The Clinical Effect of Acupoint Thread Embedding in The Treatment of Simple Obesity:A Systematic Review

• 1、Collage of Traditional Chinese Medicine,Hebei Univeisity,Baoding,071000

Abstract：OBJECTIVE: To evaluate the clinical efficacy of acupoint acupuncture thread submergence for the treatment of simple obesity by Meta-analysis system, and to provide evidence-based basis for its clinical application. METHODS: A computerized search was performed for randomized controlled trials of acupuncture point thread embedding for the treatment of simple obesity in five databases, namely, CNKI, VIP, CBM, WOS, and Cochrane library, with the years of search from January 1, 2013, to January 20, 2024, was used. Literature was independently screened and extracted by two investigators according to the inclusion and exclusion criteria, the quality of the included literature was evaluated using a risk of bias assessment tool, and Meta-analysis was performed using Revman 5.3 software. 1088 relevant literatures were retrieved, and 35 literatures were finally included through the analysis and screening. RESULTS: The results of Meta-analysis showed that compared with the control group, acupoint burrowing treatment for simple obesity was effective in terms of the overall efficacy of treatment [OR = 3.28, 95% CI (2.66, 4.04), Z = 11.09, P < 0.00001], reduction of body weight [MD = -2.55, 95% CI (-3.09, -2.01), Z = 9.25, P < 0.00001], in reducing BMI [MD = -1.70, 95% CI (-2.63, 0.78), Z = 3.60, P = 0.0003], in reducing waist circumference [MD = -1.81, 95% CI (-2.64, -0.97), Z = 4.25, P < 0.0001], in reducing hip circumference [MD = -3.27, 95% CI ( -5.51, -1.03), Z=2.86, P=0.004] were superior to the control group. And the difference with the control group was not statistically significant (P≥0.05) in terms of lowering the percentage of adiposity [MD=-2.83, 95% CI (-5.62, -0.03), Z=1.98, P=0.05], and improving the waist-hip ratio [MD=-0.03, 95% CI (-0.08, -0.02), Z=1.13, P=0.26]. For other indicators, due to the small number of studies involved, Meta-analysis could not be performed, and outcome indicators could not be included to draw conclusions. CONCLUSION: Acupuncture point submerged thread treatment for simple obesity can improve the overall effective rate, reduce weight, reduce BMI, reduce waist circumference, reduce hip circumference, but there is no statistically significant difference with other treatments in terms of reducing the percentage of fat and improving the waist-hip ratio. Preliminary confirmation that acupuncture point buried line treatment of simple obesity is more effective.

Keywords： acupuncture, moxibustion and chiropractic(TCM) acupoint thread embedding simpie obesity systematic evaluation