Review Article

The Effectiveness of Acupuncture in Management of Functional Constipation: A Systematic Review and Meta-Analysis

Table 2

Characteristics of included studies.

AuthorStudy sitesnDiagnostic criteriaParticipantsParticipants’ age (years, M ± SD)Disease course (M ± SD)DurationOutcomes

Acupuncture vs sham electroacupuncture
Da et al. [26]167Rome IIITreatment: 3437.94 ± 18.06139.59 ± 112.68 mos8 weeks①③⑥
Control: 3337.00 ± 17.89106.21 ± 91.98 mos
Lee et al. [27]129Rome IIITreatment: 1449.6 ± 12.7Not reported4 weeks①②⑥
Control: 1550.0 ± 10.5Not reported
Liu et al. [28]151075Rome IIITreatment: 53647.01 ± 16.5130.8 ± 122.6 mos8 weeks①②③⑤⑥
Control: 53947.33 ± 15.8132.7 ± 127.0 mos
Wu [29]1120Rome IIITreatment: 6049 ± 34.568.5 ± 94.5 mos8 weeks②③⑥
Control: 6052.63 ± 12.9101 ± 102.2 mos
Xue et al. [30]196Rome IIITreatment: 4848.85 ± 13.307.65 ± 6.48 yrs4 weeks④⑥
Control: 4845.25 ± 11.288.48 ± 5.76 yrs

Acupuncture vs polyethylene glycol
Chen [31]161Rome IIITreatment: 3048.80 ± 8.185.06 ± 3.66 mos4 weeks
Control: 3148.58 ± 8.144.94 ± 3.68 mos
Mao [32]162Rome IIITreatment: 3074.51 mos2 weeks⑤⑥
Control: 32731 mos
Ou [33]1170Rome IIITreatment: 8448.03 ± 17.1924.52 ± 11.32 mos4 weeks⑤⑥
Control: 8646.64 ± 15.7123.5 ± 10.36 mos

Acupuncture vs mosapride
Ding et al. [34]163Rome IIITreatment: 3334.83 ± 11.765.71 ± 2.54 yrs4 weeks
Control: 30
Lian et al. [35]163Rome IIITreatment: 3326.85 ± 8.273.44 ± 2.56 yrs4 weeks
Control: 3027.60 ± 7.862.92 ± 2.24 yrs
Wang et al. [36]168Rome IIITreatment: 3447.8 ± 10.17. 6 ± 6.4 yrs4 weeks
Control: 3446. 6 ± 11. 08.1 ± 5.9 yrs
Wang [37]154Rome IIITreatment: 3728.08 ± 13.4295.43 ± 103.03 mos4 weeks
Control: 1727.59 ± 9.7092.00 ± 78.48 mos

Acupuncture vs prucalopride
Dai [38]160Rome IIITreatment: 3040.48 ± 2.96110.76 ± 17.4 mos8 weeks①②③⑤
Control: 3042.80 ± 3.92150.48 ± 30.84 mos
Mao [39, 40]156Rome IIITreatment: 2844.85 ± 7.713.78 ± 2.12 yrs8 weeks①②③
Control: 2846.95 ± 9.833.88 ± 2.36 yrs
Song [41]139Rome IIITreatment: 2051.40 ± 12.90Not reported8 weeks①②③⑤
Control: 1949.16 ± 12.31Not reported
Wang et al. [42]160Rome IIITreatment: 3046 ± 74.52 ± 2.36 yrs4 weeks①②
Control: 3047 ± 84.64 ± 2.65 yrs
Wang [43]138Rome IIITreatment: 1941.53 ± 16.1576.68 ± 7.75 mos8 weeks①②③⑤
Control: 1935.29 ± 13.2676 ± 4.93 mos

Acupuncture vs cisapride
Zhou et al. [44]160The guidelines for clinical researchTreatment: 3037. 36 ± 10. 322. 54 ± 1. 63 yrs4 weeks
Control: 3039. 58 ± 11. 632. 72 ± 1. 76 yrs
Acupuncture vs lactulose
Jin [45]137Rome IIITreatment: 2239.14 ± 14.45115.18 ± 108.08 mos4 weeks
Control: 1545.13 ± 17.09157.4 ± 142.24 mos
Liu et al. [46]160Rome IIITreatment: 3053. 13 ± 9. 653.70 ± 2. 54 yrs2 weeks①⑤
Control: 3052.76 ± 8.873.96 ± 2.68 yrs
Ruan et al. [47]145Rome IIITreatment: 2168 ± 917.90 ± 9.77 mos3 weeks②③
Control: 2469 ± 816.92 ± 10.04 mos
Shi [48]160Rome IIITreatment: 3064.87 ± 4.2085.27 ± 3.51 yrs4 weeks②④⑥
Control: 3066.27 ± 3.5135.5 ± 3.94 yrs

Acupuncture vs sham acupuncture vs lactulose
Peng et al. [49, 50]3128Rome IIITreatment: 6453 ± 13125.1 ± 128.6 mos4 weeks④⑥
Control A: 3352 ± 17118 ± 105.8 mos
Control B: 3159 ± 1297.8 ± 123 mos
Wang et al. [51]195Rome IIITreatment: 4848.8 ± 13.37.65 ± 6.48 yrs4 weeks④⑥
Control A: 2440.8 ± 10.09.46 ± 5.89 yrs
Control B: 2344.6 ± 15.27.65 ± 5.65 yrs
Wu et al. [52]5475Rome IIITreatment: 22845.88 ± 16.85110.84 ± 99.85 mos4 weeks④⑥
Control A: 11246.25 ± 16.81109.25 ± 100.70 mos
Control B: 11544.12 ± 17.48111.04 ± 110.15 mos

Acupuncture vs mosapride vs mosapride & sham electroacupuncture
Xu [53]190Rome IIITreatment: 3035.26 ± 19.078.88 yrs4 weeks②③⑤⑥
Control A: 3035.42 ± 15.288.71 yrs
Control B: 3036.00 ± 17.208.83 yrs

Low intensity acupuncture vs high intensity acupuncture vs mosapride
Wu et al. [54]3190Rome IIITreatment A: 5834.00 ± 15.6270.44 ± 85.53 mos4 weeks
Treatment B: 6537.20 ± 18.1986.29 ± 104.06 mos
Control: 6743.60 ± 17.9068.09 ± 74.13 mos

Shu-mu vs He vs Shu-mu-he vs mosapride
Wu et al. [55]1104Rome IIITreatment A: 1961 (16)130 mos4 weeks
Treatment B: 3453 ± 12123 mos
Treatment C: 2656 ± 9217.35 mos
Control: 2555 ± 11130 mos

Notes: M ± SD, the mean ± standard deviation; mos, months; yrs, years; ① complete spontaneous bowel movement (CSBM); ② Bristol Stool Form Scale (BSFS); ③ responder rate; ④ constipation symptoms scores (CSS); ⑤ Patient Assessment Of Constipation Quality Of Life (PAC-QOL) questionnaire; ⑥ safety evaluation.