针刺治疗产后抑郁症的Meta分析
转载：世界针联
Meta analysis on acupuncture for postpartum depression针刺治疗产后抑郁症的Meta分析
WANG Jin-feng (王金凤)1, TAN Ling-jing (谭凌菁)1, MEI Qing-xian (梅清鲜)1,2,ZHENG Qing-hua (郑清华)1,2, YANG Song-bai (杨松柏)2, MEI Zhi-gang (梅志刚)1,2
1. Medical College of China Three Gorges University, Yichang 443002, Hubei Province, China; 2. Yichang Hospital of TCM Affiliated to Clinical Medical College of TCM of China Three Gorges University（1. 三峡大学医学院，湖北宜昌 443002，中国；2. 三峡大学中医临床医学院宜昌市中医医院）
ARTICLE INFOFirst antthor: WANG Jin-feng (1991-), female, postgraduate student.
E-mail: 10877925@qq.comCorresponding author: MEI Zhi-gang (1977-), male, professor, master student supervisor. Reseanh field: study on mechanism of nervous system disease treated by TCM.E-mail: zhigangmei@139.comAccepted on December 1, 2016
ABSTRACT
ObjectiveTo evaluate the clinical efficacy of acupuncture in treatment of postpartum depression. MethodsPubmed database and Embase database were retrieved online in English, and China National Knowledge Internet (CNKI), China Biology Medicine disc (CBM), VIP database and Wanfang Data were retrieved in Chinese. Literature in recent 10 years relating to clinical randomized controlled trials of acupuncture in treatment of postpartum depression were collected, and Meta analysis was performed by adopting RevMan5.3. ResultsFourteen articles were included in the study in total; it was shown from HAMD result that after combination, WMD=–1.27, 95%CI (–2.55, 0.01); according to Z-test, Z=1.95, P=0.05, and the difference in efficacy between treatment group and control group was statistically significant. It was shown from EPDS result that after combination, WMD=-0.53, 95%CI (-0.92, -0.03); according to Z-test, Z=2.08, P<0.05, and the difference in efficacy between treatment group and control group was statistically significant. During the analysis taking estradiol as standard, it was shown from the result that after combination, WMD=63.99, 95%CI (13.39, 114.60); according to Z-test, Z=2.48, P<0.05, and the difference in efficacy between treatment group and control group had remarkably statistical significance. During the analysis taking effective rate as standard, it was shown from the result that after combination, OR=3.15, 95%CI (2.19, 4.55); according to Z-test, Z=6.14, P<0.05, and the difference in efficacy between treatment group and control group had remarkably statistical significance. ConclusionAcupuncture treatment for postpartum depression is effective, but more clinical randomized controlled trials with high quality and large sample size are still needed to verify the result.
KEY WORDS: acupuncture; postpartum depression; meta analysis
ABSTRACT IN CHINESE
[摘 要] 目的：评价针刺治疗产后抑郁症的临床疗效。方法：在线英文检索Pubmed数据库、Embase数据库，中文检索中国知网（CNKI）数据库、中国生物医学（CBM）数据库、维普（VIP）数据库、万方数据库，搜集近10年来关于针刺治疗产后抑郁症的临床随机对照试验类相关文献，采用RevMan 5.3进行Meta分析。结果：共纳入文献14篇，HAMD结果示合并后WMD=-1.27，95%CI（-2.55，0.01），经Z检验，Z=1.95，P=0.05，治疗组和对照组疗效差异有统计学意义。EPDS结果示合并后WMD=-0.53，95%CI（-0.92，-0.03），经Z检验，Z=2.08，P＜0.05，治疗组和对照组疗效差异有统计学意义。利用雌二醇为标准的分析中，结果示合并后WMD=63.99，95%CI（13.39，114.60），经Z检验，Z=2.48，P<0.05，治疗组与对照组疗效差异有统计学意义。利用有效率为标准的分析中，结果示合并后OR=3.15，95%CI（2.19，4.55），经Z检验，Z=6.14，P<0.05，治疗组与对照组疗效差异有统计学意义。结论：针刺治疗产后抑郁症有效，但仍需要更多高质量大样本的临床随机对照试验来进行验证。[关键词] 针刺 产后抑郁 Meta分析《世界针灸杂志》简介：
《世界针灸杂志》创刊于1991年，由国家中医药管理局主管，世界针灸学会联合会、中国中医科学院针灸研究所、中国针灸学会联合主办，英文版，并与意大利中医针灸学会合作出版意大利文版，与巴西中医针灸学院合作出版葡萄牙文版。 本刊开辟有临床研究、实验研究、临床观察与报道、针灸教育与学术讲座、医史文献、综述、消息报道、针灸仪器等栏目。在报道方面力图全面反映针灸学科各领域的最新研究成果，传递针灸学术的最新动态与消息，注重针灸医学的实用性，重点反映针灸临床各科的最新治疗经验，为全世界针灸工作者提供学习和经验交流的园地。 《世界针灸杂志》以推进我国针灸在国际上的广泛传播为宗旨,以提高我国针灸界在国际上的学术地位为目的,以全面反映国内外优秀的针灸研究成果为任务,努力挺进国际著名科学文献数据库。编委来自13个国家共32人。创刊20年来,不断努力,打造国际化精品期刊。据中国知网统计报告,《世界针灸杂志》已经进入10个国家和地区的著名机构的图书馆,其高端客户包括香港大学、澳门大学、香港中文大学、台中荣民总医院、台湾中国医药大学、哈佛大学、耶鲁大学、澳大利亚国家图书馆、法国国防部、牛津大学、韩医研究院、庆熙大学、日本国会图书馆、新加坡国家图书馆等。 《世界针灸杂志》是中国期刊全文数据库全文收录期刊，2012年起被收入国际著名出版集团Elsevier全文数据库。
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