Melissa Costa Santos , Joyce Ribeiro Rothstein , Charles Dalcanale Tesser
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引用次数: 1
摘要
本研究的目的是对耳廓疗法(AT)在肥胖症中的应用进行系统回顾，以支持循证推荐指南，强调其在初级卫生保健(PHC)中的适用性。方法系统评价纳入15个数据库，遵循PRISMA (Preferred Reporting Items for systematic Reviews and meta-analysis)指南，包括临床试验、系统评价和meta-analysis等标准。使用苏格兰校际指南网络(SIGN50)来评估所选研究的质量。结果共检索到3023篇文献，选取15篇文献进行分析。其中12项为随机临床试验，3项为系统评价。参与试验的人数从58人到204人不等，平均为85人。两篇综述包括8项和18项随机临床试验，一篇综述包括12项随机临床试验和1项前瞻性临床队列。参与研究的人数从24人到200人不等。4项随机临床试验获得了可接受的质量评价，其他试验被归为低质量，在随机化、隐蔽性和盲法方面存在方法学局限性。这三个系统评价被归类为高质量。12个随机临床试验的结果证实了三个系统综述的结果，并允许我们安全地推荐耳穴疗法作为肥胖的补充治疗，特别是在体重指数和体重方面显示出积极的效果。这些研究中使用最多的穴位是肾门、胃、内分泌和饥饿，但使用口腔、脾、小肠、大肠和三交穴也有报道。结论本系统综述提示耳廓疗法在肥胖治疗中具有潜在的有效性，因此有可能作为PHC的补充治疗。
Auriculotherapy in obesity care in primary health care: A systematic review
Objective
The objective of this study was to develop a systematic review of the use of auriculotherapy (AT) in obesity to support an evidence-based recommendation guide with emphasis on its applicability in Primary Health Care (PHC).
Method
The systematic review covered 15 databases and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included clinical trials, systematic reviews and meta-analysis, among other criteria. The Scottish Intercollegiate Guidelines Network (SIGN50) was used to assess the quality of the selected studies.
Results
The search identified 3023 publications, of which 15 were selected for analysis. Of these 12 were randomized clinical trials and three were systematic reviews. The number of participants in the trials varied from 58 to 204, with an average of 85. Two reviews included 8 and 18 randomized clinical trials, one review included 12 randomized clinical trials and one prospective clinical cohort. The number of participants of the studies ranged from 24 to 200. Four randomized clinical trials obtained an acceptable quality assessment, the others being classified as low quality, with methodological limitations in randomization, concealment and blinding. The three systematic reviews were classified as high quality. The findings of the 12 selected randomized clinical trials corroborate the results of the three systematic reviews included, and allow us to safely recommend auriculotherapy as a complementary treatment for obesity that shows a positive effect especially on body mass index and body weight. The most used points in these studies were shenmen, stomach, endocrine and hunger, but the use of the mouth, spleen, small intestine, large intestine and Sanjiao acupoints were also reported.
Conclusions
This systematic review suggests auriculotherapy is potentially effective in obesity care and therefore has the potential to be used as a complementary therapy in PHC.
期刊介绍：
Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.
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