PubMed源期刊论文中针刺治疗单纯性肥胖症随机对照试验分析

Analysis on Randomized Controlled Trials for Acupuncture Treatment of Simple Obesity Collected from PubMed

目的:分析发表于PubMed源期刊的针刺治疗单纯性肥胖症随机对照试验(RCT)的特点及文献质量,为以后相关RCT的设计和成果发表提供参考。方法:检索2000年—2016年PubMed数据库中语种为英文、有关针刺治疗单纯性肥胖症的RCT文献,并进行数据筛选、提取和分析。结果:纳入的14篇文献来源于亚洲地区6个不同国家;选取的治疗穴位以胃经穴位居多;针刺组疗效大于对照组;未检索到针刺与西医减肥疗法对照的RCT;14篇文献发表期刊的影响因子总体较低,质量仍然存在不少问题。结论:目前的RCT研究均肯定了针刺治疗单纯性肥胖症的疗效,但是缺乏针刺与西医减肥疗法对照的高质量RCT报道。

Objective To analyze studies published in journals included in PubMed in terms of randomized controlled trials（RCTs）examining the therapeutic effect of acupuncture for simple obesity,so as to provide a reference for subsequent RCTrelated designs and results.Methods RCT literature about acupuncture treatment of simple obesity from the PubMed database and from 2000 to 2016 was retrieved by using keywords of＂obesity＂＂fat＂＂acupuncture＂＂joint application of acupuncture and herbal medicine＂or ＂auricular point＂＂electroacupuncture＂,＂acupoint application＂,or ＂cupping＂,followed by screening,extraction and evaluation of the design methodology and outcomes using Consolidated Standards for Reporting of Trials（CONSORT）and Standards for Reporting Interventions in Controlled Trials of Acupuncture（STRICTA）.Results Fourteen articles from six countries in Asia examining the therapeutic effect of acupuncture in the treatment of simple obesity mainly by using acupoints of the Stomach Meridian were included.Generally,acupuncture was found to be more effective than sham acupuncture.However,PubMed did not include any RCTs comparing acupuncture with western medicine for weight loss and many problems（as details of needling manipulation,etc.）remained in the the research reports available in the database.Conclusion All the existing RCTs generally affirm the positive efficacy of acupuncture for simple obesity,but high-quality RCTs,particularly those comparing acupuncture with western medicines for weight loss are lacking.