穴位埋线疗法治疗单纯陛肥胖症有效性的系统评价

目的：系统评价穴位埋线疗法对单纯性肥胖症的治疗效果。方法：计算机检索中国知网（CNKI）、万方数据资源系统、中国生物医学文献数据库中关于穴位埋线疗法对单纯性肥胖症效果的随机对照试验，用ladad质量计分法对纳入研究的质量进行评价，结局指标采用ReviewManage5．1软件分析。结果：最终纳入16．g随机对照试验文献。Meta分析结果显示，穴位埋线治疗单纯性肥胖症总有效率与对照组相比，差异有统计学意义OR=2．51，95％可信区间（1．74，3．63），Z=4．91，P〈0．000011；文献质量评价显示，仅1篇文献得3分，其余15篇文献得分≤2分，文献质量普遍较低，发表存在偏倚，且对盲法、退出失访及随访的追踪报道过少；统计治疗选穴共有27个穴位，以天枢、中脘、丰隆、水分、阿是穴、大横等穴为主。结论：穴位埋线治疗单纯性肥胖症疗效肯定，但其临床有效性尚缺乏充分证据，因此．还需进一步临床研究才能为今后临床决策提供可靠依据。

Systematic review on the effectiveness of embedding catgut therapy for simple obesity

Objective To systematically evaluate the effect of acupoint catgut embedding therapy （ACET） for simple obesity. Methods Computer retrieval was used for randomized controlled trials on the treatment effect of simple obesity with ACET in databases of the China National Knowledge Infrastructure （CNKI）, Wanfang Data system, and the China Biology Medicine disc （CBMDisc）. The Jadad Quality Scale was used in the evaluation of included studies. The outcome indicators were analyzed with the Review Manage 5.1 software. Results A total of 16 randomized controlled trials were included finally. The meta-analysis result showed that compared with the control group, there was statistically significance on the total efficiency of using ACET for simple obesity OR=2.51, 95% confidence interval （1.74, 3.63）, Z=4.91, P〈0.000 01]. The analysis on the literature quality showed that there was only 2 article marked as 3 points. The other 25 articles marked ≤2 points. The quality of published articles was generally low. There were publication biases and the blinding method was seldom used, the losses of follow-up / drop oup / withdraw were reported with less. There were 27 acupoints used in the treatment, which mainly included Tianshu （天枢ST 25）, Zhongwan （中脘 CV 12）, Fenglong （丰隆 ST 40）, Shufen （水分 CV 9）, Qihai （气海 CV 6）, Sanyinjiao （三阴交 SP 6）, Zusnli （足三里 ST 36）, Ashi point, Daheng （大横 SP 25）. The five kinds of catgut embedding needle were injection needles ＋ acupuncture needle, specialized catgut embedding needle, spinal needle, triangular needle, and skin suture needle. Conclusion There is definite efficiency of using ACET in the treatment of simple obesity. However, the clinical efficiency still lacks of sufficient evidences. Therefore, further clinical research should be conducted in the providing of reliable evidences in the clinical decision-making in the future.