| 唐林霞,韩知浩,周春清,等.中医适宜技术对冠心病伴失眠患者干预效果的网状Meta分析[J].浙江中医药大学学报,2024,48(8):1000-1011. |
| 中医适宜技术对冠心病伴失眠患者干预效果的网状Meta分析 |
| Network Meta-Analysis of the Intervention Effect of Traditional Chinese Medicine Appropriate Technology on Patients with Coronary Heart Disease and Insomnia |
| DOI：10.16466/j.issn1005-5509.2024.08.017 |
| 中文关键词: 冠心病 失眠 中医适宜技术 睡眠质量 网状Meta分析 音乐疗法 穴位按摩 穴位贴敷 |
| 英文关键词: coronary heart disease insomnia TCM appropriate techniques sleep quality network Meta-analysis music therapy acupoint massage acupoint application |
| 基金项目:浙江省中医药科技计划项目(2024ZL041) |
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| 中文摘要: |
| [目的] 通过网状Meta分析评价不同中医适宜技术对冠心病伴失眠患者的疗效。[方法] 计算机检索中国知网(China National Knowledge Infrastructure，CNKI)、万方数据库(WanFang Database)、维普数据库(China Science and Technology Journal Database，VIP)、中国生物医学文献数据库(China Biomedical Literature Database，SinoMed)、PubMed、CINAHL、Web of Science、Embase、the Cochrane Library数据库中关于中医适宜技术改善冠心病伴失眠患者疗效的文献，检索时限为建库至2023年12月，由2名研究者独立筛选文献、评价文献质量及提取信息。采用Cochrane偏倚评估工具进行文献质量评价，Review Manager 5.3进行传统Meta分析，Stata 17软件进行网状Meta分析。[结果] 共纳入31项研究，共2 977例患者，14种中医适宜技术。网状Meta分析显示，在失眠疗效总有效率方面，穴位按摩+五音疗法[优势比(odds ratio，OR)=7.61，95%置信区间(confidence interval，CI)(2.05，28.30)，P<0.05]疗效优于常规治疗，且相较于其他中医适宜技术效果最优；在睡眠质量评分方面，穴位贴敷[均数差(mean difference，MD)= 0.51，95%CI(0.04，8.23)，P<0.05]疗效优于常规治疗，且相较于其他中医适宜技术效果最优。[结论] 现有研究表明，穴位按摩+五音疗法能有效提高失眠疗效的总有效率，穴位贴敷能有效改善患者的睡眠质量，医护人员可结合患者自身情况，选择合适的中医适宜技术。 |
| 英文摘要: |
| [Objective] To evaluate the efficacy of different traditional Chinese medicine(TCM) appropriate techniques on patients with coronary heart disease and insomnia by network Meta-analysis. [Methods] A computer-based search of China National Knowledge Infrastructure(CNKI)， WanFang， China Science and Technology Journal Database(VIP)， China Biology Medicine disc(CBM)， PubMed， CINAHL， Web of Science， Embase and the Cochrane Library was conducted to retrieve the literature on the improvement of the efficacy of TCM appropriate technology in patients with coronary heart disease and insomnia. The retrieval time limit was from the establishment date of the database to December 2023. Two researchers independently screened the literature， evaluated the quality of the literature and extracted the information. The Cochrane bias assessment tool was used to evaluate the quality of the literature， Review Manager 5.3 was used for traditional Meta-analysis， and Stata 17 software was used for network Meta-analysis. [Results] A total of 31 studies involving 2 977 patients and 14 TCM appropriate techniques were included. Network Meta-analysis showed that in terms of the total effective rate of insomnia， acupoint massage + five-tone therapy[odds ratio(OR)=7.61，95% confidence interval(CI)(2.05，28.30)， P<0.05] was superior to conventional treatment， and had the best effect compared with other TCM appropriate techniques. In terms of sleep quality score， acupoint application [mean difference(MD)=0.51，95%CI(0.04，8.23)， P<0.05] was superior to conventional treatment， and had the best effect compared with other TCM appropriate techniques. [Conclusion] Existing studies have shown that acupoint massage + five-tone therapy can effectively improve the total effective rate of insomnia. Acupoint application can effectively improve the sleep quality of patients. Medical staff can select appropriate TCM appropriate techniques according to the patient’s own situation. |
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