穴位埋线治疗单纯性肥胖症Meta分析  

A Meta Analysis of Acupoint Catgut-Embedding Therapy for Simple Obesity

作　　者：胡晓颖 高艳玲 王毅[3] 胡智海[3] 施茵[2,4] HU Xiao-ying;GAO Yan-ling;WANG Yi;HU Zhi-hai;SHI Yin(Jiangwan Hospital of Hongkou District of Shanghai,Shanghai,China,200434;Shanghai University of Traditional Chinese Medicine,Shanghai,China,201203;Shanghai Traditional Chinese Medicine Integrated Hospital,Shanghai,China,200082;Shanghai Institute of Acupuncture and Meridian,Shanghai,China,200030)

机构地区：[1]上海市虹口区江湾医院,上海200434 [2]上海中医药大学,上海201203 [3]上海市中西医结合医院,上海200082 [4]上海市针灸经络研究所,上海200030

出　　处：《河南中医》2021年第6期923-931,共9页Henan Traditional Chinese Medicine

基　　金：上海市虹口区临床医学优秀青年人才培养计划项目(HKYQ2018-15)。

摘　　要：目的:评价穴位埋线治疗单纯性肥胖症的有效性。方法:计算机检索2013年1月至2019年9月发表在中国知网(CNKI)、万方数据库、维普(VIP)、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library、Embase、Web of Science中有关穴位埋线治疗单纯性肥胖症的临床随机对照研究,对符合纳入标准的文献进行资料提取和质量评价,应用RevMan5.3软件和STATA15.0软件对纳入的文献数据进行Meta分析。结果:共纳入31篇中文文献,合计2806例单纯性肥胖症患者。观察组采用单纯穴位埋线或联合其他疗法与对照组比较,有效率差异具有统计学意义[合并效应量RR=1.19,95%CI(1.14,1.23),总体效应检验Z=9.06,P<0.000]。在改善体质量指数方面,两组比较差异有统计学意义[WMD=-0.89,95%CI(-1.26,-0.52),P<0.05]。穴位埋线疗法对比电针疗法,效应量为-1.09,差异有统计学意义(Z=5.57,P<0.000);穴位埋线疗法对比针刺疗法,效应量为-0.23,差异无统计学意义(Z=1.81,P=0.07);穴位埋线联合温针灸对比单纯温针灸疗法,效应量为-1.42,差异有统计学意义(Z=8.01,P<0.000);穴位埋线联合推拿对比单纯采用推拿疗法,效应量为-2.03,差异有统计学意义(Z=41.82,P<0.000)。结论:穴位埋线及联合其他疗法治疗单纯性肥胖症可明显提高有效率,改善患者体质量指数。Objective:To evaluate the efficacy of acupoint catgut-embedding on simple obesity.Methods:Clinical randomized controlled studies on acupoint catgut-embedding in the treatment of simple obesity from January 2013 to September 2019 collected in CNKI,Wanfang database,VIP,CBM,PubMed,Cochrane Library,EMBASE and Web of Science were retrieved by computer.Data extraction and quality evaluation were performed for the literatures that met the inclusion criteria.Meta analysis was performed for the data of the included literatures using RevMan5.3 software and STATA 15.0 software.Results:A total of 31 Chinese literatures involving 2,806 patients with simple obesity were included.Comparing the control group with the observation group which adopted simple catgut-embedding therapy or combined with other therapies,the effective rate difference was significantly different(combined effect quantity RR=1.19,95%CI(1.14,1.23),Z=9.06,P<0.000).There was significant difference in improving body mass index between the two groups[WMD=-0.89,95%CI(-1.26,-0.52),P<0.05].Acupoint catgut embedding therapy was compared with electroacupuncture,effect quantity=-1.09,and the difference was statistically significant(Z=5.57,P<0.000).Acupoint catgut embedding therapy was compared with acupuncture,effect quantity=-0.23,and the difference was not statistically significant(Z=1.81,P=0.07).Acupoint catgut-embedding compared with warm acupuncture and moxibustion therapy was compared with simple warm acupuncture and moxibustion therapy,effect quantity=1.42,and the difference was statistically significant(Z=8.01,P<0.000).Acupoint catgut-embedding compared with message was compared with simple message,effect quantity=-2.03,and the difference was statistically significant(Z=41.82,P<0.000).Conclusion:Acupoint catgut-embedding combined with other therapies in the treatment of simple obesity can significantly improve the effective rate and body mass index.

关 键 词：单纯性肥胖症 穴位埋线疗法 电针疗法 针刺疗法 温针灸疗法 META分析 

分 类 号：R259[医药卫生—中西医结合]