Acupoint Catgut Embedding for Insomnia: A Meta-Analysis of Randomized Controlled Trials
Joint Authors
Zhang, Huixing
Wang, Yue
Chen, Hui
Li, Zhen
Li, Wanrong
Xiong, Lize
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-06
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Objectives.
A Meta-analysis was carried out to evaluate the efficacy and safety of acupoint catgut embedding (ACE), a procedure of embedding sutures made of absorbable materials into the skin tissue of acupoints, on insomnia.
Methods.
Relevant clinical randomized controlled trials (RCTs) were comprehensively searched from eleven electronic databases (up to 1 March 2020).
Two authors independently screened literature, extracted data, and assessed the risk of bias of included studies.
Stata 12 and RevMan 5.3.0 software were used for meta-analysis.
PyCharm 2019 and Gephi software (version 0.9.2) were used for complex network analysis.
Results.
Thirty-four RCTs involving 2,655 patients were included.
The meta-analysis suggested that ACE induced a better clinical efficacy compared with that in the estazolam tablets (EZ) group (RR = 1.22, 95% CI: 1.13, 1.31) or in the acupuncture (ACU) group (RR = 1.21, 95% CI: 1.14, 1.28) and could significantly reduce the score of Pittsburgh Sleep Quality Index (P<0.05).
ACE resulted in better long-term efficacy compared to that in the EZ group (RR = 1.87, 95% CI: 1.58, 2.22) and ACU group (RR = 1.30, 95% CI: 1.14, 1.48).
ACE could significantly reduce the incidence of adverse events (RR = 0.30, 95% CI: 0.15, 0.60) compared with that in the EZ group.
Complex network analysis indicated that acupoints of BL23, SP6, PC6, BL15, BL20, BL18, and HT7 were the core acupoints selected in ACE for insomnia.
Conclusion.
The clinical efficacy of ACE for insomnia is better than that of other interventions (EZ and ACU) in both short-term and long-term observations.
Considering the efficacy and reduced visits to the clinic by ACE, the present study provides a practical and convenient complementary and alternative therapy for insomnia.
This trial is registered with PROSPERO CRD 42020169866.
American Psychological Association (APA)
Li, Wanrong& Li, Zhen& Zhang, Huixing& Wang, Yue& Chen, Hui& Xiong, Lize. 2020. Acupoint Catgut Embedding for Insomnia: A Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1156576
Modern Language Association (MLA)
Li, Wanrong…[et al.]. Acupoint Catgut Embedding for Insomnia: A Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-14.
https://search.emarefa.net/detail/BIM-1156576
American Medical Association (AMA)
Li, Wanrong& Li, Zhen& Zhang, Huixing& Wang, Yue& Chen, Hui& Xiong, Lize. Acupoint Catgut Embedding for Insomnia: A Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1156576
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156576