针刺治疗失眠症伴焦虑的Meta分析

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中图分类号：R256.23 文献标志码：A 文章编号：1007－2349（2025）07-0068-10

Meta - analysis of Acupuncture in the Treatment of Insomnia with Anxiety

MA Yue-han，ZHU Ai-hua，ZHAO Xiao-dong，YU Tong，LIU Yu- sen （Dongzhimen Hospital，Beijing UniversityofChineseMedicine，Beijing 1Oo7oo，China）

【Abstract】Objective：To systematically evaluate theclinical effcacyof acupuncture in the treatment of insomnia with anxiety by means of meta-analysis.Methods：Through a comprehensive and systematic search of five major domestic and international databases，namely VIP，China National Knowledge Infrastructure（CNKI），China Biomedical Literature Database（CBM），WANFANG and PubMed，allclinical randomized controled trial（RCTS）literature on acupuncture treatment of insomnia with anxiety from theself-establishment of the database to February15，2024 were collected.Thesoftware RevMan5.3 was selected for the analysis of relevant data and outcome indicators.Results ：Afterscreening，13 research literature were finall included.Theresultsshowed thatthe total clinical efectiverateof patients in the observation group was higher than that in the control group [ RR=1.13 ，95% CI（1.06，1.21）， P=0 ：

0005].In termsof the total scoreof the Pitsburgh Sleep Quality Index（PSQI），the total PSQI scoreof patients in the observation group after acupuncture treatment was lower than that of the control group after treatment [ MD=-2.22 ， （20号 95%CI（-3.87，-0.56） ， P=0.009 ].In terms of the Self-Rating Anxiety Scale（SAS） score，the SAS score of patients in the observation group after treatment was significantly lower than that of the control group after treatment ［ MD=-6.63 ， 95%CI（Ω-10.36，Ω-2.91） ， P=0.0005 ]. In terms of the Hamilton Anxiety Scale（HAMA） score， the difference between the observation group and the control group was not statistically significant[ MD=-2.57 ， （20号 95%CI（-9.11， 3.96） ， P=0.44 ]. In terms of the incidence of adverse events，the incidence of adverse events in the observation group after treatment was generally lower than that in the control group [ RR=0.32 ， 95%CI（0.20，0 ： 50）， P<0.00001 ]. Conclusion： Acupuncture can significantly improve the clinical symptoms of insomnia and anxiety inpatients with insomniaandanxietyanditseffectissuperiortoothergeneralmedicaltreatmentsandhasagoodclinical efficacy.

【Key words】Anxiety；Meta -analysis； Insomnia；Randomized Controlled Trial； Acupuncture

失眠在临床上是一种常见的睡眠问题，随着社会的快速发展，当人们长期处于压力环境下时，患有失眠的人数就会不断增加。（剩余9970字）