To assess the comparative efficacy of different acupoint stimulation therapies for primary insomnia (PI), highlighting their potential as non-pharmacological interventions.
Key Findings:
Body acupuncture combined with electroacupuncture ranked highest in improving TER, with statistical significance.
Moxibustion combined with tuina was most effective in reducing total PSQI score, showing significant results.
Moxibustion alone showed the greatest improvement in PSQI score difference, statistically significant.
Electroacupuncture combined with auricular acupressure improved all six PSQI subcomponents significantly.
Commonly used acupuncture points included Shenmen, Baihui, and Anmian, with their usage rates.
Interpretation:
The findings support individualized treatment approaches and highlight the importance of acupoint compatibility in optimizing interventions for primary insomnia, potentially influencing clinical practice.
Limitations:
Tolerability and long-term efficacy of treatments remain unclear, and potential biases in the studies reviewed may affect results.
Limited direct and indirect comparative studies on acupoint stimulation therapies.
Conclusion:
The study provides evidence for optimizing acupoint stimulation therapies for primary insomnia, aiding clinicians and patients in treatment decisions, and suggests areas for future research.
