干旱区生态环境知识资源中心(Arid): Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials

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DOI	10.1016/j.imr.2019.08.002
	Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials
	Kim, Sang-Ho; Jeong, Jin-Hyung; Lim, Jung-Hwa; Kim, Bo-Kyung
通讯作者	Kim, BK (corresponding author), Dong Eui Univ, Collerge Korean Med, Dept Neuropsychiat Korean Med, Busan, South Korea.
来源期刊	INTEGRATIVE MEDICINE RESEARCH
ISSN	2213-4220
EISSN	2213-4239
出版年	2019
卷号	8 期号:3 页码:216-226
英文摘要	Background: Insomnia symptoms are common, affecting almost 30% of the population of the population. Many use medications that may be ineffective and cause substantial harm. In complementary and alternative medicine, acupuncture is widely used to manage mental health problems. Acupuncture therapy emphasizes individualized treatment according to TCM pattern diagnosis. Although there are some systematic reviews that acupuncture has the benefit for insomnia, there is no systematic review on acupuncture using pattern identification. This review aimed for evaluating acupuncture efficacy using pattern-identification to treat insomnia. Methods: We carried out a comprehensive review of randomized controlled trials (from 2000 to April 12, 2018), using PubMed, Cochrane CENTRAL, EMBASE, CINAHL, PsycINFO, CNKI, and 3 Korean (OASIS, NDSL, RISS4U) databases, comparing acupuncture using pattern identification (only) with medication in primary insomnia. Response rate and the Pittsburgh Sleep Quality Index (PSQI) were the primary outcomes. Risk of bias and publication biases were evaluated, and meta-analyses were conducted. Results: Nineteen RCTs were included (11 manual acupuncture (1079 patients), 8 electro-acupuncture (442 patients)) of low quality. Meta-analyses of all studies reveled that acupuncture improved total effectiveness rate (Risk Ratio [RR] = 1.23, 95% confidence intervals [CIs]: 1.12-1.35, p <0.00001; I-2 = 80%) and PSQI (MD = -1.92, 95% CI: -2.41-1.42, p < 0.00001; I-2 = 30%) compared to medication. Results of overall risk of bias assessments were unclear or high. Conclusions: Acupuncture using pattern identification led to significantly improved total effectiveness rate compared to medication. With regard to PSQI, as compared to the control group, acupuncture using pattern identification was similar to medication. However, this study has limitations of high risk of bias, not using a standardized pattern-diagnosis-treatment and not comparing with standarized acupuncture without pattern identification. (C) 2019 Korea Institute of Oriental Medicine. Publishing services by Elsevier B.V.
英文关键词	Insomnia Acupuncture Pattern identification Systematic review Meta-Analysis Randomized controlled trial
类型	Review
语种	英语
开放获取类型	Green Published, gold
收录类别	SCI-E
WOS记录号	WOS:000487842500013
WOS关键词	ALTERNATIVE MEDICINE ; GENERAL-POPULATION ; COMPLEMENTARY ; SYMPTOMS ; ADULTS
WOS类目	Integrative & Complementary Medicine
WOS研究方向	Integrative & Complementary Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/369451
作者单位	[Kim, Sang-Ho] DaeguHaany Univ, Pohang Korean Med Hosp, Dept Neuropsychiat Korean Med, Pohang, South Korea; [Jeong, Jin-Hyung] Daejeon Univ, Dunsan Korean Med Hosp, Neuropsychiat, Daejeon, South Korea; [Lim, Jung-Hwa] Pusan Natl Univ Yangsan, Sch Korean Med, Dept Neuropsychiat, Pusan, South Korea; [Kim, Bo-Kyung] Dong Eui Univ, Collerge Korean Med, Dept Neuropsychiat Korean Med, Busan, South Korea
推荐引用方式 GB/T 7714	Kim, Sang-Ho,Jeong, Jin-Hyung,Lim, Jung-Hwa,et al. Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials[J],2019,8(3):216-226.
APA	Kim, Sang-Ho,Jeong, Jin-Hyung,Lim, Jung-Hwa,&Kim, Bo-Kyung.(2019).Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials.INTEGRATIVE MEDICINE RESEARCH,8(3),216-226.
MLA	Kim, Sang-Ho,et al."Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials".INTEGRATIVE MEDICINE RESEARCH 8.3(2019):216-226.