干旱区生态环境知识资源中心(Arid): Efficacy of Acupuncture for Insomnia: A Systematic Review and Meta-Analysis

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DOI	10.1142/S0192415X21500543
	Efficacy of Acupuncture for Insomnia: A Systematic Review and Meta-Analysis
	Kim, Sung-A; Lee, Sook-Hyun; Kim, Jang-Hoon; van den Noort, Maurits; Bosch, Peggy; Won, Tiana; Yeo, Sujung; Lim, Sabina
通讯作者	Lim, S (corresponding author), Kyung Hee Univ, Coll Korean Med, Dept Meridian & Acupoint, 26 Kyungheedae Ro, Seoul 02447, South Korea. ; Yeo, S (corresponding author), Sangji Univ, Coll Korean Med, Dept Meridian & Acupoint, 83 Sangjidae Gil, Wonju 26339, Gangwon Do, South Korea.
来源期刊	AMERICAN JOURNAL OF CHINESE MEDICINE
ISSN	0192-415X
EISSN	1793-6853
出版年	2021
卷号	49 期号:5 页码:1135-1150
英文摘要	Patients with insomnia frequently use acupuncture as an alternative treatment to pharmacotherapy globally. The aim of this paper is to assess the effect of acupuncture on insomnia. Seven medical databases, including MEDLINE, EMBASE, CENTRAL, CNKI, RISS, NDSL, and OASIS, were used to identify studies published through July 09, 2020. Twenty-four randomized controlled trials (RCTs) were included in this qualitative review comparing acupuncture to either pharmacotherapy or sham-acupuncture therapy. Methodological quality was assessed, using the Cochrane risk of bias (ROB). In the subsequent quantitative meta-analysis of studies comparing acupuncture versus pharmacotherapy, fifteen RCTs demonstrated that acupuncture had a significant effect on patients with insomnia as assessed by the Pittsburgh sleep quality index (PSQI) (RR: -0.74; 95% CI: -1.07 to -0.40; P<0.0001; I-2 = 89%; n = 1475). A subgroup analysis showed that there was no significant effect after weeks 1 and 2, but six studies found that acupuncture had a significant effect insomnia at week 3 (RR: -0.97; 95% CI: -1.65 to -0.28; P = 0.006; I-2 = 91%; n = 463) and nine studies demonstrated a significant effect at week 4 (RR: -0.70; 95% CI: -1.15 to -0.25; P = 0.002; I-2 = 85%; n = 594). These results suggest that insomnia patients may experience significant improvement in symptoms after more than three weeks of acupuncture treatment compared to pharmacological treatments.
英文关键词	Insomnia Sleep Disorders Acupuncture Pittsburgh Sleep Quality Index Systematic Review Meta-Analysis
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000669900700006
WOS关键词	SLEEP QUALITY ; ELECTROACUPUNCTURE ; GUIDELINE ; INDEX
WOS类目	Integrative & Complementary Medicine ; Medicine, General & Internal
WOS研究方向	Integrative & Complementary Medicine ; General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/349434
作者单位	[Kim, Sung-A; Kim, Jang-Hoon; Lim, Sabina] Kyung Hee Univ, Coll Korean Med, Dept Meridian & Acupoint, 26 Kyungheedae Ro, Seoul 02447, South Korea; [van den Noort, Maurits; Won, Tiana; Lim, Sabina] Kyung Hee Univ, East West Med Res Inst, WHO Collaborating Ctr Tradit Med, Res Grp Pain & Neurosci, Seoul, South Korea; [Lee, Sook-Hyun] Jaseng Med Fdn, Jaseng Spine & Joint Res Inst, Seoul, South Korea; [Bosch, Peggy] Radboud Univ Nijmegen, Donders Inst Brain Cognit & Behav, NL-6525 HR Nijmegen, Netherlands; [Yeo, Sujung] Sangji Univ, Coll Korean Med, Dept Meridian & Acupoint, 83 Sangjidae Gil, Wonju 26339, Gangwon Do, South Korea
推荐引用方式 GB/T 7714	Kim, Sung-A,Lee, Sook-Hyun,Kim, Jang-Hoon,et al. Efficacy of Acupuncture for Insomnia: A Systematic Review and Meta-Analysis[J],2021,49(5):1135-1150.
APA	Kim, Sung-A.,Lee, Sook-Hyun.,Kim, Jang-Hoon.,van den Noort, Maurits.,Bosch, Peggy.,...&Lim, Sabina.(2021).Efficacy of Acupuncture for Insomnia: A Systematic Review and Meta-Analysis.AMERICAN JOURNAL OF CHINESE MEDICINE,49(5),1135-1150.
MLA	Kim, Sung-A,et al."Efficacy of Acupuncture for Insomnia: A Systematic Review and Meta-Analysis".AMERICAN JOURNAL OF CHINESE MEDICINE 49.5(2021):1135-1150.