Meta-analysis of randomized controlled trials of acupuncture in the treatment of menopausal insomnia
Objective: We aimed to investigate the safety and efficacy of acupuncture in the treatment of climacteric insomnia compared with western medicine through a comprehensive metaanalysis. Methods: Literature retrieval, research selection and data extraction were done independently and in duplicate. E...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Editorial Board of Journal of Hainan Medical University
2021-04-01
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Series: | Journal of Hainan Medical University |
Subjects: | |
Online Access: | http://www.hnykdxxb.com/PDF/202108/08.pdf |
Summary: | Objective: We aimed to investigate the safety and efficacy of acupuncture in the treatment
of climacteric insomnia compared with western medicine through a comprehensive metaanalysis.
Methods: Literature retrieval, research selection and data extraction were done
independently and in duplicate. Effect-size estimates are expressed as risk ratio (RR) and
95% confidence interval (CI). Results: Summary data from 27 articles, involving a total of
2349 menopausal women, were meta-analyzed. The overall analysis showed that the clinical
cure rate (RR=1.85,95%CI:1.57~2.18, P < 0.001) of acupuncture was 1.85 times higher
than western medicine, and the markedly effective rate was 1.3 times higher than that of
westernmedicine (RR=1.30,95%CI:1.09~1.54, P=0.003). In terms of Pittsburgh Sleep quality
Index ((PSQI)), simple acupuncture is superior to western medicine in sleep quality, falling
asleep time, sleep time, sleep efficiency and daytime dysfunction. In the evaluation of adverse
reactions, the incidence of adverse events in the acupuncture-related therapy group (3.5%)
was lower than that in the western medicine group (12.5%). Conclusion: The results of metaanalysis
show that the clinical efficacy of acupuncture in the treatment of climacteric insomnia
is better than that of western medicine which has better efficacy and safety. The acupuncture
therapy is suitable for clinical. |
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ISSN: | 1007-1237 1007-1237 |