Luo Hua-li, Li Rong-heng
College of Chinese Medicine, Chongqing Medical University, Chongqing 400050, China.
Zhen Ci Yan Jiu. 2007 Aug;32(4):264-7.
To probe into the underlying mechanism of electroacupuncture (EA) for simple obesity patients.
Sixty simple obesity patients were randomly divided into control, manual acupuncture (MA) and EA groups with 20 cases in each group. Acupoint groups (1) Liangqiu (ST 34), Xuehai (SP 10), etc.; (2) Gongsun (SP 4), Neiting (ST 44), etc. were punctured respectively for MA groups (once every other day, 27 times altogether), and in combination with EA (2-5 mA, 0.8-3 Hz, 30 min) of bilateral Tianshu (ST 25), Fujie (SP 14), etc. for EA group. Serum leptin (Lep) and adiponectin (Adi) were measured by enzyme linked immunosorbent assay (ELISA).
After the treatment, of the 20 cases in control, MA and EA groups, 0 (0%), 0(0%) and 4 (20. 0%) were cured; 0 (0%), 10 (50.0%) and 14 (70.0%) were improved remarkably; 1 (5.0%), 7 (35.0%) and 1 (5.0%) were effective; 19 (95.0%), 3 (15.0%) and 1 (5.0%) failed, with the effective rates being 5.0%, 85.0% and 95.0% separately. The therapeutic effects of both MA and EA groups were significantly higher than that of control group (P < 0.01). After the treatment, serum Lep levels in both MA and EA groups decreased significantly, and serum Adi contents of these two groups increased considerably compared with their own basic values of pre-treatment (P < 0.05, 0.01), and the effects of EA were markedly better than those of MA and control groups (P < 0.05). No significant changes were found in Lep and Adi levels in control group (P > 0.05).
Both EA and manual acupuncture can effectively lower blood Lep content and raise blood Adi in simple obesity patients, which may contribute to its effect in reducing body. weight. The effect of EA is significantly superior t o that of manual acupuncture in the treatment of simple obesity.
探讨电针治疗单纯性肥胖患者的潜在机制。
将60例单纯性肥胖患者随机分为对照组、手针组和电针组,每组20例。手针组分别针刺穴位组(1)梁丘(ST 34)、血海(SP 10)等;(2)公孙(SP 4)、内庭(ST 44)等(隔日1次,共27次),电针组在此基础上,加用双侧天枢(ST 25)、腹结(SP 14)等穴位的电针治疗(2 - 5 mA,0.8 - 3 Hz,30分钟)。采用酶联免疫吸附测定(ELISA)法检测血清瘦素(Lep)和脂联素(Adi)水平。
治疗后,对照组20例中,治愈0例(0%),显效0例(0%),有效1例(5.0%),无效19例(95.0%),有效率为5.0%;手针组20例中,治愈0例(0%),显效10例(50.0%),有效7例(35.0%),无效3例(15.0%),有效率为85.0%;电针组20例中治愈4例(20.0%),显效14例(70.0%)有效1例(5.0%),无效1例(5.0%),有效率为95.0%;手针组和电针组的治疗效果均显著高于对照组(P < 0.01)。治疗后手针组和电针组血清Lep水平均显著降低,血清Adi含量较各自治疗前的基础值均显著升高(P < 0.05,0.01),且电针组的效果显著优于手针组和对照组(P < 0.05)。对照组Lep和Adi水平无明显变化(P > 0.05)
电针和手针均可有效降低单纯性肥胖患者血Lep含量,提高血Adi水平,这可能是其减轻体重的作用机制之一。电针治疗单纯性肥胖的疗效明显优于手针。