温针灸与其他针刺方法治疗原发性肥胖的疗效差异：一项Meta分析

[Efficacy difference between warming acupuncture and other acupuncture methods for primary obesity: a Meta-analysis].

作者信息

Xu Li, Ding Chenghua, Chen Jianrong, Tan Rongzhen, Chen Dongping, Xu Sheng, Zhou Xu

机构信息

Basic Medicine College, Jiangxi University of TCM, Nanchang 330004, China.

the Second Clinical Medical College, Chongqing Medical University.

出版信息

Zhongguo Zhen Jiu. 2018 Sep 12;38(9):1019-26. doi: 10.13703/j.0255-2930.2018.09.031.

DOI:10.13703/j.0255-2930.2018.09.031

PMID:30672191

Abstract

OBJECTIVE

To systematically evaluate the efficacy difference between warming acupuncture and other acupuncture methods in the treatment of primary obesity.

METHODS

A computer-based retrieval was conducted at PubMed, EMBASE, CENTRAL, CINAHL, Alt HealthWatch, CNKI, CBM, WANFANG database and VIP database. Retrieval time was from the establishment date of database to October 4, 2017. Randomized controlled trial (RCT) of warming acupuncture comparing with other acupuncture methods for the treatment of primary obesity were included. The relative risk () and weighted mean difference ( ) were used as combined effects for categorical variables and continuous variables, respectively.

RESULTS

Totally 13 RCTs were included involving 878 patients. The Meta-analysis indicated compared with other acupuncture methods, warming acupuncture could more reduce weight (: -1.49 kg, 95% : -2.53 to -0.45, =0.005), improve the total effective rate (=1.16, 95% : 1.09 to 1.24, <0.000 01), reduce BMI (: -1.24 kg/m, 95% : -2.34 to -0.14, =0.03), reduce waist circumference (: -1.65 cm, 95% : -2.53 to -0.76, =0.02) and reduce hip circumference (: -2.86 cm, 95% : -4.37 to -1.35, =0.000 2), but had no significant influence on total cholesterol (: -0.05 mmol/L, 95% :-0.98 to 0.88, =0.91).

CONCLUSION

The warming acupuncture has better efficacy on primary obesity than other acupuncture methods, but less effects on lipid indicators.

摘要

目的

系统评价温针灸与其他针刺方法治疗原发性肥胖症的疗效差异。

方法

通过计算机检索PubMed、EMBASE、CENTRAL、CINAHL、Alt HealthWatch、中国知网（CNKI）、中国生物医学文献数据库（CBM）、万方数据库及维普数据库。检索时间从各数据库建库至2017年10月4日。纳入温针灸与其他针刺方法治疗原发性肥胖症的随机对照试验（RCT）。分类变量和连续变量的合并效应量分别采用相对危险度（RR）和加权均数差（WMD）。

结果

共纳入13项RCT，涉及878例患者。Meta分析结果显示，与其他针刺方法相比，温针灸能更有效地减轻体重（WMD：-1.49 kg，95%CI：-2.53至-0.45，P = 0.005），提高总有效率（RR = 1.16，95%CI：1.09至1.24，P < 0.000 01），降低体质指数（BMI）（WMD：-1.24 kg/m²，95%CI：-2.34至-0.14，P = 0.03），减小腰围（WMD：-1.65 cm，95%CI：-2.53至-0.76，P = 0.02）和臀围（WMD：-2.86 cm，95%CI：-4.37至-1.35，P = 0.000 2），但对总胆固醇无显著影响（WMD：-0.05 mmol/L，95%CI：-0.98至0.88，P = 0.91）。