穴位埋线与其他针灸疗法治疗单纯性肥胖临床效果比较的Meta分析

Meta-Analysis of Clinical Effect Comparison between Acupoint Catgut Embedding and Other Acupuncture Therapies in the Treatment of Simple Obesity

目的:评价穴位埋线与其他针灸疗法治疗单纯性肥胖症临床效果的差异。方法:计算机检索中国知网、维普、万方、SinoMed、PubMed、Cochrane Library数据库,收集2015年1月至2020年4月穴位埋线治疗单纯性肥胖的临床随机对照试验文献,由两名评价者按照Cochrane系统评价手册的要求单独提取资料并相互探讨核验,采用RevMan5.3软件对数据进行系统分析。结果:最终纳入12篇符合要求的文献,涉及897例单纯性肥胖患者。Meta分析结果显示:穴位埋线治疗单纯性肥胖症的总有效率高于其他针灸疗法,其合并效应量为(RR=1.13,95%CI[1.06,1.20],P<0.0001),而且在减轻患者的体质量(MD=-2.55,95%CI[-3.64,-1.46],P<0.00001)、降低BMI指数(MD=-0.39,95%CI[-0.67,-0.11],P=0.006)方面均优于其他针灸疗法。结论:穴位埋线治疗单纯性肥胖症的临床疗效优于其他针灸疗法,病人在临床治疗中获益更多,有望提供单纯性肥胖症的优先替代疗法的理论支撑。

Objective:To evaluate the difference of clinical effect between acupoint catgut embedding and other acupuncture therapies in the treatment of simple obesity.Methods:The databases of CNKI,VIP,WANFANG,SinoMed,PubMed and Cochrane Library were searched by computer.The literature of clinical randomized controlled trials of acupoint catgut embedding in the treatment of simple obesity from January 2015 to April 2020 was collected.Two evaluators separately extracted the data and discussed and verified each other according to the requirements of Cochrane system evaluation manual,RevMan 53 software is used to systematically analyze the data.Results:Finally 12 papers meeting the inclusive criteria were included,involving 897 patients with simple obesity.The results of meta-analysis showed that:the total effective rate of acupoint catgut embedding therapy in the treatment of simple obesity was higher than that of other acupuncture therapies,with acombined effect of(RR=1.13,95%CI[1.06,1.20],P<0.0001),reducing the body mass(MD=-2.55,95%CI[-3.64,-1.46],P<0.00001)and BMI index(MD=-0.39,[-0.67,-0.11],P=0.006)were superior to other acupuncture therapies.Conclusion:The clinical effect of acupoint catgut embedding in the treatment of simple obesity is better than other acupuncture therapies,and patients benefit more from clinical treatment.It is expected to provide theoretical support for priority alternative therapy of simple obesity.