耳穴贴压对围绝经期睡眠障碍患者干预效果的Meta分析

目的采用Meta分析的方法评价耳穴贴压对围绝经期睡眠障碍患者的干预效果。方法计算机检索Wanfang Data、CNKI、VIP、CBM、PubMed、The Cochrane library、Web of science中耳穴贴压对围绝经期睡眠障碍患者干预效果的随机对照试验(RCTs),检索时间为建库至2019年7月31日。两名研究者分别筛选文献、提取数据及文献质量评价后,数据分析使用Revman 5.3软件。结果最终纳入8篇RCT,531例患者。Meta分析结果显示:对围绝经期睡眠障碍患者实施耳穴贴压的有效率[RR=1.18,95%CI(1.10~1.27),Z=4.39,P<0.0001]、睡眠改善情况(匹兹堡睡眠指数)[SMD=-0.90,95%CI(-1.29,-0.52),P<0.0001],均高于对照组。结论耳穴贴压能提高围绝经期睡眠障碍治疗的有效率,改善患者的失眠状况。

Meta-Analysis of the Effect of Auricular Point Plaster Therapy on Insominia in Patients With Perimenopausal Period

Objective To explore the effect of auricular point plaster therapy on insominia in patients with perimenopausal period by meta-analysis.Methods Two researchers used a computer to search Wan fang data,CNKI,VIP,CBM,PubMed,Cochrane library,Web of science.The research time was the from building of date bases to July 31,2019,and was included in a randomized controlled trial(RCT)involving intervention of auricular point plaster therapy on insominia in patients with perimenopausal period.Meta analysis was performed using Revman 5.3 software.Results A total of 8 articles including 531 patients were included in the study.Meta-analysis showed that auricular point plaster therapy had a significant effect on insominia in patients with perimenopausal period(RR=1.18,95%CI(1.10~1.27),Z=4.39 P<0.0001);auricular point plaster therapy can help patients improve sleep(PSQI[SMD=-0.90,95%CI(-1.29,-0.52),P<0.0001]).Conclusion Auricular point plaster therapy had a significant effect on insominia in patients with perimenopausal period,and can improve the insomnia of patients.