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电针治疗失眠的有效性和安全性:系统评价与Meta分析概述的方案

Effectiveness and safety of electroacupuncture for insomnia: A protocol for an overview of systematic reviews and meta-analysis.

作者信息

Zhou Xingchen, Chi Zhenhai, Xiong Jun, Huang Guomin, Li Ziru, Yang Yanan, Zhou ShuiSheng, Yang Rui, Mao Qiangjian, Wu Desheng, Shen Yang

机构信息

The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine.

Jiangxi University of Traditional Chinese Medicine, Nanchang, China.

出版信息

Medicine (Baltimore). 2020 Oct 2;99(40):e22502. doi: 10.1097/MD.0000000000022502.

Abstract

BACKGROUND

Insomnia is a common disease characterized by difficulty falling and/or staying asleep, and accompanied by irritability or fatigue during wakefulness. It is widely reported that insomnia is one of the most extensive mental disorders which the incidence rate is estimated to be about 10%. Insomnia can have serious influences on patients health and quality of life. Electro acupuncture (EA) is reported to be efficacious and widely used for the treatment of insomnia in China. This overview aims to summarize the available evidence from current systematic reviews for the efficacy of electroacupuncture therapy for insomnia.

METHODS

We will make a comprehensive retrieval in 7 databases as following:The time is limited from the construction of the library to August 2020. We will use the Assessment of Multiple Systematic Reviews-2 (AMSTAR-2) tool to evaluate methodological quality. Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols (PRISMA-P) will be used in the report checklist to assess the quality of reports in the study. The Grading of the Classification of Recommendations, Evaluation, Development and Evaluation (GRADE) will be used to evaluate the included SRs and meta-analysis. Our reviewers will conduct systematic reviews, qualification evaluation, data extraction, methodological quality and evidence quality screening in pairs. The outcomes of interest include: The Pittsburgh Sleep Quality Index (PSQI), The Insomnia Severity Index (ISI), Athens Insomnia Scale, Sleep parameters measured by either subjective or objective approaches, such as actigraphy, polysomnogram, and electroencephalogram. Or any other scale used to assess the level of illness. The evidence will be synthesized where appropriate based on patient subgroups and outcomes.

RESULTS

The results will be published in a peer-reviewed journal.

TRIAL REGISTRATION NUMBER

INPLASY202080087.

CONCLUSION

This overview will provide comprehensive evidence of EA for patients with insomnia.

摘要

背景

失眠是一种常见疾病,其特征为入睡困难和/或睡眠维持困难,并伴有清醒时的易怒或疲劳。据广泛报道,失眠是最普遍的精神障碍之一,估计发病率约为10%。失眠会对患者的健康和生活质量产生严重影响。据报道,电针在中国治疗失眠方面有效且应用广泛。本综述旨在总结当前系统评价中关于电针治疗失眠疗效的现有证据。

方法

我们将在以下7个数据库进行全面检索:时间范围从各数据库建库至2020年8月。我们将使用多重系统评价评估-2(AMSTAR-2)工具评估方法学质量。系统评价和Meta分析方案的首选报告项目(PRISMA-P)将用于报告清单,以评估研究报告的质量。推荐分级的评估、制定与评价(GRADE)将用于评估纳入的系统评价和Meta分析。我们的评审人员将成对进行系统评价、资格评估、数据提取、方法学质量和证据质量筛选。感兴趣的结局包括:匹兹堡睡眠质量指数(PSQI)、失眠严重程度指数(ISI)、雅典失眠量表、通过主观或客观方法测量的睡眠参数,如活动记录仪、多导睡眠图和脑电图。或任何其他用于评估疾病程度的量表。将根据患者亚组和结局在适当情况下综合证据。

结果

结果将发表在同行评审期刊上。

试验注册号

INPLASY202080087。

结论

本综述将为失眠患者提供电针疗效的全面证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5234/7535853/fc69707dd3de/medi-99-e22502-g002.jpg

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