Objective：To evaluate the efficiency of electroacupuncture for hemifacial spasm in randomized controlled trials.Methods： Searched Chinese Sci-Tech Periodical Full-Text Database(VIP)， Wanfang Database(Wanfang)， China National Knowledge Infrastructure(CNKI)，Chinese Biological Medical Disc(CBM)，PubMed，EMbase and Medline Database.Searched for the literature from the establishment time of each database to 30th，November 2017.Evaluated the quality of selected clinical randomized controlled trials of electroacupuncture for hemifacial spasm and conducted Meta-analysis on the efficiency of electroacupuncture for hemifacial spasm.Results：Sixteen clinical randomized controlled trials were included，including 1154 cases of patients with hemifacial spasm，619 cases in the treatment group and 535 cases in the control group.The result of Meta-analysis showed that the total effective rate of the electroacupuncture group[OR＝5.54，95%CI(3.91，7.84)，P＜0.01]was superior to that of the group which did not received electroacupuncture.The result of subgroups showed that the total effective rate of the electroacupuncture group was obviously superior to that of the hand acupuncture group[OR＝5.48，95%CI(2.28，13.13)，P ＜ 0.01]and that of the western medicine group[OR＝5.48，95%CI(2.28，13.13)，P ＜ 0.01].The total effective rate of the electroacupuncture integration group was superior to that of the medicine group[OR＝4.29，95%CI(1.08，17.03)，P ＜ 0.05].Conclusion：The efficiency of electroacupuncture for hemifacial spasm is considerable and it is worthy of clinical promotion as a kind of physical therapy.However，due to the low quality of selected literature，the clinical research and design of acupuncture and moxibustion still need to be further perfected and the clinical research of higher quality need to be conducted.