文献类型：期刊文献

中文题名：耳穴全息刮痧疗法治疗失眠的Meta分析

英文题名：Meta-analysis of Auricular Holographic Scraping Therapy for Insomnia

作者：魏冬青[1];周芳竹[1]

第一作者：魏冬青

机构：[1]甘肃中医药大学附属医院,兰州730020

第一机构：甘肃中医药大学第二附属医院

年份：2026

卷号：13

期号：1

起止页码：205

中文期刊名：世界睡眠医学杂志

外文期刊名：World Journal of Sleep Medicine

基金：甘肃省卫生行业科研计划(GSWSHL2023-38)。

语种：中文

中文关键词：系统评价;耳穴刮痧;失眠;Meta分析;临床疗效;随机对照试验

外文关键词：Systematic review;Auricular scraping therapy;Insomnia;Meta analysis;Clinical efficacy;Randomized controlled trial

摘要：目的:系统评价耳穴全息刮痧疗法对失眠患者的临床疗效。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库及PubMed数据库中关于耳穴全息刮痧治疗失眠的随机对照试验(RCT),检索时间从建库至2025年9月。由2位研究者独立筛选文献、提取数据并评估研究质量,采用RevMan 5.4软件进行Meta分析。结果:共纳入15项RCT,涉及1254例患者。Meta分析结果显示,与对照组比较,耳穴全息刮痧组在提高临床总有效率[OR=5.17,95%CI为(3.51~7.62),P<0.00001]、降低匹兹堡睡眠质量指数评分[MD=-3.20,95%CI为(-3.76~-2.64),P<0.00001]及阿森斯失眠量表评分[MD=-3.38,95%CI为(-6.25~-0.51),P<0.00001],在改善不寐、头晕、乏力等中医证候方面均具有显著优势。结论:耳穴全息刮痧可有效改善失眠患者的临床症状。
Objective:To systematically evaluate the clinical efficacy of auricular holographic scraping therapy for insomnia patients.Methods:Retrieve randomized controlled trials(RCTs)on auricular holographic scraping therapy for insomnia from China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Database,China Biomedical Literature Database(SinoMed),and PubMed database.The retrieval period was from the establishment of the database to September 2025.Two researchers independently screened literature,extracted data,and assessed the quality of the included studies,using RevMan 5.4 software for meta-analysis.Results:A total of 15 RCTs involving 1254 patients were included.The meta-analysis results showed that compared with the control group,the auricular holographic scraping group demonstrated significant advantages in improving the total clinical effective rate[OR=5.17,95%CI(3.51 to 7.62),P<0.0001],reducing the Pittsburgh Sleep Quality Index score[MD=-3.20,95%CI(-3.76 to-2.64),P<0.0001],and improving traditional Chinese medicine syndromes such as insomnia,dizziness,and fatigue[MD=-3.38,95%CI(-6.25 to-0.51),P<0.0001].Conclusion:Auricular holographic scraping can effectively improve the clinical symptoms of insomnia patients.