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推拿联合其他疗法治疗肥胖症的Meta分析

Meta-analysis of Tuina combined with other treatments for obesity.

作者信息

Zhang Tian-Yu, Quan Ting-Wei, Su Jia-Yu, Liao Tian-Rong, Yuan Yu, Tang Hong-Zhen

机构信息

Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, Guangxi Province, China.

出版信息

Medicine (Baltimore). 2025 Jun 13;104(24):e42720. doi: 10.1097/MD.0000000000042720.

DOI:10.1097/MD.0000000000042720
PMID:40527832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12173344/
Abstract

BACKGROUND

To evaluate the efficacy of Tuina (a form of Chinese therapeutic massage) combined with complementary therapies (such as auricular plaster therapy, acupuncture, or herbal medicine) on improving weight, body mass index (BMI), and body composition in obese patients.

METHODS

A comprehensive search of CNKI, Wanfang, PubMed, Cochrane Library, and Web of Science (from January 2004 to March 2024) was conducted for randomized controlled trials (RCTs). Heterogeneity among studies was quantified using the I² statistic, and fixed-effects or random-effects models were applied as appropriate. Publication bias was assessed using funnel plots.

RESULTS

Eleven RCTs involving 695 patients were included. Tuina combined with complementary therapies significantly improved clinical efficacy (OR = 1.92, 95% CI [1.21, 3.03], P < .01; I² = 0%, fixed-effects model) and led to a substantial reduction in body weight (weighted mean difference [WMD] = -5.32 kg, 95% CI [-7.55, -3.10], P < .0001) as well as a significant decrease in BMI (WMD = -1.17, 95% CI [-1.72, -0.62], P < .0001; I² = 32%, fixed-effects model). Compared to auricular therapy alone, improvements in waist circumference (WMD = -1.79 cm, P = .28) and hip circumference (WMD = -0.68 cm, P = .29) did not reach statistical significance.

CONCLUSION

Tuina combined with auricular plaster therapy or acupuncture has been shown to effectively reduce weight and BMI in individuals with obesity. Nevertheless, further validation through standardized RCTs with long-term follow-up is necessary to confirm these findings.

摘要

背景

评估推拿（一种中医治疗按摩方式）联合辅助疗法（如耳穴贴压疗法、针灸或草药）对改善肥胖患者体重、体重指数（BMI）和身体成分的疗效。

方法

对中国知网、万方、PubMed、Cochrane图书馆和Web of Science（2004年1月至2024年3月）进行全面检索，以查找随机对照试验（RCT）。使用I²统计量对研究间的异质性进行量化，并根据情况应用固定效应或随机效应模型。使用漏斗图评估发表偏倚。

结果

纳入了11项涉及695例患者的RCT。推拿联合辅助疗法显著提高了临床疗效（OR = 1.92，95% CI [1.21, 3.03]，P <.01；I² = 0%，固定效应模型），并导致体重显著减轻（加权平均差[WMD] = -5.32 kg，95% CI [-7.55, -3.10]，P <.0001）以及BMI显著降低（WMD = -1.17，95% CI [-1.72, -0.62]，P <.0001；I² = 32%，固定效应模型）。与单独使用耳穴疗法相比，腰围（WMD = -1.79 cm，P =.28）和臀围（WMD = -0.68 cm，P =.29）的改善未达到统计学意义。

结论

推拿联合耳穴贴压疗法或针灸已被证明能有效降低肥胖个体的体重和BMI。然而，需要通过长期随访的标准化RCT进行进一步验证以证实这些发现。

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