|
|
|
| Meta analysis on the treatment of perimenopausal syndrome in obese women with acupoint catgut embedding |
| NIE Hong1 ZHAO Mingjing2 JIANG Yuwei3▲ XIA Kaiyu2 |
1.Academic Affairs Division, the First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.Graduate School, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
3.Rehabilitation Medical College, Jiamusi University, Heilongjiang Province, Jiamusi 154000, China |
|
|
|
Abstract Objective To conduct a meta analysis of the efficacy of acupoint embedding in the treatment of obese women with perimenopausal syndrome, and to provide a basis for clinical treatment. Methods Wanfang, VIP, CNKI, PubMed and Embase databases were searched. The retrieval time limit was the database construction to July 2019. The relevant randomized controlled trials that met the inclusion criteria were searched and analysised by RevMan 5.3. Results Five randomized controlled trials were enrolled and 344 patients were included. Results show that the effective rate of obesity was compared between the two groups, and the difference was statistically significant (OR = 14.04, 95%CI: 5.64-34.94, P < 0.000 01). The effective rate of perimenopausal syndrome was compared between the two groups, and the difference was statistically significant (OR = 8.35, 95%CI: 3.71-18.81, P < 0.000 01). Subgroup results showed that KI score of acupoint catgut embedding therapy was better than those of simple diet control and oral Chinese medicine, body mass index and waist circumference were better than those of simple diet control, oral Chinese medicine and conventional comprehensive therapy (all P < 0.05). Conclusion Acupoint catgut embedding in the treatment of obese patients with perimenopausal syndrome has a significant effect on reducing fat and has a good effect on the improvement of perimenopausal symptoms. However, limited by the quantity and quality of the included literature, large sample, multi-center, high-quality randomized controlled trials are still needed for further verification.
|
|
|
|
|
|
[1] Moilanen J，Aalto AM，Hemminki E，et al. Prevalence of menopause symptoms and their associations with lifestyle among finish middle-aged women [J]. Maturitas，2010，67（4）：368-374.
[2] Ford ES，Li C，Zhao G，et al. Trends in obesity and abdominal obesity among adults in the united states from 1999—2008 [J]. Int J Obes（Lond），2011，35（5）：736-743.
[3] 李永进，游凯，陈利，等.北京市35~60岁女性肥胖人群流行病学特征分析[J].卫生研究，2014，43（5）：845-848.
[4] 范慧娟，陈淑娇.围绝经期肥胖的中医健康管理模式探讨[J].湖南中医药大学学报，2019，39（2）：210-213.
[5] 刘文雅，戈寒冰，王小飞.更年期妇女激素替代疗法的利与弊[J].中国妇幼保健，2006（23）：3334-3335.
[6] 魏锦强，陈汉旭，周俊德，等.穴位埋线治疗慢性荨麻疹疗效与安全性的系统评价[J].广州中医药大学学报，2019， 36（6）：861-868.
[7] 中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京：人民卫生出版社，2006.
[8] 中华人民共和国卫生部编.中药新药临床研究指导原则[M].第三辑.2002.
[9] Higgins JPT，Green S. Cochrane Handbook for Systematic Reviews of Interventions [J]. PLos One，2008.
[10] Du GS. Therapeutic observation on catgut embedding therapy for menopausal obesity [J]. World J Acupunct Moxibustion，2011，21（3）：5-9.
[11] 张梅.穴位埋线治疗更年期妇女肥胖的临床研究及其对血清生殖激素的影响[D].广州：广州中医药大学，2008.
[12] 聂红，焦杨.穴位埋线治疗脾虚湿阻型肥胖合并更年期综合征疗效观察[J].广西中医药，2018，41（3）：27-29.
[13] 陈晓朵.穴位埋线治疗更年期综合征肥胖患者临床疗效观察[D].乌鲁木齐：新疆医科大学，2015.
[14] 俞华，张大锐.穴位埋线治疗肝郁气滞型更年期妇女肥胖的疗效及其对血清生殖激素的影响机制研究[J].针灸临床杂志，2017，33（11）：39-43.
[15] 许一鹤，崔瑾.推拿及其联合疗法治疗单纯性肥胖症临床疗效的Meta分析[J].辽宁中医杂志，2017，44（1）：1-8.
[16] 吴莹，汤晓冬，徐美君，等.穴位埋线对妇女肥胖和围绝经期综合征的疗效观察[J].针灸临床杂志，2016，32（8）：36-42.
[17] 闫润虎，白洁，顾劲松，等.穴位埋线治疗单纯性肥胖病的临床疗效观察[J].中华中医药学刊，2016，34（5）：1143-1147.
[18] 金亚蓓，郑利芳，刘芳，等.穴位埋线对围绝经期月经失调患者Kupperman评分的影响[J].中华中医药学刊，2012， 30（8）：1838-1840.
[19] 赖嘉豪，高真，张高华，等.延续护理对成人支气管哮喘患者生命质量影响的Meta分析[J].中国医药导报，2018， 15（10）：169-173.
[20] 曹青青，朱诗话，郝锋，等.健身气功防治中老年人原发性骨质疏松症的Meta分析[J].中国医药导报，2018，15（30）：131-136. |
|
|
|
