Objective

2

To screen the optimal regimen of acupuncture and moxibustion for obstructive sleep apnea hypopnea syndrome (OSAHS)

so as to provide the evidences for clinical decision-making.

Methods

2

From 7 databases in Chinese and English i.e. the Full-Text Database of China Journal Network (CNKI)

Wanfang Data Knowledge Service Platform (Wanfang)

VIP Information Chinese Journal Service Platform (VIP)

Chinese Biomedical Literature Database (SinoMed)

PubMed

Web of Science (WOS) and Cochrane Library

randomized controlled trial (RCT) articals of OSAHS treated with acupuncture and moxibustion were searched. The quality of evidence was evaluated with the modified Jadad scale

the evaluation index was established and the optimal regimen of acupuncture and moxibustion for OSAHS was screened by multi-index decision analysis.

Results

2

A total of 10 RCTs were included

and the filiform needling therapy was optimal in treatment of OSAHS. The acupoints included Lianquan (CV23)

Danzhong (CV17)

Zhongwan (CV12)

and bilateral Kongzui (LU6)

Pishu (BL20)

Fenglong (ST40)

Zusanli (ST36)

Yinlingquan (SP9) and Zhaohai (KI6). Zusanli (ST36) received the reinforcing method

Pishu (BL20) and Fenglong (ST40) were stimulated with the reducing technique

and the rest acupoints with the uniform reinforcing-reducing. Each acupoint was manually manipulated once every 10 min during the needle retention for 30 min. Acupuncture was delivered once a day

5 times a week and for consecutive 4 weeks. Among the included literature

the severity of disease was not reported in detail

the filiform needling was the dominant intervention

the local acupoints such as Lianquan (CV23) and Panglianquan (Extra) were mainly selected. The apnea-hypopnea index and the minimum oxygen saturation were taken as the evaluation indexes

and the effect was evaluated in reference to the generally accepted standards. The attention to safety evaluation was insufficient

the report on methodology was not adequate and the quality was low.

Conclusion

2

Filiform needling is the dominant therapy of acupuncture and moxibustion for OSAHS

and the local acupoints are considered specially. But the quality of clinical research should be improved.