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针刺疗法治疗绝经后女性睡眠障碍:一项系统评价

Acupuncture to Treat Sleep Disorders in Postmenopausal Women: A Systematic Review.

作者信息

Bezerra A G, Pires G N, Andersen M L, Tufik S, Hachul H

机构信息

Departamento de Psicobiologia, Universidade Federal de São Paulo, Rua Napoleão de Barros 925, Vila Clementino, 04024-002 São Paulo, SP, Brazil.

Departamento de Psicobiologia, Universidade Federal de São Paulo, Rua Napoleão de Barros 925, Vila Clementino, 04024-002 São Paulo, SP, Brazil ; Departamento de Ginecologia, Universidade Federal de São Paulo, Rua Napoleão de Barros 715, 7° Andar, 04024-002 São Paulo, SP, Brazil ; Departamento de Ginecologia, Casa de Saude Santa Marcelina, Rua Santa Marcelina 177, 08270-070 Itaquera, SP, Brazil.

出版信息

Evid Based Complement Alternat Med. 2015;2015:563236. doi: 10.1155/2015/563236. Epub 2015 Aug 23.

Abstract

Sleep disorders are commonly observed among postmenopausal women, with negative effects on their quality of life. The search for complementary therapies for sleep disorders during postmenopausal period is of high importance, and acupuncture stands out as an appropriate possibility. The present review intended to systematically evaluate the available literature, compiling studies that have employed acupuncture as treatment to sleep disorders in postmenopausal women. A bibliographic search was performed in PubMed/Medline and Scopus. Articles which had acupuncture as intervention, sleep related measurements as outcomes, and postmenopausal women as target population were included and evaluated according to the Cochrane risk of bias tool and to the STRICTA guidelines. Out of 89 search results, 12 articles composed our final sample. A high heterogeneity was observed among these articles, which prevented us from performing a meta-analysis. Selected articles did not present high risk of bias and had a satisfactory compliance rate with STRICTA guidelines. In general, these studies presented improvements in sleep-related variables. Despite the overall positive effects, acupuncture still cannot be stated as a reliable treatment for sleep-related complaints, not due to inefficacy, but rather limited evidence. Nevertheless, results are promising and new comprehensive and controlled studies in the field are encouraged.

摘要

睡眠障碍在绝经后女性中很常见,会对她们的生活质量产生负面影响。寻找绝经后睡眠障碍的补充疗法非常重要,针灸是一种合适的选择。本综述旨在系统评估现有文献,汇编使用针灸治疗绝经后女性睡眠障碍的研究。在PubMed/Medline和Scopus中进行了文献检索。纳入了以针灸为干预措施、以睡眠相关测量为结果、以绝经后女性为目标人群的文章,并根据Cochrane偏倚风险工具和STRICTA指南进行评估。在89个搜索结果中,12篇文章构成了我们的最终样本。在这些文章中观察到高度异质性,这使我们无法进行荟萃分析。所选文章没有呈现出高偏倚风险,并且对STRICTA指南的依从率令人满意。总体而言,这些研究显示睡眠相关变量有所改善。尽管总体上有积极效果,但针灸仍不能被认为是治疗睡眠相关主诉的可靠疗法,不是因为无效,而是证据有限。然而,结果很有前景,鼓励在该领域开展新的全面且有对照的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dedc/4561166/85a1121013b2/ECAM2015-563236.001.jpg

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