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Acupuncture for Chronic Pain-Related Insomnia: A Systematic Review and Meta-Analysis
Fushui Liu1, Jianyu You1, Qi Li2
1College of Acupuncture-Moxibustion and Tuina, Jiangxi University of Traditional Chinese Medicine, Nanchang, China.
Summary
Acupuncture significantly improves outcomes for chronic pain-related insomnia (CPRI) compared to control groups. While effective and safe, further high-quality trials are needed to confirm these findings for CPRI management.
Area of Science:
- Integrative Medicine
- Pain Management
- Sleep Medicine
Background:
- Acupuncture is a common therapy for chronic pain-related insomnia (CPRI).
- The clinical effectiveness of acupuncture for CPRI remains uncertain.
- Evaluating acupuncture's efficacy in CPRI management is crucial.
Purpose of the Study:
- To systematically evaluate the efficacy and safety of acupuncture for treating CPRI.
- To synthesize evidence from randomized controlled trials (RCTs) comparing acupuncture to control interventions.
Main Methods:
- A comprehensive search of seven electronic databases was conducted up to December 2018.
- Included RCTs compared acupuncture with sham acupuncture or conventional drug therapies for CPRI.
- Data extraction and statistical analysis were performed using RevMan 5.3 software.
Main Results:
- Nine studies with 944 patients showed acupuncture significantly improved effective rate (OR=8.09) and cure rate (OR=3.17) versus controls.
- Acupuncture also significantly reduced Pittsburgh Sleep Quality Index (PSQI) (MD=-2.65) and Visual Analog Scale (VAS) (MD=-1.44) scores.
- No significant differences in cure rates (vs. sham acupuncture) or adverse events were observed.
Conclusions:
- Acupuncture therapy demonstrates efficacy and safety for managing CPRI.
- It can be recommended as a treatment option for patients with CPRI.
- Further high-quality, large-scale RCTs are recommended due to the limitations of current studies.
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