腹针治疗单纯性肥胖临床疗效Meta分析

A clinical Meta-analysis of treating simple obesity by acupuncture

目的:评价腹针治疗单纯性肥胖的临床疗效。方法:检索CNKI、维普、万方、Pub Med、The Cochrane Library数据库2014年12月以前的腹针治疗单纯性肥胖的有关文献;用jadad评分量表对纳入的文献进行评分,并用Cochrane提供的Rev Men5.2软件制作森林图。结果:共检索到2486篇文献,纳入16篇做分析,腹针与体针比较,P=0.73,无统计学差异,腹针治疗单纯性肥胖与体针治疗单纯性肥胖的疗效相等;腹针与药物比较,P<0.05,差异有统计学意义;腹针治疗单纯性肥胖疗效优于药物治疗单纯性肥胖。腹部透刺与单纯腹针组比较,P=0.05,差异无统计学意义,提示腹部透刺治疗单纯性肥胖与单纯腹针治疗单纯性肥胖的疗效相等。腹针与饮食、运动对比,P<0.05,差异有统计学意义,腹针治疗单纯性肥胖疗效优于饮食、运动疗法治疗单纯性肥胖的疗效。结论:腹针治疗单纯性肥胖与体针治疗单纯性肥胖及腹部透刺治疗单纯性肥胖的疗效相等,腹针治疗单纯性肥胖的疗效优于药物治疗单纯性肥胖及饮食、运动治疗单纯性肥胖的疗效,但因纳入文献质量低,结论需要高质量文献去支持。

Objective： To evaluate clinical efficacy of acupuncture treatment on simple obesity abdominal. Methods： CNKI, CSTJ, CSPD, PubMed, The Cochrane Iibrary database were searched for the relevant literature before December 2014 on the abdominal acupuncture treatment for simple obesity. Results：Totally 2486 document, included 16 for analysis, abdominal acupuncture and body acupuncture comparison, P=0.73, no statistically signiifcant difference;for simple obesity abdominal acupuncture and body acupuncture treatment showed equal efifcacy;compared with medicines, abdominal acupuncture showed statistically signiifcant difference, P〈0.05;abdominal acupuncture more effective than medicine therapy. Comparing abdominal acupuncture with abdominal penetration acupuncture, P=0.05, the difference was not statistically signiifcant. Comparing abdominal acupuncture with diet and exercise, P〈0.05, the difference was statistically signiifcant;abdominal acupuncture for simple obesity was more effective than diet and exercise therapy. Conclusion：For simple obesity, the efifcacy of abdominal acupuncture is similiar to body acupuncture and abdominal penetration acupuncture, and is more effective than medicine therapy and diet plus exercise, but with the manylow quality literature;the conclusion need to be supported with high-quality literature.