Sheng Jili, Jin Xiaoqing, Zhu Jianfang, Chen Yidan, Liu Xu
Department of Acupuncture, Zhejiang hospital, Hangzhou 310013, China.
Evid Based Complement Alternat Med. 2019 Jun 23;2019:9714313. doi: 10.1155/2019/9714313. eCollection 2019.
Acupoint catgut embedding is a useful therapy for weight management and widely applied in China. This review aimed to systematically evaluate the effects of acupoint catgut embedding on abdominal obesity. We searched the PubMed, Cochrane-Library, Embase, OVID, MEDLINE, ISI (web of science), Wanfang, VIP, CBM, and CNKI for randomized controlled trials that used acupoint catgut embedding to treat abdominal obesity before April 2019 with the language restriction of Chinese and English. The combination subject terms of abdominal obesity (or central obesity) and acupoint catgut embedding (or catgut implantation, catgut embedding) were used. We found 15 studies involving 1584 individuals. When acupoint catgut embedding plus electroacupuncture is compared with electroacupuncture alone, significant reductions in improvement rate (RR = 1.03, 95% CI = 0.991.08), body weight (MD = 5.20, 95%CI = 1.169.25), body mass index (MD = 1.73, 95%CI = 0.702.76), waist circumference (MD = 2.91, 95%CI = 1.364.46), and hip circumference (MD = 1.06, 95%CI = -0.18~2.30) were found. Mean values of body weight by acupoint catgut embedding were 1.35 kg compared with electroacupuncture. Less adverse events were reported in all included articles. In summary, pooled outcomes of acupoint catgut embedding presented a tendency of equal effects to other kinds of acupuncture, whereas acupoint catgut embedding plus electroacupuncture is more effective for abdominal obesity. This study is registered with PROSPERO 2017 (CRD42017082357).
穴位埋线是一种用于体重管理的有效疗法，在中国应用广泛。本综述旨在系统评价穴位埋线对腹部肥胖的影响。我们检索了PubMed、Cochrane图书馆、Embase、OVID、MEDLINE、ISI（科学网）、万方、维普、中国生物医学文献数据库和中国知网，查找2019年4月之前使用穴位埋线治疗腹部肥胖的随机对照试验，语言限制为中文和英文。使用了腹部肥胖（或中心性肥胖）与穴位埋线（或羊肠线植入、埋线）的组合主题词。我们共纳入15项研究，涉及1584名个体。与单纯电针相比，穴位埋线联合电针在改善率（RR = 1.03，95%CI = 0.991.08）、体重（MD = 5.20，95%CI = 1.169.25）、体重指数（MD = 1.73，95%CI = 0.702.76）、腰围（MD = 2.91，95%CI = 1.364.46）和臀围（MD = 1.06，95%CI = -0.18~2.30）方面有显著降低。与电针相比，穴位埋线的平均体重减轻了1.35 kg。所有纳入文章中报道的不良事件较少。总之，穴位埋线的综合结果显示出与其他类型针灸效果相当的趋势，而穴位埋线联合电针治疗腹部肥胖更有效。本研究已在PROSPERO 2017注册（CRD42017082357）。
