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针刺治疗单纯性肥胖及其对患者血清瘦素水平的影响

[Acupuncture for treatment of simple obesity and its effect on serum leptin level of the patient].

作者信息

Kang Suo-bin, Gao Xiu-ling, Wang Shao-jin, Wang Yan-jun

机构信息

TCM Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Zhongguo Zhen Jiu. 2005 Apr;25(4):243-5.

Abstract

OBJECTIVE

To explore the therapeutic effect and the mechanism of acupuncture in reducing body weight.

METHODS

Fifty cases of simple obesity were randomly divided into an acupuncture group and a drug control group, 25 cases in each group. The patients in the acupuncture group were treated with body acupuncture at Tianshu (ST 25), Guanyuan (CV 4), etc, electroacupuncture and ear point tapping and pressing therapy (Shenmen, Endocrine, etc. were selected); the patients in the control group were treated with oral administration of sibutramine. The serum leptin level before and after treatment were determined and the therapeutic effect in reducing body weight was assessed.

RESULTS

The total effective rate was 88.0% in the acupuncture group and 80. 0% in the control group, with no significant difference between the two groups (P>0.05); after treatment, the serum leptin level in both the two groups decreased significantly (P<0.01), and the decreasing amplitude in the acupuncture group was superior to that in the control group (P<0.05).

CONCLUSION

Acupuncture therapy has a definite therapeutic effect in reducing body weight, and the improvement of serum leptin level of the patient is possibly one of the mechanisms of acupuncture in reducing body weight.

摘要

目的

探讨针刺减肥的疗效及作用机制。

方法

将50例单纯性肥胖患者随机分为针刺组和药物对照组,每组25例。针刺组采用针刺天枢(ST 25)、关元(CV 4)等体针,电针及耳穴贴压疗法(选取神门、内分泌等);对照组采用口服西布曲明治疗。测定治疗前后血清瘦素水平,评估减肥疗效。

结果

针刺组总有效率为88.0%,对照组为80.0%,两组比较差异无统计学意义(P>0.05);治疗后,两组血清瘦素水平均显著下降(P<0.01),且针刺组下降幅度优于对照组(P<0.05)。

结论

针刺疗法减肥疗效确切,患者血清瘦素水平的改善可能是针刺减肥的作用机制之一。

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