孕期睡眠质量和失眠的非药物干预措施：一项系统综述。
Non-pharmacological interventions for sleep quality and insomnia during pregnancy: A systematic review.
作者信息
Hollenbach Dana, Broker Riley, Herlehy Stacia, Stuber Kent
机构信息
Institution: Canadian Memorial Chiropractic College, Division of Graduate Education & Research.
出版信息
J Can Chiropr Assoc. 2013 Sep;57(3):260-70.
OBJECTIVE
To systematically review the literature regarding non-pharmacological inteventions for improving sleep quality and insomnia during pregnancy.
METHODS
An electronic search strategy was conducted using several online databases (CINAHL, PubMed, Medline, Index to Chiropractic Literature) from inception to March 2013. Inclusion criteria consisted of studies evaluating non-pharmacological interventions, published in English in a peer reviewed journal, and assessed sleep quality or insomnia. The full text of suitable articles was reviewed by the authors, and scored using a risk of bias assessment.
RESULTS
160 articles were screened and seven studies met the inclusion criteria in the form of three prospective RCTs, one prospective longitudinal trial, one experimental pilot study, and two prospective quasi-randomized trials. Quality scores ranged from five to eight out of twelve on the risk of bias scoring criteria.
CONCLUSIONS
Exercise, massage, and acupuncture may be associated with improved sleep quality during pregnancy, however, due to the low quality and heterogeneity of the studies yielded, a definitive recommendation cannot be made. Further higher quality research is indicated.
目的
系统回顾关于改善孕期睡眠质量和失眠的非药物干预措施的文献。
方法
采用电子检索策略，检索了几个在线数据库（CINAHL、PubMed、Medline、脊椎按摩文献索引），检索时间从建库至2013年3月。纳入标准包括评估非药物干预措施的研究，这些研究发表在同行评审期刊上，且用英文撰写，并对睡眠质量或失眠进行了评估。作者对合适文章的全文进行了审阅，并使用偏倚风险评估进行评分。
结果
筛选了160篇文章，7项研究符合纳入标准，包括3项前瞻性随机对照试验、1项前瞻性纵向试验、1项实验性试点研究和2项前瞻性半随机试验。根据偏倚风险评分标准，质量得分在12分制中为5至8分。
结论
运动、按摩和针灸可能与改善孕期睡眠质量有关，然而，由于所得研究质量较低且存在异质性，无法给出明确的建议。需要进一步开展更高质量的研究。
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