Review Article

Efficacy and Safety of Acupuncture in the Treatment of Poststroke Insomnia: A Systematic Review and Meta-Analysis of Twenty-Six Randomized Controlled Trials

Table 1

Characteristics of the included literature.

Study cohortCountryNo.AgeInterventionsCourse (days)Outcome
(C/T)(C/T)CT

Gao et al., 2009 [16]China54 (26/28)63.40 ± 7.50/64.60 ± 6.20Estazolam (1 mg, Qd)Acupuncture (Shuigou-GV26, Shaoshang-LU11, Yinbai-SP1, Daling-PC7, Shenmai-BL62, Fengfu-GV16, Jiache-ST6, Chengjiang-RN24, Quchi-LI11, etc.), Qd30①, ②
Hao et al., 2016 [17]China54 (27/27)58.02 ± 7.96/57.71 ± 8.25Estazolam (0.5–1 mg, Qd)Acupuncture (Zusanli-ST36, Guanyuan-RN4, Hegu-LI4, Baihui-GV20, Quchi-LI11, etc.)28①, ②
Hou et al., 2018 [18]China60 (30/30)62.00 ± 5.00/61.00 ± 5.00Diazepam (2.5 mg, Qn)Acupuncture (Baihui-GV20, Ningshen, Neiguan-PC6, Taiyang-EX-HN5, Sanyinjiao-SP6, Zhaohai-KI6, Zusanli-ST36), 40 min, Qd30
Huang et al., 2019 [19]China60 (30/30)59.47 ± 8.34/60.17 ± 10.12Estazolam (1-2 mg, Qd)Acupuncture and moxibustion of invigorating spleen and regulating spirit (Zhongwan-RN12, Tianshu-ST25, Zusanli-ST36, etc.) + Yintan-GV29 + Zusanli-ST36 moxibustion, 30 min, 5 times/week, 4 weeks28①, ②
Jia, 2010 [20]China60 (30/30)63.10 ± 7.00/62.50 ± 6.40Estazolam (2 mg, Qd)Acupuncture (Shenmen-HT7, Sanyinjiao-SP6, Shenting-GV24, Sishencong-EX-HN1, Neiguan-PC6, Taichong-LR3, Taixi-KI3), 20–30 min, 5 times/week28①, ②, ③
Ji, 2016 [21]China60 (30/30)65/63Estazolam (2 mg, Qd)Acupuncture (Sanyinjiao-SP6, Baihui-GV20, Anmian, Neiting-ST44, Fenglong-ST40, Shenting-GV24, Shenmen-HT7, etc.), 30 min, Qd28①, ③
Li, 2007 [22]China64 (32/32)67.30 ± 8.30/69.80 ± 7.10Diazepam 2.5 mg or estazolam 1 mg, QdAcupuncture (Shenmen-HT7, Sanyinjiao-SP6, Shenting-GV24, Sishencong- EX-HN1, Neiguan-PC6, etc) + auricular point: Shenmen, 20∼30 min, 6 times/week28①, ②
Li, 2015 [23]China80 (40/40)50.00 ± 3.00/51.10 ± 2.40Estazolam (2 mg, Qd)Acupuncture (Shenmai-BL62, Zhaohai-KI6, Dazhui-GV14, Guanyuan-RN4, Taichong-LR3, Quchi-LI11, etc.), 20 min, 5 times/week28①, ②
Liu, 2006 [24]China62 (30/32)67.50 ± 8.20/69.90 ± 6.90Diazepam 2.5 mg or estazolam 1 mg, QdAcupuncture (Shenmen-HT7, Sanyinjiao-SP6, Shenting-GV24, Sishencong- EX-HN1, Neiguan-PC6, etc.) + auricular point (Shenmen), 30 min, 5 times/week28①, ②
Liu et al., 2017 [25]China70 (35/35)63.02 ± 7.79/62.08 ± 7.82Estazolam (1 mg∼2 mg, Qd)Acupuncture (Baihui-GV20, Shenting-GV24, Guanyuan-RN4, Qihai-RN6, Shenmen-HT7, Sanyinjiao-SP6, etc.), 30 min, 5 times/week28①, ②, ③
Liu and Zhang, 2017 [26]China72 (36/36)52.08 ± 6.19/52.31 ± 8.26Estazolam (1 mg, Qd)Auricular acupuncture (Xin, Shenmen, Neifenmi, Jiaogan, etc.), every 3 days, 2 times/week28①, ②
Lu et al., 2008 [27]China50 (25/25)62.40 ± 4.88/61.48 ± 3.72Diazepam (5 mg, Qd)Acupuncture (Shenting-GV24, Baihui-GV20, Fengfu-GV16, Shendao-GV11, Shenshu-BL23, Taixi-KI3, Shenmen-HT7, Neiguan-PC6), 30 min, 6 times/week28①, ②
Ma et al., 2016 [28]China80 (40/40)63.70 ± 4.94/61.88 ± 5.16Estazolam (1 mg, Qd)Acupuncture (Baihui-GV20, Shenting-GV24, Guanyuan-RN4, Qihai-RN6, Shenmen-HT7, Sanyinjiao-SP6, etc.), 30 min, Qd28①, ②, ③
Mi et al., 2009 [29]China80 (40/40)63.11 ± 11.96/65.28 ± 10.55Estazolam (1 mg, Qd)Acupuncture (Shuigou-GV26, Neiguan-PC6, Sanyinjiao-SP6, JIquan-HT1, Chize-LU5, Weizhong-BL40, Zhongwan-RN12, etc.), 30 min, 5 times/week28①, ②
Qin et al., 2019 [30]China70 (35/35)51.80 ± 5.10/52.50 ± 5.30Estazolam (1 mg, Qd)Acupuncture (Shendao-GV11, Shuigou-GV26, Shenting-GV24, Shenshu-BL23, Taixi-KI3), 50 min, Qd28①, ②
Sun, 2013 [31]China85 (43/42)73.00 ± 10.56/74.83 ± 8.84Estazolam (1 mg, Qd)Cowherb seed ear beans (Xin, Shenmen, Pizhixia, etc.), 3 min, Tid)28①, ②
Tang and Zhang, 2015 [32]China65 (31/34)59.68 ± 8.73/58.25 ± 9.31Estazolam (2 mg, Qd)Acupuncture (Shenting-GV24, Benshen-GB13, Shenmen-HT7, etc.), 30 min, 5 times/week28①, ②
Wu et al., 2020 [33]China76 (38/38)59.31 ± 3.51/58.22 ± 3.42Estazolam (1 mg, Qd)Estazolam + acupuncture (Baihui-GV20, Shenting-GV24, Yintan-GV29, Sishencong- EX-HN1, etc.), 30 min, Qd, 6 times/week28①, ②
Wang et al., 2018 [34]China152 (76/76)64.00 ± 6.00/64.00 ± 6.00Zopiclone (3 mg, Qd)Zopiclone + acupuncture (Baihui-GV20, Taiyang-EX-HN5 Zusanli-ST36), 20–30 min, Qd28①, ②
Xie, 2018 [35]China83 (40/43)58.15 ± 12.20/56.94 ± 9.83Estazolam (2 mg, 4–6 times/week)Acupuncture (Sanyinjiao-SP6, Shenmen-HT7, Sishencong-EX-HN1, Taichong-LR3, Neiguan-PC6, Taixi-KI3, etc), 20–30 min, 6 times/week28①, ②, ③
Xu et al., 2012 [36]China60 (30/30)62.40 ± 4.78/62.48 ± 3.66Diazepam (5 mg, Qd)Acupuncture (Shenting-GV24, Baihui-GV20, Fengfu-GV16, Shendao-GV11, Sishencong-EX-HN1), 30 min, 6 times/week28①, ②
Yang, 2015 [37]China65 (32/33)63.20 ± 7.21/65.20 ± 7.64Estazolam (2 mg, Qd)Moxibustion (Dazhui-GV14 to Yaoyangguan-GV3), 45 min, 3 times/week90①, ②
Ye et al., 2010 [38]China60 (30/30)62.40 ± 4.88/61.48 ± 3.72Diazepam (5.0 mg, Qd)Acupuncture (Shenting-GV24, Baihui-GV20, Fengfu-GV16, Shendao-GV11, Sishencong-EX-HN1), 30 min, 6 times/week28
Zhang, 2012 [39]China80 (40/40)60.4/58.7Diazepam 2.5 mg or estazolam 1 mg, QdAcupuncture (Shenmen-HT7, Baihui-GV20, Shenting-GV24, etc.) + auricular acupuncture (Xin, Pi, Shenmen, Jiaogan), 30 min, 6 times/week28①, ②
Zhang and Zhau, 2016 [40]China71 (36/35)74.70 ± 13.10/74.40 ± 9.38EstazolamEstazolam + auricular point pressing (Pizhixia, Shenmen, Shenjingshuairuoqu, Zhen, etc.), 3 min, 2 times/week40
Zhuang and Jiang, 2014 [41]China99 (50/49)61.06 ± 8.72/63.88 ± 8.07Estazolam (1 mg, Qd)Acupuncture (Sishencong-EX-HN1, Neiguan-PC6, Shenmen-HT7, Laogong-PC8, etc.), 30 min, Qd30

Note. “-”: not mentioned; ①: total effective rate; ② Pittsburgh sleep quality index (PSQI); ③ adverse reactions.