摘要
Obesity has become a major health challenge for both patients and family physicians.Well-known methods of weight reduction such as diet and exercise are often difficult to comply with due to lifestyle and quality of life issues.Other methods such as diet pills or surgery have potentially serious side effects and often do not show long-term benefit.In an attempt to find a less invasive and effective modality of treatment,traditional Chinese medicine,particularly acupuncture and auriculotherapy,has become a topic of research in this field.The authors conducted a review of the current evidence regarding the use of auricular and body acupuncture in the treatment of obesity from their beginning to June 2014.Any published trial using randomized assignment to the intervention and control groups,in full text were included.Overall,moderate evidence in favor of acupuncture over exercise in the treatment of obesity was found.However,due to the limitations of the published studies in this field,it is necessary to conduct a large high quality randomized controlled trial in order to determine whether acupuncture should be used as a treatment modality to achieve weight loss in obese individuals.
肥胖现已成为患者和医生一大共同的健康难题。因生活方式及生活质量等原因,节食和运动虽是主要的减肥方法,但其依从性却往往不高。其他诸如药物及手术等方法则有潜在的严重副作用,且远期效果并不理想。为寻找一种有效且副作用小的疗法,中医药尤其是针刺和耳针疗法已成为这一领域的一个研究主题。因此,将2014年6月以前全文发表的以针刺及耳针疗法治疗肥胖的随机对照试验纳入综述。结果发现:与运动相比,针刺治疗减肥的效果具有一定优势。然而,因现有研究的局限性,仍需大样本的随机对照试验来证实针刺是否应该纳入减肥的常规治疗。
