Meta-analysis on RCTs of menopause sleep disorders treated by acupuncture therapy

Objective To evaluate the clinical effectiveness of acupuncture in the treatment of peri-menopausal sleep disorders. Methods To collect acupuncture and moxibustion for the treatment of peri-menopausal sleep disorders, and to use the computer and manual search of relevant Chinese and English databases, using the quality evaluation method recommended by Cochrane Handbook. Quality evaluation was performed and statistical analysis was performed using RevMan 5.1.2 software. Results The systematic review included 11 randomized controlled trials with a total of 858 patients. The effective acupuncture therapy was compared with the drug control, and the difference was statistically significant [OR=5.99, 95% CI (2.32, 15.49), P=0.000 2]. Subgroup analysis showed that there was no significant difference between acupuncture and traditional Chinese medicine control [MD=2.34, 95% CI (0.23, 23.78), P=0.47]; There was a statistically significant difference between acupuncture and Western medicine, special acupuncture and Chinese and Western medicine. In terms of increasing serum estradiol level, there was a statistically significant difference between acupuncture and drugs [OR=33.69, 95% CI (29.87). , 37.50), P < 0.000 01]. In terms of improving sleep quality, there was no significant difference between acupuncture and drug control [MD=-0.62, 95% CI (-2.75, 1.51), P=0.57]. Conclusion Acupuncture It has a certain effect on peri-menopausal sleep disorders.