[1]陈振锋 黄映转 李雪琴 罗本华.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[J].大众科技,2021,23(9):39-42.
 Meta-Analysis of Clinical Effect Comparison between Acupoint Catgut Embedding and Other Acupuncture Therapies in the Treatment of Simple Obesity[J].Popular Science & Technology,2021,23(9):39-42.
点击复制

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()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
23
期数:
2021年9
页码:
39-42
栏目:
医药与卫生
出版日期:
2021-09-20

文章信息/Info

Title:
Meta-Analysis of Clinical Effect Comparison between Acupoint Catgut Embedding and Other Acupuncture Therapies in the Treatment of Simple Obesity
作者:
陈振锋 黄映转 李雪琴 罗本华
(广西中医药大学,广西 南宁 530200)
关键词:
穴位埋线单纯性肥胖Meta分析
Keywords:
acupoint catgut embedding simple obesity Meta-analysis
文献标志码:
A
摘要:
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 RevMan 5.3 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。
Abstract:
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 5.3 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.

参考文献/References:

[1] Di Cesare M, Bentham J, Stevens G. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants[J]. The Lancet, 2016, 387(10026): 1377-1396. [2] 曹佳莉,卢新政. 2013美国心脏协会/美国心脏病学院/美国肥胖学会关于成人超重与肥胖管理指南解读[J]. 中华高血压杂志,2014,22(9): 813-816. [3] Pouwels S, Topal B, Knook M T, et al. Interaction of obesity and atrial fibrillation: an overview of pathophysiology and clinical management[J]. Expert Review of Cardiovascular Therapy, 2019, 17(3): 209-223. [4] 殷茵,刘志诚,徐斌,等. 1528例肥胖并发高脂血症中医证型与病因病机的分析[J]. 时珍国医国药,2016,27(11): 2673-2675. [5] US Preventive Services Task Force. Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults[J]. JAMA, 2018, 320(11): 1163-1171. [6] 杨硕,陈波,陈盼碧,等. 不同层次简易穴位埋线对单纯性肥胖的短期影响[J]. 辽宁中医杂志,2016,43(2): 376-378. [7] 闫润虎,白洁,顾劲松,等. 穴位埋线治疗单纯性肥胖病的临床疗效观察[J]. 中华中医药学刊,2016,34(5): 1143-1147. [8] 曹雪玉. 穴位埋线与温针灸治疗单纯性肥胖症的对照研究[D]. 广州: 广州中医药大学,2017. [9] 李苗苗,倪金霞,王洁,等. 基于呼吸补泻的穴位埋线法治疗脾虚湿阻型单纯性肥胖的临床观察[J]. 广州中医药大学学报,2017,34(4): 534-538. [10] 王佳捷,黄伟,韦丹,等. 电针、埋线对单纯性肥胖患者血清瘦素、胰岛素影响的对比研究[J]. 针刺研究,2019,44(1): 57-61. [11] 吴向农. 王光鼎教授学术思想及临床经验总结—俞募配穴法穴位埋线治疗单纯性肥胖症临床研究[D]. 昆明:云南中医学院,2015. [12] 许秀玫. 赖氏通元针法治疗脾虚湿阻型单纯性肥胖的临床研究[D]. 广州: 广州中医药大学,2016. [13] 薛丁江. 穴位埋线治疗胃热滞脾型单纯性肥胖症的临床观察[D]. 长沙: 湖南中医药大学,2019. [14] 张鸿,丁天红.穴位埋线治疗单纯性肥胖的疗效及对血脂的影响[J]. 现代中西医结合杂志,2017,26(12): 1334-1336. [15] 张凯滢. 肥三针埋线治疗单纯性肥胖症的临床疗效观察[D]. 广州: 广州中医药大学,2016. [16] 张越. 穴位埋线治疗脾虚湿阻型单纯性肥胖症的临床疗效研究[D]. 南宁: 广西中医药大学,2017. [17] 郑肖,吉海春,聂玲娟,等. PGLA穴位埋线治疗单纯性肥胖疗效观察[J]. 上海针灸杂志,2018,37(4): 391- 394. [18] 周利劼,李婕,马文,等. 无痛穴位埋线治疗单纯性肥胖的临床研究[J]. 世界中医药,2017,12(7): 1645-1647,1651. [19] 朱奇. 可吸收性线材穴位埋线治疗单纯性肥胖患者33例[J]. 浙江中医杂志,2017,52(11): 841. [20] 陈霞,黄伟,邓杰,等. 中医治疗单纯性肥胖症的临床研究近况[J]. 中华中医药学刊,2017,35(6): 1454-1458. [21] 龚海洋,张惠敏,王睿林,等. 古代医家对肥胖的认识[J]. 北京中医,2004(6): 336-338. [22] 金昕,陈思,徐杰,等. 单纯性肥胖就诊患者的中医证素特征分析[J]. 中华中医药杂志,2016,31(7): 2774- 2778. [23] 段娟,仝小林. 《内经》肥胖三型的影响因素[J]. 江苏中医药,2010,42(2): 9-11. [24] Wang L H, Huang W, Wei D, et al. Mechanisms of acupuncture therapy for simple obesity: an evidence- based review of clinical and animal studies on simple obesity[J]. Evidence Based Complementary and Alternative Medicine, 2019, 5: 1-12. [25] Xing J, Sheng X, Xu X, et al. Research progress of the central mechanism of acupuncture- moxibustion for simple obesity[J]. Journal of Acupuncture and Tuina Science, 2016, 14(6): 438-442. [26] 朱凤亚,李梓萌,汤莉洁,等. 针刺治疗食源性肥胖症的机制研究进展[J]. 针刺研究,2020,45(3): 255-259. [27] 陈丽姝,王大伟,赵永华. 穴位埋线治疗肥胖作用机制探讨[J]. 中国针灸,2018,38(3): 319-323. [28] 周焕娇,王华,卢威,等. 针灸调节肥胖机体下丘脑不同核团及内分泌因子的研究进展[J]. 安徽中医药大学学报,2016,35(5): 93-96.

相似文献/References:

[1]王相安 王慧铭.基于网络药理学及分子对接探讨三味药食两用中药治疗单纯性肥胖的机制[J].大众科技,2023,25(9):59.
 Discussion on the Mechanism of Three Medicinal and Edible Traditional Chinese Herbs in Treating Simple Obesity Based on Network Pharmacology and Molecular Docking[J].Popular Science & Technology,2023,25(9):59.
[2]芮靖琳,范郁山,赵彩娇,等.穴位埋线治疗子宫内膜异位症盆腔疼痛 32 例[J].大众科技,2020,22(04):71.
 Acupoint Catgut Embedding Treatment for 32 Cases of Pelvic Pain of Endometriosis[J].Popular Science & Technology,2020,22(9):71.
[3]屈 瑞 曾小芮 李 亨 张 新.探析穴位埋线治疗腹型肥胖临床选穴规律[J].大众科技,2022,24(04):129.
 Exploration on the Clinical Acupoint Selection Law of Acupoint Catgut Embedding in the Treatment of Abdominal Obesity[J].Popular Science & Technology,2022,24(9):129.

备注/Memo

备注/Memo:
【收稿日期】2021-06-21 【基金项目】广西一流学科建设项目(桂中医大科[2019]7号 2019XK033)。 【作者简介】陈振锋(1994-),男,广西中医药大学在读硕士研究生,研究方向为针灸治疗神经系统疾病的基础与临床研究。 【通信作者】罗本华(1968-),男,广西中医药大学针灸推拿学院主任医师,博士生导师,研究方向为针灸治疗神经系统疾病的基础与临床研究。
更新日期/Last Update: 2021-12-27