| 引用本文:王奕娴1，2，俞莹2，3，王晓梅2，3，吴焕淦2，3，刘雅楠2，3，李峰2，3.近十年电针治疗失眠的临床研究综述[J].世界中医药,2024,(05):. |
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| 近十年电针治疗失眠的临床研究综述 |
| Review of Clinical Research on Electroacupuncture for Insomnia |
| 投稿时间：2022-10-23 |
| DOI：10.3969/j.issn.1673-7202.2024.05.007 |
| 中文关键词: 电针 失眠 睡眠障碍 诊断标准 穴位 归经 疗效判定 随机对照试验 文献研究 |
| English Keywords:Electroacupuncture Insomnia Sleep disorders Diagnostic criteria Acupoints Meridian affiliation Efficacy evaluation Randomized controlled trial Literature research |
| 基金项目:国家重点基础研究发展计划项目(2015CB554500) |
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| 中文摘要: |
| 目的：评述近十年电针治疗失眠的临床研究现状。方法：检索国家知识基础设施数据库（CNKI）、中国生物医学文献数据库（CBM）、中国学术期刊数据库（CSPD）及中文科技期刊数据库（CCD）、PubMed、Cochrane Library、Embase关于电针治疗失眠的随机对照试验。检索年限从2012年1月1日至2021年12月31日。提取文献诊断标准、治疗方法、腧穴选择与归经、电针参数、治疗时间与疗程、疗效观察指标等。结果：共纳入文献55篇。研究发现电针治疗失眠干预手段主要分为单纯使用电针、电针配合其他外治法、电针配合口服药3类。诊断标准及疗效评价指标的使用缺乏统一标准，治疗方法差异较大，实验设计不够完善。选取穴位以足太阳膀胱经、督脉、足少阳胆经、足阳明胃经所属经穴较多，多位于头部、四肢末端及背部。结论：目前电针治疗失眠的临床研究总体质量偏低，在诊断标准、治疗方法、疗效评价指标及试验设计方面都不甚完善，影响临床研究结果的可重复性及临床结论可信度。 |
| English Summary: |
| To review the clinical studies about electroacupuncture for insomnia in the last decade.Methods:The randomized controlled trials(RCTs) of electroacupuncture for insomnia were retrieved from China National Knowledge Infrastructure，China Biology Medicine disc，China Science Periodical Database，Chinese Citation Database，PubMed，Cochrane Library，and Embase with the time interval from January 1，2012 to December 31，2021.The diagnostic criteria，treatment methods，acupoint selection and meridian affiliation，electroacupuncture parameters，treatment duration and courses，and efficacy evaluation indicators were extracted from the included RCTs.Results:A total of 55 articles were included.The intervention methods included electroacupuncture alone，electroacupuncture combined with other external treatment methods，and electroacupuncture combined with oral drugs.The diagnostic criteria and efficacy evaluation indicators lacked unified standards.The treatment methods varied greatly and the experimental design was not perfect.The commonly selected acupoints were at the bladder meridian of foot greater yang，governor vessel，gallbladder meridian of foot lesser yang，and stomach meridian of foot yang brightness，and mostly located on the head，extremities，and back.Conclusion:The RCTs about electroacupuncture for insomnia generally have low quality，with the diagnostic criteria，treatment methods，efficacy evaluation indicators，and trial design remain to be improved.These limitations affect the repeatability of the research results and the reliability of conclusions. |
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