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艾灸治疗脾虚湿阻型单纯性肥胖的Meta分析 被引量:4

Meta analysis of Moxibustion in the Treatment of Simple Obesity of Spleen Deficiency and Dampness Stagnation Type
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摘要 目的对艾灸治疗脾虚湿阻型单纯性肥胖临床疗效进行Meta分析。方法计算机检索各数据库(中国知网、万方、维普、PubMed),检索时间从建库到2021年2月中文艾灸治疗脾虚湿阻单纯性肥胖的随机对照试验,两名研究者独立文献筛选,资料提取,对文献质量通过RevMan 5.4软件进行偏倚风险评价,对有效率、体质量、BMI、腰围、臀围等各项指标通过Stata 16.0软件进行系统分析。结果纳入8篇文献,共计486例患者。Meta分析结果显示:有效率[OR=2.17,95%CI(1.13,4.16)];体质量MD=[-2.18,95%CI(-4.12,-0.24)];BMI:疗程>8周[MD=-2.05,95%CI(-3.13,-0.96)],疗程≤8周[MD=-0.04,95%CI(-0.52,0.43)];F%:MD=-2.71,95%CI(-4.26,-1.17);腰围:疗程>8周[MD=-4.43,95%CI(-7.01,-1.86)],疗程≤8周[MD=0.21,95%CI(-1.45,1.87)];臀围[MD=-0.85,95%CI(-2.19,0.49)]。结论据目前临床研究证据表明,艾灸治疗脾虚湿阻型单纯性肥胖临床疗效优于其他中医疗法,且疗程>8周时优势性更为明显,但由于相关文献较少,文献质量不高,仍需大样本、高质量的临床研究样本加以验证。 Objective To analyze the clinical effect of moxibustion on simple obesity of spleen deficiency and dampness stagnation type by Meta.Methods The databases(CNKI,Wanfang,VIP,PubMed)were searched for randomized controlled trials of Moxibustion in the treatment of simple obesity due to spleen deficiency and dampness obstruction from the establishment of the database to February 2021.Rev Man5.4 was used to evaluate the risk of bias.The efficiency,weight,BMI,waist circumference,hip circumference and other indicators were analyzed by Stata 16.0 software.Results Eight articles involving 486 patients were included.The results of Meta analysis showed that:effective rate[OR=2.17,95%CI(1.13,4.16)];body weight[MD=-2.18,95%CI(-4.12,-0.24)];BMI:course>8 weeks[MD=-2.05,95%CI(-3.13,-0.96)],course≤8 weeks[MD=-0.04,95%CI(-0.52,0.43)];F%:[MD=-2.71,95%CI(-4.26,-1.17)];waist circumference:course>8 weeks[MD=-4.43,95%CI(-7.01,-1.86)],course≤8 weeks[MD=0.21,95%CI(-1.45,1.87)];hip circumference[MD=-0.85,95%CI(-2.19,0.49)].Conclusion According to the current clinical research evidence,moxibustion in the treatment of simple obesity of spleen deficiency and dampness stagnation type has better clinical efficacy than other traditional Chinese medicine therapies,and the advantage is more obvious when the course of treatment is more than 8 weeks.However,due to the lack of relevant literature and the low quality of literature,large and high-quality clinical research samples are still needed to verify.
作者 王仙 禹江琳 李世雄 杨发明 张天生 WANG Xian;YU Jianglin;LI Shixiong;YANG Faming;ZHANG Tiansheng(Shanxi University of Traditional Chinese Medicine,Taiyuan 030024,Shanxi,China;The third Clinical College of Shanxi University of Traditional Chinese Medicine,Taiyuan 030024,Shanxi,China)
出处 《实用中医内科杂志》 2022年第4期51-53,I0003-I0005,共6页 Journal of Practical Traditional Chinese Internal Medicine
基金 山西省中医药管理局中医药科研项目(2019084)。
关键词 艾灸 单纯性肥胖 脾虚湿阻型 临床疗效 META分析 moxibustion simple obesity spleen deficiency and dampness clinical efficacy Meta analysis
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