Review Article

Efficacy Comparison of Different Acupuncture Treatments for Primary Insomnia: A Bayesian Analysis

Table 1

Characteristics of included studies.

Studies (year)Diagnostic criteriaMean age (years) (T/C)Course of disease (T/C) (y, years; m, months; d, days)Cases (T/C)InterventionTreatment timeEfficacy criteriaFollow-up and AEs
TreatmentControl

Bo et al. (2016) [18]ICSD-2(43.25 ± 9.56)/(47.21 ± 8.31)(3.15 ± 1.24)/(4.10 ± 1.06) y40/40W-ACUEstazolam8 weeksV5
Chen et al. (2013) [19]CCMD-3(33 ± 12)/(35 ± 12)(25.4 ± 26.6)/(33.4 ± 52.3) m107/104C-ACUEstazolam2 weeksV42 weeks, AEs
Cheng et al. (2015) [20]V152.9/54.1(2.7 ± 1.6)/(2.9 ± 1.9) y63/61S-ACUEstazolam20 daysV1
Dong et al. (2008) [32]CCMD-2R(57.4 ± 9.1)/(58.4 ± 8.6)(2.7 ± 2.1)/(2.8 ± 2.65) y36/35S-ACUC-ACU30 daysV1
Guan et al. (2013) [21]ICD-10(14 ∼ 65)/(15 ∼ 66)(1 ∼ 10)/(1 ∼ 10) y40/40C-ACUDiazepam + oryzanol + VB120 daysV1
Huang et al. (2011) [33]CCMD-340/38(17/19) m30/30S-ACUEstazolam20 daysV1
Kan et al. (2018) [27]CCMD-3(49.74 ± 8.64)/(48.63 ± 8.44)(166.42 ± 27.48)/(171.38 ± 36.42) d35/35W-ACUEstazolam6 weeksV1AEs
Kong et al. (2011) [34]V1(30 ∼ 62)/(28 ∼ 64)(2m ∼ 6 y)/(2m ∼ 7 y)54/52C-ACUDiazepam20 daysV1
Li et al. (2014) [28]CCMD-353.5/54.5(4.8/6.2) y30/30E-ACUEstazolam20 daysV1
Li et al. (2018) [29]CCMD-3(43.07 ± 7.51)/(43.33 ± 7.08)(5.64 ± 2.24)/(5.96 ± 1.86) m30/30S-ACUC-ACU4 weeksV1
Liang et al. (2009) [35]V242.3/40.8(5.6/5.1) y40/30E + S-ACUC-ACU10 daysV1
Liao et al. (2013) [36]CCMD-2-R(45.23 ± 14.10)/(43.10 ± 12.16)(14.27 ± 7.78)/(16.47 ± 7.49) d30/30E-ACUEstazolam20 daysV4
Liu et al. (2010) [37]V242.2/40.5(4.5/4.7) y30/30E + S-ACUEstazolam20 daysV1
Liu et al. (2013) [38]CCMD-3(36.74 ± 9.31)/(35.66 ± 8.99)(25.3 ± 7.6)/(25.9 ± 10.3) m45/45E-ACUDiazepam10 daysV2
Liu et al. (2015) [39]CCMD-3 + ICD-10(21 ∼ 70)/(23 ∼ 68)(3 ∼ 32)/(4 ∼ 34) m98/98C-ACUEstazolam20 daysV4AEs
Luo et al. (2006) [40]CCMD-3(39.53 ± 13.62)/(40.00 ± 13.02)(34.78 ± 13.25)/(36.23 ± 10.54)m32/32C-ACUClonazepam4 weeksV2, V3
Luo et al. (2008) [41]CCMD-3(45.3 ± 4.4)/(46.2 ± 5.1)(3.1 ± 0.1)/(3.2 ± 0.2) m30/30C-ACUEstazolam4 weeksV1
Pi et al. (2018) [42]ICD-10(43.34 ± 12.28)/(43.45 ± 13.28)(45.15 ± 14.72)/(48.67 ± 15.94) m60/30C-ACUEstazolam4 weeksV5
Qi et al. (2008) [43]CCMD-3(53.73 ± 15.97)/(58.22 ± 13.82)(14.63 ± 15.97)/(18.22 ± 13.82) m38/38C-ACUAlprazolam5 weeksV4AEs
Ren et al. (2017) [44]CCMD-3(56.8 ± 9.14)/(56.2 ± 8.69)(52.1 ± 11.2)/(54.5 ± 12.1) m32/32C-ACUZopiclone4 weeksV5AEs
Shi et al. (2016) [45]V1(42.51 ± 9.44)/(41.85 ± 9.97)(19.33 ± 4.71)/(18.51 ± 5.36) m39/36E + S-ACUEstazolam4 weeksV1
Song et al. (2017) [46]V2(46.1 ± 13.7)/(46.5 ± 13.2)(4.3 ± 1.2)/(4.5 ± 1.1) y39/39W-ACUNitrazepam30 daysV1
Wang et al. (2006) [47]CCMD-316 ∼ 75(59.16 ± 73.97)/(65.33 ± 101.33) m90/90C-ACUClonazepam4 weeksV2, V33 months
Wang et al. (2013) [30]CCMD-3(34 ± 5.2)/(36 ± 8.5)4 w ∼ 10 y25/25E + S-ACUEstazolam20 daysV3
Wang et al. (2015) [48]CCMD-3 + ICD-1038.83 ± 7.0445 d∼2 y30/30C-ACUEstazolam4 weeksV1
Wang et al. (2016a) [49]CCMD-3(53 ± 13.43)/(53 ± 11.37)(2.35 ± 2.02)/(2.07 ± 1.10) y34/34C-ACUEstazolam4 weeksV2
Wang et al. (2016b) [50]CCMD-3(46.72 ± 9.16)/(47.6 ± 9.09)(28.50 ± 10.89)/(30.13 ± 9.06) m32/30W-ACUZopiclone2 weeksV51 month
Wang et al. (2016c) [51]CCMD-316 ∼ 683 m ∼ 10 m44/44E-ACUC-ACU30 daysV13 months
Wang et al. (2016d) [52]CCMD-345.3 ± 2.4Not mention35/35W-ACUC-ACU36 daysV1
Wang et al. (2018) [53]CCMD-3(46.78 ± 3.96)/(45.99 ± 4.47)(6.03 ± 1.98)/(6.29 ± 2.14) m39/39C-ACUZolpidem4 weeksV1AEs
Wu et al. (2014) [54]ICD-10(50.0 ± 14.3)/(50.6 ± 15.4)(14.9 ± 8.5)/(16.9 ± 9.8) m20/20C-ACUEstazolam4 weeksV2AEs
Xu et al. (2014) [55]CCMD-3(38.6 ± 11.5)/(39.5 ± 11.6)(5.7 ± 3.3)/(5.6 ± 3.2) m45/30E-ACUEstazolam21 daysV1
Xu et al. (2016) [56]CCMD-320 ∼ 651 m ∼ 2 y35/35C-ACUEstazolam6 weeksV31 months
Xuan et al. (2007) [57]ICD-10(47.05 ± 10.54)/(51.05 ± 13.27)(69.75 ± 82.10)/(57.38 ± 48.29) m24/22C-ACUEstazolam30 daysV5
Zhang et al. (2010) [58]CCMD-3(37.2 ± 14.4)/(39.4 ± 13.7)(13.1 ± 6.9)/(10.5 ± 5.1) m28/28S-ACUC-ACU30 daysV1
Zhang et al. (2015) [59]V1(42 ± 12)/(41 ± 11)(3.50 ± 2.53)/(3.14 ± 2.55) y38/37C-ACUEstazolam20 daysV1, V3
Zhao et al. (2018) [60]CCMD-3Not mentionNot mention30/30E + S-ACUC-ACU8 weeksV1
Zheng et al. (2009) [61]CCMD-3(59 ± 15)/(58 ± 15)(473.76 ± 1315.12)/(333.67 ± 524.32) d46/46E-ACUEstazolam20 daysV3
Zhou et al. (2010) [62]CCMD-3(35.1 ± 12.9)/(37.4 ± 14.5)(13.3 ± 6.7)/(10.5 ± 5.1) m35/35S-ACUC-ACU20 daysV1
Zhou et al. (2016) [63]CCMD-3(45.5 ± 12.5)/(44.7 ± 11.8)Not mention33/32S-ACUEstazolam2 weeksV1
Zhou et al. (2018) [64]CCMD-3 + ICD-10(49.1 ± 16.7)/(48.7 ± 15.4)(14.0 ± 10.5)/(14.1 ± 10.4) m30/30C-ACUEstazolam4 weeksV1
Zhu et al. (2015) [65]CCMD-3(37 ± 4.5)/(35 ± 6.7)(22.7 ± 23.8)/(30.2 ± 24.4) m30/30E + S-ACUEstazolam21 daysV1

T, treatment group; C, control group; CCMD-3, Chinese Classification of Mental Disorders Third Revision; ICSD-2, International Classification of Sleep Disorders; ICD-10, International Classification of Disease Tenth Revision; CCMD-2-R, Chinese Classification of Mental Disorders Second Edition-Revision; V1, Guiding Principles for Clinical Study of New Chinese Medicines; V2, Standards for Diagnosis and Curative Effect of Chinese Medical Symptom; V3, Sleep Efficiency Calculation published by WHO; V4, Guiding Principles for Clinical Study of New Chinese Medicines combined with PSQI reducing rate; V5, PSQI reducing rate; AEs, adverse events; C-ACU, conventional acupuncture; E-ACU, electroacupuncture; S-ACU, scalp acupuncture; W-ACU, warm acupuncture; E + S-ACU, electroacupuncture combined scalp acupuncture.