摘要
目的:评价中药治疗失眠症的疗效。方法:对中药治疗失眠症的随机对照试验(RCT)进行系统评价。统计方法数据用专用软件RevMan4.2版进行统计分析。结果:12篇RCT共1290例患者满足纳入标准。但均为低质量试验,Jadad评分小于3分;固定效应模型显示合并OR值为2.66,95%可信区间为[1.96,3.60],P<0.00001,随机效应模型合并OR值为2.60,95%可信区间CI[1.67,4.03],P<0.0001。结论:中药治疗失眠症可能有效,但由于试验方法学质量较低,且存在发表偏倚,尚不能充分肯定,需高质量的试验进一步证实。
Objective:To assess the therapeutic effect of troditional chinese medicine treatment on insomnia.Methods:A systematic evaluationof all relevant randomized controlled trials (RCT) about troditional chinese medicine treatment and western medicine treatment of insomnia was carried out.The data were statistically analyzed with a special software RevMan 4.1.Results:Twelve papers of RCT including 1290 patients met the enrolled criteria.All of the trials were lower methodological quality;Metaanalysis indicated that odds ratio was 2.66,95% confidence interval [1.96-3.60]in fixed effect model,P 0.00001and was 2.60,95% confidence interval [1.67-4.03]in random effect model,P 0.0001 as troditional chinese medicine group compared with western medicine group.Conclusion:Troditional chinese medicine is possibly effective for insomnia.However,because of lower methodological quality of all the trials,this conclusion has no enough evidence.
出处
《辽宁中医杂志》
CAS
北大核心
2010年第8期1430-1433,共4页
Liaoning Journal of Traditional Chinese Medicine
关键词
失眠症
中药疗法
随机对照试验
荟萃分析
insomnia
troditional chinese medicine treatment
randomized controlled trials
meta-analysis