Please use this identifier to cite or link to this item:
Title: Comparative Utility of Acupuncture and Western Medication in the Management of Perimenopausal Insomnia: A Systematic Review and Meta-Analysis.
Austin Authors: Zhao, Fei-Yi;Fu, Qiang-Qiang;Kennedy, Gerard A ;Conduit, Russell;Wu, Wen-Zhong;Zhang, Wen-Jing;Zheng, Zhen
Affiliation: Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
Yangpu Hospital, Tongji University School of Medicine, Shanghai, China
School of Health and Biomedical Sciences, RMIT University, Bundoora, Victoria 3083, Australia
School of Science, Psychology and Sport, Federation University, Mount Helen, Victoria, Australia
Institute for Breathing and Sleep
Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200071, China
Department of Nursing, School of International Medical Technology, Shanghai Sanda University, Shanghai 201209, China
Issue Date: 26-Apr-2021
Date: 2021-04-26
Publication information: Evidence-Based Complementary and Alternative Medicine : eCAM 2021; 2021: 5566742
Abstract: Many women with perimenopausal insomnia (PMI) have sought alternative therapies such as acupuncture because of concerns about risks associated with hormone replacement therapy (HRT) and/or psychotropic drugs. This systematic review aimed to clarify if acupuncture alone or combined with standard Western pharmacotherapy (HRT and/or psychotropic drugs) is more effective in ameliorating PMI in comparison to pharmacotherapy alone. Randomized controlled trials (RCTs) of PMI treatment via acupuncture alone or combined with Western pharmacotherapy versus Western pharmacotherapy were searched for from eleven databases from inception to March 2020. Cochrane criteria were followed. Fifteen studies involving 1410 women were analyzed. Meta-analysis indicated that acupuncture significantly reduced the global scores of Pittsburgh Sleep Quality Index (PSQI) [MD = -2.38, 95% CI (-3.38, -1.37), p < 0.01] and Kupperman Index [MD = -5.95, 95% CI (-10.68, -1.21), p = 0.01], compared with hypnotics. Acupuncture combined with hypnotics was more effective than hypnotics alone in decreasing PSQI scores [MD = -3.13, 95% CI (-5.43, -0.83), p < 0.01]. Too few RCTs were available to investigate the clinical efficacy differences between acupuncture and HRT/psychotropic drugs other than hypnotics. Despite limited evidence, in comparison to hypnotics, acupuncture was associated with significant improvements in PMI, and reductions of other menopausal symptoms. This finding suggests that acupuncture may be a useful addition to treatment for PMI.
DOI: 10.1155/2021/5566742
ORCID: 0000-0001-9009-8870
Journal: Evidence-Based Complementary and Alternative Medicine : eCAM
PubMed URL: 33986818
ISSN: 1741-427X
Type: Journal Article
Appears in Collections:Journal articles

Show full item record

Page view(s)

checked on Dec 1, 2023

Google ScholarTM


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.