针灸治疗失眠症随机对照试验的系统评价

目的:评价针灸治疗失眠症的疗效.方法:对针灸治疗失眠症的随机对照试验(RCT)进行系统评价.统计方法数据用专用软件RevMan4.1版进行统计分析.结果:6篇RCT共585例患者满足纳入标准.6篇均为低质量试验,均未使用盲法;Meta-分析的结果,针刺组和药物组比较,比值比(OR)为3.55,95%的可信区间2.50,5.05],P<0.0001.结论:针灸治疗失眠症可能有效,但由于试验方法学质量较低,尚不能充分肯定,需高质量的试验进一步证实.

A systematic evaluation of randomized controlled trials for acupuncture and moxibustion treatment of insomnia

Objective To assess the therapeutic effect of acupuncture on insomnia. Methods A systematic evaluation of all relevant randomized controlled trials (RCT) about acupuncture and moxibustion treatment of insomnia was carried out. The data were statistically analyzed with a special software RevMan 4 1. Results Six papers of RCT including 585 patients met the enrolled criteria. All of the trials were of lower in methodological quality without using blind method; Meta analysis indicated that odds ratio was 3 55,95% confidence interval 2 50,5 05], P <0 0001,as acupuncture group compared with drug group. Conclusion Acupuncture is possibly effective for insomnia. However, because of lower methodological quality of all the trials, this conclusion has no enough evidence.