Network Meta-Analysis of the Intervention Effect of Traditional Chinese Medicine Appropriate Technology on Patients with Coronary Heart Disease and Insomnia
10.16466/j.issn1005-5509.2024.08.017
- VernacularTitle:中医适宜技术对冠心病伴失眠患者干预效果的网状Meta分析
- Author:
Linxia TANG
1
;
Zhihao HAN
;
Chunqing ZHOU
Author Information
1. 浙江中医药大学护理学院 杭州 310053
- Keywords:
coronary heart disease;
insomnia;
TCM appropriate techniques;
sleep quality;
network Meta-analysis;
music therapy;
acupoint massage;
acupoint application
- From:
Journal of Zhejiang Chinese Medical University
2024;48(8):1000-1011
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To evaluate the efficacy of different traditional Chinese medicine(TCM)appropriate techniques on patients with coronary heart disease and insomnia by network Meta-analysis.[Methods]A computer-based search of China National Knowledge Infrastructure(CNKI),WanFang,China Science and Technology Journal Database(VIP),China Biology Medicine disc(CBM),PubMed,CINAHL,Web of Science,Embase and the Cochrane Library was conducted to retrieve the literature on the improvement of the efficacy of TCM appropriate technology in patients with coronary heart disease and insomnia.The retrieval time limit was from the establishment date of the database to December 2023.Two researchers independently screened the literature,evaluated the quality of the literature and extracted the information.The Cochrane bias assessment tool was used to evaluate the quality of the literature,Review Manager 5.3 was used for traditional Meta-analysis,and Stata 17 software was used for network Meta-analysis.[Results]A total of 31 studies involving 2 977 patients and 14 TCM appropriate techniques were included.Network Meta-analysis showed that in terms of the total effective rate of insomnia,acupoint massage+five-tone therapy[odds ratio(OR)=7.61,95％confidence interval(CI)(2.05,28.30),P＜0.05]was superior to conventional treatment,and had the best effect compared with other TCM appropriate techniques.In terms of sleep quality score,acupoint application[mean difference(MD)=0.51,95％CI(0.04,8.23),P＜0.05]was superior to conventional treatment,and had the best effect compared with other TCM appropriate techniques.[Conclusion]Existing studies have shown that acupoint massage+five-tone therapy can effectively improve the total effective rate of insomnia.Acupoint application can effectively improve the sleep quality of patients.Medical staff can select appropriate TCM appropriate techniques according to the patient's own situation.
