文章摘要
经皮穴位电刺激对术后睡眠质量影响的Meta分析
Effects of transcutaneous electrical acupoint stimulation on postoperative sleep quality: a meta-analysis
  
DOI：10.12089/jca.2025.08.011
中文关键词: 经皮穴位电刺激  术后  睡眠质量  Meta分析
英文关键词: Transcutaneous electrical acupoint stimulation  Postoperative period  Sleep quality  Meta-analysis
基金项目:无锡市“双百”卫生健康中青年后备拔尖人才项目（HB2023037）
作者单位E-mail
唐洁 214122, 江南大学无锡医学院  
吕凯丽 214122, 江南大学无锡医学院  
薛艳 214122, 江南大学无锡医学院  
俞萍 无锡市第二人民医院护理部 yuping4470@163.com 
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中文摘要:
      
目的： 系统评价经皮穴位电刺激对患者术后睡眠质量的影响。
方法：计算机检索PubMed、Embase、Web of Science、CINAHL、Cochrane Library、中国知网、万方数据库、中国生物医学文献服务网，纳入关于经皮穴位电刺激对患者术后睡眠质量影响的随机对照试验研究，检索时间为建库至2024年4月10日。由2名研究者独立进行文献筛选、资料提取、质量评价。采用RevMan 5.3软件进行Meta分析。
结果：共纳入文献14篇，1 213例患者，TEAS组599例，对照组614例。Meta分析结果显示，与对照组比较，TEAS组术后睡眠质量（SMD=-0.83，95%CI -1.06～-0.60，P＜0.001）明显改善，睡眠时间（SMD=0.70，95%CI 0.31～1.08，P=0.0004）明显延长。亚组分析显示，在单次干预时间、干预次数、疏密波频率、干预时机亚组中，与对照组比较，TEAS组睡眠质量均明显改善（P<0.05）。
结论：经皮穴位电刺激有助于改善患者术后睡眠质量，延长睡眠时间。
英文摘要:
      
Objective: To evaluate the effect of transcutaneous electrical acupoint stimulation on sleep quality of postoperative patients.
Methods: The PubMed, Embase, Web of Science, CINAHL, Cochrane Library, CNKI, Wanfang Database, and Sinomed were electronically searched. Randomized controlled trials on the effect of transcutaneous electrical acupoint stimulation on sleep quality of postoperative patients were included. The retrieval time was from the establishment of the database to April 10, 2024. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias. RevMan 5.3 software was used for meta-analysis.
Results: A total of 14 studies involving 1 213 patients were included, 599 patients in the TEAS group and 614 patients in the control group. Meta-analysis showed that compared with the control group, the TEAS group had significantly improved sleep quality (SMD = -0.83, 95% CI -1.06 to -0.60, P < 0.001) and prolonged sleep duration (SMD = 0.70,95% CI 0.31 to 1.08, P = 0.0004) after surgery. Subgroup analysis showed that in the subgroups of single intervention time, intervention frequency, density wave frequency, and intervention timing, compared with the control group, the sleep quality of the TEAS group was significantly improved (P < 0.05).
Conclusion: The current evidence indicates that TEAS is helpful for improving the sleep quality and prolong the sleep time of postoperative patients.
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