针灸治疗原发性高血压伴睡眠障碍疗效Meta分析及穴位频次分析

Acupuncture and Moxibustion Treatment of Essential Hypertension with Sleep Disorders Meta Analysis and Acupoint Frequency Analysis

摘要: 目的：系统评价针灸疗法联合常规西药或中药汤剂治疗原发性高血压伴睡眠障碍患者的疗效及其治疗选穴的频次分析。方法：在Pubmed，Embase，Cochrane Library，中国知网(CNKI)，万方数据库(Wanfang Data)，中国生物医学文献数据库(CBM)等综合性文献数据库中进行检索，由2名评价员分别独立进行检索，不限制检索时间和语言。由2名评论员提取资料和评估文献质量，出现争议时由第三名评论员评估，采用RevMan 5.3软件进行Meta分析、采用excel表格进行频次分析。结果最终纳入12个研究，共有1211例原发性高血压伴睡眠障碍患者，其中试验组623例，对照组588例。本研究从针灸治疗对睡眠障碍和血压的有效率以及对PSQI总分、收缩压、舒张压等方面的影响进行分析，研究结果发现针灸疗法组在有效率和降低血压改善睡眠方面优于对照组。选穴频次分析发现，最常用的穴位为涌泉穴。

Abstract: Objective: Systematic evaluation of acupuncture and moxibustion therapy combined with conven-tional western medicine or traditional Chinese medicine decoction in the treatment of patients with essential hypertension with sleep disorder and frequency analysis of treatment point selection. Methods: comprehensive literature databases such as Pubmed, Embase, Cochrane Library, CNKI, Wanfang Data and CBM were searched independently by 2 evaluators with no restriction on re-trieval time and language. Two evaluators extracted the materials and evaluated the quality of the literature, and the third evaluator evaluated the disputes. RevMan 5.3 software was used for Meta analysis and excel table was used for frequency analysis. Results: a total of 1211 patients with es-sential hypertension and sleep disorders were included in 12 studies, including 623 patients in the experimental group and 588 patients in the control group. The effective rate of acupuncture on sleep disorders and blood pressure as well as the influence of PSQI total score, systolic blood pres-sure and diastolic blood pressure were analyzed. We found that the acupuncture therapy group was better than the control group in terms of efficiency and lowering blood pressure to improve sleep. According to the analysis of the frequency of acupoint selection, the most commonly used acupoint is yongquan acupoint.