Korean Convergence Medical Science, University of Science and Technology (UST), School of Korea Institute of Oriental Medicine.
2 Daejeon 34054, Republic of Korea.
J Tradit Chin Med. 2023 Oct;43(5):860-867. doi: 10.19852/j.cnki.jtcm.2023.05.002.
To assess the efficacy of acupoint catgut embedding (ACE) for simple obesity in preclinical animal experiments.
We searched the following 14 electronic databases: PubMed, Cochrane Library, EMBASE, Oriental Medicine Advanced Searching Integrated System, KoreaMed, Korean Studies Information Service System, Science-on, Research Information Sharing Service, Korea Citation Index, Korea Traditional Knowledge Portal, China Network Knowledge Infrastructure Database, Wanfang Database, Chinese Science and Technology Journal Database, and Chinese Biology Medicine Database, from inception to November 2021 without language limitation. The assessment was performed according to the guidelines of Animal Research: Reporting of experiments; and Meta-analysis was performed using Reviewer Manager 5.4.1 software.
Twenty-four studies involving 813 animals were selected. Meta-analysis showed that ACE was beneficial for weight control [ 40, = -50.63, 95% (-57.59, -43.67), 0.000 01, = 0%] and reduced the Lee index [ 40, = -18.79, 95% (-20.01, -17.57), 0.000 01, = 0%]. However, when efficacy of ACE was compared with that of manual acupuncture, electroacupuncture, or oilistat therapy, statistical difference was not observed between the two groups.
This systematic review suggests that ACE may be efficacious in treating obesity. Moreover, the analyses highlighted the necessity to perform well-designed, higher-quality experiments.
评估穴位埋线(ACE)治疗单纯性肥胖的临床前动物实验疗效。
我们检索了以下 14 个电子数据库:PubMed、Cochrane 图书馆、EMBASE、东方医学高级检索综合系统、韩国医学数据库、韩国研究信息服务系统、Science-on、研究信息共享服务、韩国引文索引、韩国传统知识门户、中国知识基础设施数据库、万方数据库、中国科技期刊数据库和中国生物医学文献数据库,检索时间截至 2021 年 11 月,无语言限制。评估按照动物实验报告的实验研究指南进行;并使用 Review Manager 5.4.1 软件进行荟萃分析。
共纳入 24 项研究,涉及 813 只动物。荟萃分析显示,ACE 对控制体重有益[40 只动物,= -50.63,95%置信区间(-57.59,-43.67),P<0.00001,= 0%],并降低 Lee 指数[40 只动物,= -18.79,95%置信区间(-20.01,-17.57),P<0.00001,= 0%]。然而,ACE 与人工针灸、电针或奥利司他治疗的疗效比较,两组间未见统计学差异。
本系统评价表明 ACE 可能对肥胖治疗有效。此外,分析结果强调了开展设计良好、高质量实验的必要性。