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The Clinical Effect of Acupuncture in the Treatment of Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Lv ZT, Jiang WX, Huang JM, Zhang JM, Chen AM - Evid Based Complement Alternat Med (2016)

Bottom Line: Electroacupuncture (EA) was better in improving the AHI and apnea index when compared with control treatment, but no statistically significant differences in hypopnea index and mean SaO2 were found.Conclusion.Compared to control groups, both MA and EA were more effective in improving AHI and mean SaO2.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.

ABSTRACT
Purpose. This study aims to determine the clinical efficacy of acupuncture therapy in the treatment of obstructive sleep apnea. Methods. A systematic literature search was conducted in five databases including PubMed, EMBASE, CENTRAL, Wanfang, and CNKI to identify randomized controlled trials (RCTs) on the effect of acupuncture therapy for obstructive sleep apnea. Meta-analysis was conducted using the RevMan version 5.3 software. Results. Six RCTs involving 362 subjects were included in our study. Compared with control groups, manual acupuncture (MA) was more effective in the improvement of apnea/hypopnea index (AHI), apnea index, hypopnea index, and mean SaO2. Electroacupuncture (EA) was better in improving the AHI and apnea index when compared with control treatment, but no statistically significant differences in hypopnea index and mean SaO2 were found. In the comparison of MA and nasal continuous positive airway pressure, the results favored MA in the improvement of AHI; there was no statistical difference in the improvement in mean SaO2. No adverse events associated with acupuncture therapy were documented. Conclusion. Compared to control groups, both MA and EA were more effective in improving AHI and mean SaO2. In addition, MA could further improve apnea index and hypopnea index compared to control.

No MeSH data available.


Related in: MedlinePlus

Flowchart of the literature search.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig1: Flowchart of the literature search.

Mentions: The literature screening process is presented in Figure 1. An initial search yielded 216 potential literature citations, including 14 records from Pubmed, 11 from CENTRAL, 71 from EMBASE, 38 from Wanfang, and 82 from CNKI. 58 records were excluded because they were duplicates. 158 studies were considered potentially eligible by reading their titles and abstracts. According to the predetermined inclusion criteria, 14 articles remained to be evaluated using a full-text screen. Of the remaining 14 studies, one study was excluded because it was not RCT, two studies were excluded because they were duplicates, and five studies were excluded because of unavailable data reported. Finally, six studies [22–27] were deemed eligible to be included in our meta-analysis.


The Clinical Effect of Acupuncture in the Treatment of Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Lv ZT, Jiang WX, Huang JM, Zhang JM, Chen AM - Evid Based Complement Alternat Med (2016)

Flowchart of the literature search.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4834396&req=5

fig1: Flowchart of the literature search.
Mentions: The literature screening process is presented in Figure 1. An initial search yielded 216 potential literature citations, including 14 records from Pubmed, 11 from CENTRAL, 71 from EMBASE, 38 from Wanfang, and 82 from CNKI. 58 records were excluded because they were duplicates. 158 studies were considered potentially eligible by reading their titles and abstracts. According to the predetermined inclusion criteria, 14 articles remained to be evaluated using a full-text screen. Of the remaining 14 studies, one study was excluded because it was not RCT, two studies were excluded because they were duplicates, and five studies were excluded because of unavailable data reported. Finally, six studies [22–27] were deemed eligible to be included in our meta-analysis.

Bottom Line: Electroacupuncture (EA) was better in improving the AHI and apnea index when compared with control treatment, but no statistically significant differences in hypopnea index and mean SaO2 were found.Conclusion.Compared to control groups, both MA and EA were more effective in improving AHI and mean SaO2.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.

ABSTRACT
Purpose. This study aims to determine the clinical efficacy of acupuncture therapy in the treatment of obstructive sleep apnea. Methods. A systematic literature search was conducted in five databases including PubMed, EMBASE, CENTRAL, Wanfang, and CNKI to identify randomized controlled trials (RCTs) on the effect of acupuncture therapy for obstructive sleep apnea. Meta-analysis was conducted using the RevMan version 5.3 software. Results. Six RCTs involving 362 subjects were included in our study. Compared with control groups, manual acupuncture (MA) was more effective in the improvement of apnea/hypopnea index (AHI), apnea index, hypopnea index, and mean SaO2. Electroacupuncture (EA) was better in improving the AHI and apnea index when compared with control treatment, but no statistically significant differences in hypopnea index and mean SaO2 were found. In the comparison of MA and nasal continuous positive airway pressure, the results favored MA in the improvement of AHI; there was no statistical difference in the improvement in mean SaO2. No adverse events associated with acupuncture therapy were documented. Conclusion. Compared to control groups, both MA and EA were more effective in improving AHI and mean SaO2. In addition, MA could further improve apnea index and hypopnea index compared to control.

No MeSH data available.


Related in: MedlinePlus