Objective To systematically evaluate the effect of acupoint catgut embedding therapy （ACET） for simple obesity. Methods Computer retrieval was used for randomized controlled trials on the treatment effect of simple ...Objective To systematically evaluate the effect of acupoint catgut embedding therapy （ACET） for simple obesity. Methods Computer retrieval was used for randomized controlled trials on the treatment effect of simple obesity with ACET in databases of the China National Knowledge Infrastructure （CNKI）, Wanfang Data system, and the China Biology Medicine disc （CBMDisc）. The Jadad Quality Scale was used in the evaluation of included studies. The outcome indicators were analyzed with the Review Manage 5.1 software. Results A total of 16 randomized controlled trials were included finally. The meta-analysis result showed that compared with the control group, there was statistically significance on the total efficiency of using ACET for simple obesity [OR=2.51, 95% confidence interval （1.74, 3.63）, Z=4.91, P〈0.000 01]. The analysis on the literature quality showed that there was only 2 article marked as 3 points. The other 25 articles marked ≤2 points. The quality of published articles was generally low. There were publication biases and the blinding method was seldom used, the losses of follow-up / drop oup / withdraw were reported with less. There were 27 acupoints used in the treatment, which mainly included Tianshu （天枢ST 25）, Zhongwan （中脘 CV 12）, Fenglong （丰隆 ST 40）, Shufen （水分 CV 9）, Qihai （气海 CV 6）, Sanyinjiao （三阴交 SP 6）, Zusnli （足三里 ST 36）, Ashi point, Daheng （大横 SP 25）. The five kinds of catgut embedding needle were injection needles ＋ acupuncture needle, specialized catgut embedding needle, spinal needle, triangular needle, and skin suture needle. Conclusion There is definite efficiency of using ACET in the treatment of simple obesity. However, the clinical efficiency still lacks of sufficient evidences. Therefore, further clinical research should be conducted in the providing of reliable evidences in the clinical decision-making in the future.展开更多
Objective To explore the curative effect and mechanism of tender spot injection at meridian and collateral for acute simple appendicitis. Methods Sixty-eight inpatients with acute simple appendicitis were treated by a...Objective To explore the curative effect and mechanism of tender spot injection at meridian and collateral for acute simple appendicitis. Methods Sixty-eight inpatients with acute simple appendicitis were treated by adopting tender spot injection at meridian and collateral, tender spot was usually near Zusanli （足三里 ST 36）. Immediate injection with 0.9% sodium chloride in the dosage of 2-4 mL, then injection for another time after 4-6 h were given, and injection for 2-3 times a day according to the state of illness were given, injection for once a day after 2 days until pressing pain on abdomen disappeared were given. Results After 5-7 injections, the cured were 56 cases （82%）, improved were 8 cases （12%, including 4 cases with chronic appendicitis of acute attack）, ineffective were 4 cases （6%）. The total effective rate was 94%. Abdominal pain was alleviated within 1/2-1 h on average, and alleviated obviously within 8-12 h. Pressing pain and rebound tenderness were relieved obviously and disappeared gradually within 24-48 h, the average length of stay was 4-5 days. Conclusion Tender spot injection at meridian and collateral for acute simple appendicitis can rapidly alleviate abdominal pain, and gradually relieve the abdominal signs. Compared with acupuncture therapy, this thrapy has some advantages such as simple manipulation, quick effect, reliable curative effect and lower treatment cost, so it has been applied by the author for a long time.展开更多
基金Supported by the Naional Natural Science Fund Project of China:81072883,81173342
文摘Objective To systematically evaluate the effect of acupoint catgut embedding therapy （ACET） for simple obesity. Methods Computer retrieval was used for randomized controlled trials on the treatment effect of simple obesity with ACET in databases of the China National Knowledge Infrastructure （CNKI）, Wanfang Data system, and the China Biology Medicine disc （CBMDisc）. The Jadad Quality Scale was used in the evaluation of included studies. The outcome indicators were analyzed with the Review Manage 5.1 software. Results A total of 16 randomized controlled trials were included finally. The meta-analysis result showed that compared with the control group, there was statistically significance on the total efficiency of using ACET for simple obesity [OR=2.51, 95% confidence interval （1.74, 3.63）, Z=4.91, P〈0.000 01]. The analysis on the literature quality showed that there was only 2 article marked as 3 points. The other 25 articles marked ≤2 points. The quality of published articles was generally low. There were publication biases and the blinding method was seldom used, the losses of follow-up / drop oup / withdraw were reported with less. There were 27 acupoints used in the treatment, which mainly included Tianshu （天枢ST 25）, Zhongwan （中脘 CV 12）, Fenglong （丰隆 ST 40）, Shufen （水分 CV 9）, Qihai （气海 CV 6）, Sanyinjiao （三阴交 SP 6）, Zusnli （足三里 ST 36）, Ashi point, Daheng （大横 SP 25）. The five kinds of catgut embedding needle were injection needles ＋ acupuncture needle, specialized catgut embedding needle, spinal needle, triangular needle, and skin suture needle. Conclusion There is definite efficiency of using ACET in the treatment of simple obesity. However, the clinical efficiency still lacks of sufficient evidences. Therefore, further clinical research should be conducted in the providing of reliable evidences in the clinical decision-making in the future.
文摘Objective To explore the curative effect and mechanism of tender spot injection at meridian and collateral for acute simple appendicitis. Methods Sixty-eight inpatients with acute simple appendicitis were treated by adopting tender spot injection at meridian and collateral, tender spot was usually near Zusanli （足三里 ST 36）. Immediate injection with 0.9% sodium chloride in the dosage of 2-4 mL, then injection for another time after 4-6 h were given, and injection for 2-3 times a day according to the state of illness were given, injection for once a day after 2 days until pressing pain on abdomen disappeared were given. Results After 5-7 injections, the cured were 56 cases （82%）, improved were 8 cases （12%, including 4 cases with chronic appendicitis of acute attack）, ineffective were 4 cases （6%）. The total effective rate was 94%. Abdominal pain was alleviated within 1/2-1 h on average, and alleviated obviously within 8-12 h. Pressing pain and rebound tenderness were relieved obviously and disappeared gradually within 24-48 h, the average length of stay was 4-5 days. Conclusion Tender spot injection at meridian and collateral for acute simple appendicitis can rapidly alleviate abdominal pain, and gradually relieve the abdominal signs. Compared with acupuncture therapy, this thrapy has some advantages such as simple manipulation, quick effect, reliable curative effect and lower treatment cost, so it has been applied by the author for a long time.
