?</sup> 1;在匹茨堡睡眠質(zhì)量指數(shù)量表（PSQI)總評分方面，觀察組針刺治療后患者的PSQI總評分低于對照組治療后PSQI總評分 MD=-2.22,95%CI(-3.87,- 0.56), P=0. 009<sub>.</sub> ]；在焦慮自評量表（SAS)評分方面，觀察組患者在接受治療之后SAS評分明顯低于對照組治療后SAS評分 MD=-6.63,95%CI(-10.36,-2.91) ， P=0.0005 ；在漢密爾頓焦慮量表（HAMA）評分方面，觀察組與對照組之間的差異不具有統(tǒng)計學意義 MD=-2.57,95%CI(-9.11,3.96),P= 0.44]；在不良事件發(fā)生率方面，觀察組治療后患者的不良事件發(fā)生率總體低于對照組 RR=0.32,95% CI(0.20,0.50), P<0.00001] 。結(jié)論針灸可顯著改善失眠伴焦慮患者失眠及焦慮的臨床癥狀，效果優(yōu)于其他普通內(nèi)科治療，具有較好的臨床療效。-龍源期刊網(wǎng)" />

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針刺治療失眠癥伴焦慮的Meta分析

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中圖分類號：R256.23 文獻標志碼：A 文章編號：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號 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號 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

失眠在臨床上是一種常見的睡眠問題，隨著社會的快速發(fā)展，當人們長期處于壓力環(huán)境下時，患有失眠的人數(shù)就會不斷增加。（剩余9970字）

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