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小针刀治疗单纯性肥胖症的临床观察

[Clinical observation on acupotomy for treatment of simple obesity].

作者信息

Chen Mei, Shi Xiao-yang, Xu Bin, Gu Yi-huang, Dong Qin, Xu Lan-feng, Li Kai-ping, Zhang Jian-bin, Mu Yan-yun

机构信息

The Second Clinical Medical College, Nanjing University of CM, Nanjing 210046, Jiangsu Province, China.

出版信息

Zhongguo Zhen Jiu. 2011 Jun;31(6):539-42.

Abstract

OBJECTIVE

To compare the efficacy differences among acupotomy, electroacupuncture and acupuncture for treatment of simple obesity.

METHODS

One hundred and five cases were randomly divided into an acupotomy group, an electroacupuncture group and an acupuncture group, 35 cases in each group, and Zhongwan (CV 12), Tianshu (ST 25), Shangjuxu (ST 37), Sanyinjiao (SP 6), etc, were selected in three groups and also with selection of acupoints according to symptoms. The acupotomy group was treated with acupotomy 40 mm in length and 0.6 mm in diameter, the electroacupuncture group with the Han's LH402A electroacupuncture stimulator and the acupuncture group with simple acupuncture treatment. The clinical therapeutic effects of three groups were compared. The obesity signs such as body weight, body mass index (BMI), obesity degree, etc., and blood lipid and fasting blood sugar (FBS) were observed.

RESULTS

The markedly effective rate of 91.4% (32/35) in the acupotomy group was higher than that of 71.5% (25/35) in the electroacupuncture group and that of 42.9% (15/35) in the hand acupuncture group (both P<0.05). There were significant differences in the obesity signs and blood fat and FBS of the three groups before and after treatment (P<0.05, P<0.01). The differences rates of body weight, BMI, obesity degree, chest circumference, waistline, thighline, waist-hip ratio, total cholesterol before and after treatment in the acupotomy group were all better than those in the electroacupuncture group and in the acupuncture group (all P<0.05), and the differences rates of hipline, FBS in the acupotomy group were better than those in the acupuncture group (both P<0.001).

CONCLUSION

Acupotomy treatment can obviously reduce fat, FBS and blood lipid and has obvious therapeutic effects on simple obesity.

摘要

目的

比较针刀、电针及针刺治疗单纯性肥胖症的疗效差异。

方法

将105例患者随机分为针刀组、电针组和针刺组,每组35例。三组均选取中脘(CV 12)、天枢(ST 25)、上巨虚(ST 37)、三阴交(SP 6)等穴位,并根据症状加减配穴。针刀组采用长度40mm、直径0.6mm的针刀治疗;电针组采用韩氏LH402A电针仪治疗;针刺组采用单纯针刺治疗。比较三组的临床疗效,并观察体重、体重指数(BMI)、肥胖程度等肥胖指标及血脂、空腹血糖(FBS)。

结果

针刀组显效率为91.4%(32/35),高于电针组的71.5%(25/35)和针刺组的42.9%(15/35)(P均<0.05)。三组治疗前后肥胖指标及血脂、FBS比较,差异有统计学意义(P<0.05,P<0.01)。针刀组治疗前后体重、BMI、肥胖程度、胸围、腰围、大腿围、腰臀比、总胆固醇差值均优于电针组和针刺组(P均<0.05),针刀组臀围、FBS差值优于针刺组(P均<0.001)。

结论

针刀治疗能明显降低脂肪、FBS及血脂,对单纯性肥胖症有显著治疗作用。

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