【摘要】 目的通过对检索的针刺结合心理疗法治疗失眠症的临床研究进行述评,探讨针刺结合心理疗法治疗失眠症的最佳治疗方法及其临床研究设计中存在的问题。方法通过计算机检索中国生物医学文献数据库,中国期刊全文数据库、维普期刊全文数据库及万方数据资源系统中2002.1—2013.6的有关针刺结合心理疗法治疗失眠的研究,对符合纳入标准的研究进行治疗方法和研究方法学评价。结果通过对治疗方法的评价发现,研究中运用的心理学治疗方法专业性较差;通过对研究方法的评价,发现近10年来针刺结合心理疗法治疗失眠的临床研究较少(仅有21项),按照循证医学系统评价手册推荐的评价方法,这些研究的质量不高。结论毫针针刺头部穴位结合认知—行为疗法是针刺结合心理疗法的最佳组合,临床亟待高质量的随机对照研究来证明针刺结合心理疗法治疗失眠有效。更多还原

【Abstract】 To provide reliable evidence for acupuncture combined with psychological treating insomnia. Locating studies of acupuncture combined with psychological treating insomnia from CNKI / WANGFANG / VIP( 2002. 1-2012. 12),including 21 related studies( 7 before-after studies and 14 RCTS),The quality,and discovering professional psychological treatment methods of these randomized controlled studyies were not strong. Acupuncture combined with psychological treatment is possibly effective for insomnia. However, because of lower ethodological quality of all the trials,this conclusion has no enough evidence. Acupuncture combined with psychological treatment needs coordinating between acupuncture department and psychological department.更多还原