睡眠障礙針灸療法的實證研究

Evidence-based Study for the Acupuncture Treatment of the Sleep Disorder

針灸治療失眠在臨床上十分廣泛運用，並且有很多的臨床病例報告（case report）報導，但是從實證醫學（Evidence-based medicine）的證據力（Level of Evidence）分類來看，這些零星的病例報告充其量只能算是證據力第四級而已。因此透過考科藍圖書館（Cochrane Library）的資料庫中找到一篇評論性的論文，題目為針刺治療失眠（Acupuncture for insomnia）。從該文章中可以發現，目前對於使用針刺及其類似的介入方法來治療失眠的臨床研究並不太多，而過去已經進行的臨床研究又往往不夠嚴謹，這提供了中醫界未來在進行臨床研究時應該要注意的重點。

Acupuncture is widely used to treat the insomnia clinically, and there are many clinical case reports. But these fragmentary case reports only can be regarded as the fourth level of evidence from the level of evidence in evidence-based medicine. So, a commentary paper is found from the database of Cochrane Library. The topic is acupuncture for insomnia. From the said paper, it is found that there are not many clinical researches for the treatment of insomnia by acupuncture and similar method at present. The previous clinical researches are not rigorous enough. This paper offers the focal points for future clinical research in Chinese medicine.