菲 1邓晶晶1

作者信息

  • 1. 福建中医药大学 福建 350000
  • 2. 福建省中医药研究院
  • 折叠

摘要

Abstract

Objective To systematically evaluate the clinical efficacy and safety of the traditional Chinese medicine(TCM) therapy on perimenopausal insomnia from the standpoint of regulating liver and kidney.Methods Randomized controlled trials(RCT) on PubMed, EMbase, CNKI, Wanfang Database and VIP database from their inception to April 2016 were searched.Two researchers separately screened the literature, extracted data and evaluated the literature bias risk according to inclusive criteria and exclusive criteria.Then the Meta-analysis was operated using Rev Man 5.3 software.Results Altogether nine RCT with 678 patients were eligible.The result of Meta-analysis showed: the clinical effectiveness of experimental group (TCM therapy group) was superior to that of control group(RR=1.30,95%CI[1.11,1.52],P<0.05);the PSQI scores showed significant differences between the two groups (SMD=-1.16,95%CI[-2.12,-0.20],P<0.05),but SPIEGEL score did not.Although adverse reactions were appeared in five studies, the adverse reaction rate of the experimental group was lower significantly (RR=0.09,95%CI[0.04,0.22],P<0.05).Conclusion The experimental group achieved obvious clinical efficacy with less adverse effect.

关键词

围绝经期/失眠/肝肾论治/Meta分析/系统综述

Key words

perimenopause/insomnia/therapy on perimenopausal insomnia from the standpoint of regulating liver and kidney/Meta-analysis/systematic review

分类

医药卫生

引用本文复制引用

高毅东,张松涛,黄俊山,谢利坤,詹夏菲,邓晶晶..从肝肾论治围绝经期失眠的临床疗效Meta分析[J].北京中医药大学学报,2017,40(2):172-176,5.

基金项目

国家自然科学基金资助项目(No.81173149),福建省卫计委资助项目(No.Wzln201301),福建省科技厅专项基金资助项目(No.2014R1035-1) (No.81173149)

北京中医药大学学报

OA北大核心CSCDCSTPCD

1006-2157

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