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耳穴贴压对癌因性失眠患者干预效果及安全性的meta分析

Meta-analysis of the intervention effect and safety of auricular point sticking on cancer-related insomnia patients
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摘要 目的通过meta分析评价耳穴贴压对癌因性失眠患者干预效果及安全性。方法检索各中英文数据库中有关耳穴贴压治疗癌因性失眠患者的相关文献,检索时限自建库截至2023年8月。对文献进行筛选、数据提取和质量评价后,使用RevMan 5.4.1进meta分析。结果共纳入18项研究,1490例患者。分析结果显示:耳穴贴压治疗癌因性失眠临床总有效率高于对照组,匹兹堡睡眠质量指数评分低于对照组;亚组分析结果显示:子午流注耳穴贴压联合常规护理治疗的效果更佳,差异均有统计学意义(P<0.05)。报告不良反应的6项研究中,仅有1项研究中的3例患者发生了不良反应。结论常规治疗基础上联合耳穴贴压治疗的临床疗效更佳且安全性较好,值得临床进一步推广使用。 Objective To evaluate the effect and safety of auricular point sticking on cancer-related insomnia by meta-analysis.Methods The related literature about auricular point sticking therapy for cancer-related insomnia in Chinese and English databases was searched,and the search time limit was from the establishment of the database to August 2023.After screening,data extraction and quality evaluation of the literature,a meta-analysis was conducted by using RevMan 5.4.1.Results A total of 18 studies with 1490 patients were included.The analysis results showed that the total clinical effective rate for cancerrelated insomnia of the auricular point sticking group(study group)was higher than that of the control group,while the score of Pittsburgh sleep quality index of the study group was lower than that of the control group;the subgroup analysis results showed that the effect of auricular point sticking combined with routine nursing of the study group was better than that of the control group,with statistically significant differences(P<0.05).Of the 6 studies that reported adverse reactions,only 3 patients in 1 study had adverse reactions.Conclusion On the basis of routine treatment,auricular point sticking therapy has better clinical effect and better safety,which is worthy of further clinical application.
作者 廖秀娥 卢宏磊 黄沐晗 孙亚娟 LIAO Xiue;LU Honglei;HUANG Muhan;SUN Yajuan(Department of Oncology,the People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350004,China;School of Nursing,Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350122,China)
出处 《中国医药科学》 2024年第15期118-121,155,共5页 China Medicine And Pharmacy
关键词 耳穴贴压 癌症 失眠 META分析 Auricular point sticking Cancer Insomnia Meta-analysis
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