Journal of Traditional Chinese Medicine ›› 2024, Vol. 44 ›› Issue (1): 16-26.DOI: 10.19852/j.cnki.jtcm.20231204.006
• Meta-Analyses • Previous Articles Next Articles
LIU Tingting1, LIU Tongou2(), LIU Mingfu3
Received:
2022-08-22
Accepted:
2022-11-28
Online:
2024-02-15
Published:
2023-12-04
Contact:
LIU Tongou, Hubei University of Chinese Medicine, Wuhan 430000, China. lucklt2021@yeah.net. Telephone: +86-13349789495
Supported by:
LIU Tingting, LIU Tongou, LIU Mingfu. Effectiveness and safety of acupuncture in treatment of pregnancy-related symptoms: a systematic review and Meta-analysis[J]. Journal of Traditional Chinese Medicine, 2024, 44(1): 16-26.
Figure 1 Flow chart of the study selection CNKI: China National Knowledge Infrastructure Database; CBM: Chinese Biomedical Literature Database; not-RCT: non-randomized controlled trial.
Study | Country | Intervention (n) | Treatment course | Primary Outcome Measure | Adverse reaction | ||
---|---|---|---|---|---|---|---|
Study group | Control group | Control group | |||||
Foroughinia S et al 2020 | Nasrin | Acupuncture (n=36) | Sleep hygiene education+fake needle and non-penetrating needle (n=36) | / | Standard acupuncture was performed 10 times at 3 | PSQI score | No serious adverse event was reported. Only AE reported was stabbing pain |
Elden H et al 2008 | Sweden | Standard treatment+acupuncture group | Standard treatment+non-penetrating sham acupuncture group | / | Twice weekly for 4 weeks | VAS score | No serious adverse event |
Silva JBGD et al 2005 | Brazil | Acupuncture (n=17) | Non-acupuncture (n=13) | / | Eight weeks, 8-12 times | NRS score | One patient reported ecchymosis at some insertion points |
Silva JBGD et al 2004 | Brazil | Acupuncture treatment+conventional treatment (n=27) | Conventional treatment (n=34) | / | Eight weeks, 8-12 times | NRS score | No serious adverse event |
Silva JBGD 2007 | Brazil | Acupuncture+Conventional treatment (n=28) | Conventional treatment (n=23) | / | Eight weeks, 8-12 times | NRS score | Except for bruising, no serious adverse effects were observed |
Kvorning N et al 2004 | Sweden | Acupuncture (n=37) | No false stimulation (n=35) | / | Patients receive acupuncture twice a week during the first 2 weeks and no more than once a week thereafter. | VAS score | No serious adverse reactions to acupuncture were found in patients, and no adverse reactions were seen in infants and children. |
Christer PO et al 2000 | Sweden | Active PC6 Acupuncture+Standard Treatment (n=21) | Standard treatment+placebo acupuncture (n=19) | / | 8 d of treatment | VAS score | No significant adverse reactions were observed |
Gan YL et al 2021 | China | Intravenous nutrition therapy+acupuncture point moxibustion+ear point pressure bean (n=50) | Intravenous nutrition (n=50) | / | Both groups were treated for 7-10 d | Clinical efficiency | Not mentioned |
Xu Y et al 2015 | China | Routine rehydration + Acupuncture+Moxibustion (n=25) | Routine rehydration (n=35) | / | Treat once a day for 3 to 5 d | Clinical efficiency | No significant adverse reactions |
Xie HY 2013 | China | Acupuncture (n=47) | Routine rehydration (n=47) | / | 10 times for a course of treatment, treatment 1 treatment course | Clinical efficiency | Not mentioned |
Joan C 2017 | China | Routine rehydration+Acupuncture (n=35) | Routine rehydration (n=35) | / | 2 times/d, 1 week as a course of treatment | Clinical efficiency | No significant adverse reactions |
Jia YZ 2015 | China | Acupuncture (n=47) | Conventional treatment (n=47) | / | ≥1 time per week for 5 weeks of treatment | VAS score | No significant adverse reactions |
Huang WY, Luo BZ 2019 | China | Acupuncture (n=40) | Analgesic drugs (n=40) | / | week/time, 1 month of continuous needling | VAS score, AE | Low incidence of adverse reactions during treatment |
Jiang X 2021 | China | General health guidance+Acupuncture (n=35) | General health guidance (n=35) | / | 2 times/week for 6 weeks of treatment | VAS score | In the observation group, some patients showed fatigue and drowsiness; in the control group, 7 patients felt fatigued and weakness because of sleep disorder. |
Long Y et al 2014 | China | Acupuncture (n=40) | Not with treatment (n=40) | / | At least 1 time per week for 5 weeks | VAS score | No serious adverse reactions were found |
Zhao YL 2017 | China | Routine rehydration+Acupuncture (n=42) | Routine rehydration (n=42) | / | 5 d for 1 course of treatment, 2 courses of treatment | Clinical efficiency | Not mentioned |
Table 1 Basic information of the included studies
Study | Country | Intervention (n) | Treatment course | Primary Outcome Measure | Adverse reaction | ||
---|---|---|---|---|---|---|---|
Study group | Control group | Control group | |||||
Foroughinia S et al 2020 | Nasrin | Acupuncture (n=36) | Sleep hygiene education+fake needle and non-penetrating needle (n=36) | / | Standard acupuncture was performed 10 times at 3 | PSQI score | No serious adverse event was reported. Only AE reported was stabbing pain |
Elden H et al 2008 | Sweden | Standard treatment+acupuncture group | Standard treatment+non-penetrating sham acupuncture group | / | Twice weekly for 4 weeks | VAS score | No serious adverse event |
Silva JBGD et al 2005 | Brazil | Acupuncture (n=17) | Non-acupuncture (n=13) | / | Eight weeks, 8-12 times | NRS score | One patient reported ecchymosis at some insertion points |
Silva JBGD et al 2004 | Brazil | Acupuncture treatment+conventional treatment (n=27) | Conventional treatment (n=34) | / | Eight weeks, 8-12 times | NRS score | No serious adverse event |
Silva JBGD 2007 | Brazil | Acupuncture+Conventional treatment (n=28) | Conventional treatment (n=23) | / | Eight weeks, 8-12 times | NRS score | Except for bruising, no serious adverse effects were observed |
Kvorning N et al 2004 | Sweden | Acupuncture (n=37) | No false stimulation (n=35) | / | Patients receive acupuncture twice a week during the first 2 weeks and no more than once a week thereafter. | VAS score | No serious adverse reactions to acupuncture were found in patients, and no adverse reactions were seen in infants and children. |
Christer PO et al 2000 | Sweden | Active PC6 Acupuncture+Standard Treatment (n=21) | Standard treatment+placebo acupuncture (n=19) | / | 8 d of treatment | VAS score | No significant adverse reactions were observed |
Gan YL et al 2021 | China | Intravenous nutrition therapy+acupuncture point moxibustion+ear point pressure bean (n=50) | Intravenous nutrition (n=50) | / | Both groups were treated for 7-10 d | Clinical efficiency | Not mentioned |
Xu Y et al 2015 | China | Routine rehydration + Acupuncture+Moxibustion (n=25) | Routine rehydration (n=35) | / | Treat once a day for 3 to 5 d | Clinical efficiency | No significant adverse reactions |
Xie HY 2013 | China | Acupuncture (n=47) | Routine rehydration (n=47) | / | 10 times for a course of treatment, treatment 1 treatment course | Clinical efficiency | Not mentioned |
Joan C 2017 | China | Routine rehydration+Acupuncture (n=35) | Routine rehydration (n=35) | / | 2 times/d, 1 week as a course of treatment | Clinical efficiency | No significant adverse reactions |
Jia YZ 2015 | China | Acupuncture (n=47) | Conventional treatment (n=47) | / | ≥1 time per week for 5 weeks of treatment | VAS score | No significant adverse reactions |
Huang WY, Luo BZ 2019 | China | Acupuncture (n=40) | Analgesic drugs (n=40) | / | week/time, 1 month of continuous needling | VAS score, AE | Low incidence of adverse reactions during treatment |
Jiang X 2021 | China | General health guidance+Acupuncture (n=35) | General health guidance (n=35) | / | 2 times/week for 6 weeks of treatment | VAS score | In the observation group, some patients showed fatigue and drowsiness; in the control group, 7 patients felt fatigued and weakness because of sleep disorder. |
Long Y et al 2014 | China | Acupuncture (n=40) | Not with treatment (n=40) | / | At least 1 time per week for 5 weeks | VAS score | No serious adverse reactions were found |
Zhao YL 2017 | China | Routine rehydration+Acupuncture (n=42) | Routine rehydration (n=42) | / | 5 d for 1 course of treatment, 2 courses of treatment | Clinical efficiency | Not mentioned |
Figure 2 Risk of bias evaluation of included studies A: risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies; B: risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figure 3 Comparison between Acupuncture and the control group A: forest plot of effectiveness; B: forest plot of VAS scores; C: forest plot of NRS symptom score; D: forest plot of incidence of adverse reactions. VAS: visual analogue scale; NRS: numerical rating scale.
Study | Country | Random sequence generation | Allocation concealment | Blinding of participants and personnel | Blinding of outcome assessment | Incomplete outcome data | Selective reporting | Other bias |
---|---|---|---|---|---|---|---|---|
Foroughinia S et al 2020 | Nasrin | Low | Low | Low | Unclear | Low | Unclear | Unclear |
Elden H et al 2008 | Sweden | Low | Unclear | Low | Low | High | Unclear | Unclear |
Silva JBGD et al 2005 | Brazil | Unclear | Low | Unclear | Unclear | Low | Unclear | Unclear |
Silva JBGD et al 2004 | Brazil | Unclear | High | Unclear | Unclear | Low | Unclear | Unclear |
Silva JBGD 2007 | Brazil | Unclear | High | Unclear | Unclear | High | Unclear | Unclear |
Kvorning N et al 2004 | Sweden | Low | Low | Low | Unclear | Low | Unclear | Unclear |
Christer PO et al 2000 | Sweden | Low | Low | Low | Unclear | Low | Unclear | Unclear |
Gan YL et al 2021 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Xu Y et al 2015 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Xie HY 2013 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Joan C 2017 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Jia YZ 2015 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Huang WY, Luo BZ 2019 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Jiang X 2021 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Long Y et al 2014 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Zhao YL 2017 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Table 2 Risk bias assessment table of the included studies
Study | Country | Random sequence generation | Allocation concealment | Blinding of participants and personnel | Blinding of outcome assessment | Incomplete outcome data | Selective reporting | Other bias |
---|---|---|---|---|---|---|---|---|
Foroughinia S et al 2020 | Nasrin | Low | Low | Low | Unclear | Low | Unclear | Unclear |
Elden H et al 2008 | Sweden | Low | Unclear | Low | Low | High | Unclear | Unclear |
Silva JBGD et al 2005 | Brazil | Unclear | Low | Unclear | Unclear | Low | Unclear | Unclear |
Silva JBGD et al 2004 | Brazil | Unclear | High | Unclear | Unclear | Low | Unclear | Unclear |
Silva JBGD 2007 | Brazil | Unclear | High | Unclear | Unclear | High | Unclear | Unclear |
Kvorning N et al 2004 | Sweden | Low | Low | Low | Unclear | Low | Unclear | Unclear |
Christer PO et al 2000 | Sweden | Low | Low | Low | Unclear | Low | Unclear | Unclear |
Gan YL et al 2021 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Xu Y et al 2015 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Xie HY 2013 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Joan C 2017 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Jia YZ 2015 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Huang WY, Luo BZ 2019 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Jiang X 2021 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Long Y et al 2014 | China | Unclear | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
Zhao YL 2017 | China | Low | Unclear | Unclear | Unclear | Low | Unclear | Unclear |
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Sponsored by China Association of Chinese Medicine
& China Academy of Chinese Medical Sciences
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