针刺治疗原发性失眠的文献质量评价

目的:对针刺治疗失眠的临床随机对照研究文献进行文献质量评价。方法:以"针刺"失眠"为检索词,计算机检索中文及英文数据库,手工检索《中国针灸》等中医杂志及有关学术会议论文汇编。对纳入文献的方法学,诊断及纳入、排除标准,针刺、对照组干预措施,疗效评价标准及随访等方面进行评价。结果:共纳入20篇随机对照研究文献,其中4篇为高质量研究,16篇为低质量研究。国外研究多采用量表评价疗效,国内研究则主要自拟疗效评价标准。结论:目前国内尚无高质量的针刺治疗原发性失眠的临床研究报道,迄今所发表研究采用的疗效评价方法不能恰当评价针刺治疗原发性失眠的疗效。今后应从临床试验设计及实施角度,严格按照现代医学研究模式,设计出更为科学的试验方案。

Evaluation on Acupuncture Treatment of Primary Insomnia

Acupuncture treatment of insomnia has been reported for many years,but its validity remains controversial up to now.In the present review,the authors took Acupuncture,Insomnia as the key words to do a literature search from databases in both Chinese and English via computer retrieval system and also conducted a hand-made retrieval from journals of Chinese medicine as Chinese Acu-moxibustion,and collections of theses of the related academic conferences.Then,they made a systemic evaluation on the original ar...