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Author (up) Ying Lan; Xi Wu; Hui-Juan Tan; Nan Wu; Jing-Jing Xing; Fu-Sheng Wu; Lei-Xiao Zhang; Fan-Rong Liang url  doi
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  Title Auricular acupuncture with seed or pellet attachments for primary insomnia: a systematic review and meta-analysis Type of Study Systematic Review
  Year 2015 Publication BMC Complementary & Alternative Medicine Abbreviated Journal Bmc Complement Altern Med  
  Volume 15 Issue 103 Pages 1-14  
  Keywords Systematic Review; Sleep Disorders; Sleep Initiation and Maintenance Disorder; Insomnia; Auricular Acupressure; Ear Seeds  
  Abstract Background: Primary insomnia is a common health issue in the modern world. We conducted a systematic review of the auricular therapy, aiming to evaluate whether there are advantages of auricular acupuncture with seed or pellet attachments for the treatment of primary insomnia.

Methods: A search of relevant literatures was performed on major medical databases, including Medline, Embase, CENTRAL, CBM, CNKI, VIP, Wanfang Data and so on. Risk of bias evaluation, meta-analysis, sensitivity analysis and evidence rating of all extracted information were conducted also.

Results: A total of 1381 records were identified, with 15 studies deemed eligible for the present review. Meta-analyses were conducted in two comparisons separately: participants received auricular acupuncture were more likely to make an improvement in clinical effective rate (RR = 1.40, 95% CI 1.07 to 1.83), sleep duration (MD = 56.46, 95% CI 45.61 to 67.31), sleep efficiency(MD = 12.86, 95% CI 9.67 to 16.06), global score on PSQI (MD = -3.41, 95% CI -3.93 to -2.89), number of awakenings( MD = -3.27, 95% CI -6.30 to -0.25) and sleep onset latency(MD = -10.35, 95% CI -14.37 to -6.33) when compared to sham auricular acupuncture or placebo; while in auricular acupuncture VS medications comparison, a better effective rate (RR = 1.24, 95% CI 1.15 to 1.34), better sleep efficiency(MD = 21.44, 95% CI 16.30 to 26.58), lower PSQI score (MD = -3.62, 95% CI -4.59 to -2.65) and less adverse effect (RR = 0.11, 95% CI 0.04 to 0.26) can be seen also in auricular acupuncture group. Although these results suggested benefits of auricular acupuncture, the overall quality of evidence rated by the GRADE system was low.

Conclusion: Statistical analyses of the outcomes revealed a positive effect of auricular acupuncture for primary insomnia. Nonetheless, considering the poor methodological quality, insufficient sample size and possible publication bias, current evidence is not yet adequate to provide a strong support for the use of auricular acupuncture in the treatment of primary insomnia. More strictly designed clinical studies will be needed to obtain a more explicit conclusion.
 
  Address Acupuncture and Tuina School/Third Teaching Hospital, Chengdu University of Traditional Chinese Medicine, No.37, Shierqiao Road, Jin Niu District, Chengdu, Sichuan 610075, China  
  Publisher BioMed Central
  Language Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition Sleep Initiation and Maintenance Disorder
  Disease Category Sleep Disorders OCSI Score  
  Notes Approved no  
  Call Number OCOM @ refbase @ Serial 2310  
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