Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Sichuan Integrative Medicine Hospital, Chengdu, China.
Syst Rev. 2023 Jul 14;12(1):124. doi: 10.1186/s13643-023-02287-1.
Insomnia disorder remains one of the most common sleep disorders in the elderly, with high prevalence and substantial consequences for patients' general health. Despite that increasing clinical trials have indicated that acupuncture seems to be effective for insomnia disorder in the elderly, comparative efficacy and safety of different acupuncture methods for elderly individuals with insomnia disorder has been unclear. Therefore, this protocol outlined a plan to evaluate and rank the efficacy and safety of various acupuncture approaches for insomnia disorder in the elderly.
A systematic search of 8 bibliographic databases will be conducted from their inception to 18 June 2023, including Cochrane Library, MEDLINE (via PubMed), Embase, Web of Science, Chinese National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, and Chinese Biomedical Literature Database (CBM). Randomized controlled trials investigating acupuncture methods for insomnia disorder in the elderly, published in English or Chinese will be included. The primary outcome is sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI). Two reviewers will independently perform study selection, data extraction and risk assessment of bias. The quality of included literatures will be appraised using Cochrane risk-of-bias tool (ROB 2.0). ADDIS (Aggregate Data Drug Information System) V.1.16.8 will be used to conduct Bayesian network meta-analysis. The quality of evidence will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation System (GRADE).
In this study, the results will provide credible evidence to assess the efficacy and safety of acupuncture therapies for elderly patients with insomnia disorder, assisting patients, physicians and clinical research investigators to select the most appropriate acupuncture method.
The protocol has been registered at OSF ( https://osf.io/3kjpq/ ) with a registration number https://doi.org/10.17605/OSF.IO/3KJPQ .
失眠障碍仍是老年人中最常见的睡眠障碍之一，其患病率高，对患者整体健康有重大影响。尽管越来越多的临床试验表明针灸似乎对老年人失眠症有效，但对于老年人失眠症患者，不同针灸方法的疗效和安全性尚不清楚。因此，本方案旨在评估和排名各种针灸方法治疗老年人失眠症的疗效和安全性。
系统检索 8 个数据库，包括 Cochrane 图书馆、MEDLINE（通过 PubMed）、Embase、Web of Science、中国知网（CNKI）、万方数据库、维普数据库和中国生物医学文献数据库（CBM），从建库至 2023 年 6 月 18 日，纳入比较针灸治疗老年人失眠症的随机对照试验，语言为英文或中文。主要结局指标为匹兹堡睡眠质量指数（PSQI）测量的睡眠质量。两名评审员将独立进行研究选择、数据提取和偏倚风险评估。使用 Cochrane 偏倚风险工具（ROB 2.0）评估纳入文献的质量。ADDIS（聚合数据药物信息系统）V.1.16.8 将用于进行贝叶斯网络荟萃分析。使用推荐评估、制定与评价系统（GRADE）评估证据质量。
在这项研究中，结果将提供可信的证据来评估针灸疗法治疗老年失眠症患者的疗效和安全性，帮助患者、医生和临床研究人员选择最合适的针灸方法。
该方案已在 OSF（https://osf.io/3kjpq/）上注册，注册号为 https://doi.org/10.17605/OSF.IO/3KJPQ。
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