Abstract: Objective Evidence based methods were used to evaluate the efficacy of heat sensitive moxibustion for Primary Osteoporosis(POP). Methods A randomized controlled trial (RCT) of heat sensitive moxibustion for POP was retrieved from CNKI, VIP, Sinomed, Wanfang, and PubMed until August 2021. Then, the literature was screened, extracted, crosschecked independently by 2 researchers according to the inclusion and exclusion criteria, and the quality of the literature was assessed using the Cochrane Handbook for systematic reviews and a graph of the literature quality was produced using revman 5.3 software, with Stata 16 software for Meta-analysis. Results A total of 14 studies with 921 participants were included in the Meta-analysis: effective rate [OR=1.48,95%CI(0.95,2.01), P<0.01]; BMD[MD=0.05, 95%CI(0.02, 0.07), P<0.01]; VAS[MD=–1.13, 95%CI(–1.49, –0.76), P<0.01], SF-36 score[MD=–1.55, 95%CI(–6.76, 9.81), P=0.71], OPG[MD = 49.73, 95% CI (22.81, 76.65), P < 0.01], CTX [MD =–0.18, 95% CI (–0.22, –0.14), P < 0.01], NTX[MD =–0.66, 95% CI (–0.86, –0.47), P < 0.01]. Conclusion Heat sensitive moxibustion for POP can slightly increase the value of BMD, improve osteoporotic bone pain and improve bone metabolism. The quality of literature included in this study was not high, and the evidence of treatment effect was limited, so more large sample, multicenter, high-quality clinical randomized controlled studies are still needed for evidence. |