Zhao Zhi-Hui, Zhou Yi, Li Wei-Hong, Tang Zhao-Hui, Xia Ting-Wei
Basic Medical College, Chengdu University of TCM, Chengdu, Sichuan 611137, China.
Hospital of Chengdu University of TCM, Chengdu, Sichuan 610072, China.
Evid Based Complement Alternat Med. 2020 Jun 17;2020:7279486. doi: 10.1155/2020/7279486. eCollection 2020.
The efficacy of auricular acupressure in patients with hypertension and insomnia is controversial. This systematic review aims to explore the effectiveness of auricular acupressure in reducing blood pressure and improving sleep in this population.
We conducted an extensive database search in Cochrane Central Register of Controlled Trials, PubMed, Ovid LWW, Web of Science, Chinese Biomedical Literature Database, China Knowledge Resource Integrated Database, Wanfang Data, and China Science and Technology Journal Database on randomized controlled trials published from inception to November 2019 that compared auricular acupressure with a control or comparison group on blood pressure control and sleep improvement. Two reviewers independently conducted data screening and extraction. Study quality was evaluated using the . Meta-analyses were performed on blood pressure, Pittsburgh Sleep Quality Index (PSQI), the efficacy rate of diagnostic and therapeutic criteria for traditional Chinese medicine syndromes (DTCTCMS), and the efficacy rate of guidelines for traditional Chinese medicine (new drug) clinical research (GTCMCR) by Revman 5.3.0.
A total of 18 randomized controlled trials with 1685 patients were identified. Compared with a control or comparison group, pooled meta-analyses showed that auricular acupressure significantly improved systolic blood pressure (MD = -15.05, 95% CI (-18.49, -11.61), < 0.00001), diastolic blood pressure (MD = -8.41, 95% CI (-11.33, -5.48), < 0.00001), PSQI (MD = -2.37, 95% CI (-4.64, -0.10), =0.04), the efficacy rate of DTCTCMS (RR = 1.63, 95% CI (1.16, 2.28), =0.004), and the efficacy rate of GTCMCR (RR = 1.25, 95% CI (1.12, 1.38)).
The results demonstrated a favorable effect of auricular acupressure to reduce blood pressure and improve sleep in patients with hypertension and insomnia. Further studies to better understand the acupoints and intervention times of auricular acupressure are warranted.
耳穴按压对高血压合并失眠患者的疗效存在争议。本系统评价旨在探讨耳穴按压对该人群降低血压和改善睡眠的有效性。
我们在Cochrane对照试验中心注册库、PubMed、Ovid LWW、Web of Science、中国生物医学文献数据库、中国知网、万方数据和中国科技期刊数据库中进行了广泛的数据库检索，以查找从数据库建立至2019年11月发表的随机对照试验，这些试验比较了耳穴按压与对照组或比较组在血压控制和睡眠改善方面的效果。两名评价员独立进行数据筛选和提取。使用……评估研究质量。采用Revman 5.3.0对血压、匹兹堡睡眠质量指数（PSQI）、中医证候诊断疗效标准（DTCTCMS）有效率以及中医（新药）临床研究指导原则（GTCMCR）有效率进行Meta分析。
共纳入18项随机对照试验，涉及1685例患者。与对照组或比较组相比，Meta分析汇总结果显示，耳穴按压能显著降低收缩压（MD = -15.05，95%CI（-18.49，-11.61），P < 0.00001）、舒张压（MD = -8.41，95%CI（-11.33，-5.48），P < 0.00001）、PSQI（MD = -2.37，95%CI（-4.64，-0.10），P = 0.04），提高DTCTCMS有效率（RR = 1.63，95%CI（1.16，2.28），P = 0.004）以及GTCMCR有效率（RR = 1.25，95%CI（1.12，1.38））。
结果表明耳穴按压对高血压合并失眠患者降低血压和改善睡眠有良好效果。有必要进行进一步研究以更好地了解耳穴按压的穴位及干预时间。
