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短疗程与常规电针治疗肥胖症的疗效比较:随机交叉研究。

Efficacy of short duration versus conventional electroacupuncture in the treatment of obesity: a randomized crossover study.

机构信息

Department of Preventive Medicine, Faculty of Medicine, Srinakharinwirot University, Nakorn Nayok 26120, Thailand.

Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Nakorn Nayok 26120, Thailand.

出版信息

J Tradit Chin Med. 2022 Apr;42(2):256-263. doi: 10.19852/j.cnki.jtcm.2022.02.006.

Abstract

OBJECTIVE

To compare the efficacy of short duration electroacupuncture (EA) with conventional EA to reduce weight and other parameters in obese Thai women.

METHODS

A randomized crossover study was conducted in 76 simple obese women. Participants were randomized to undergo either eight weeks of 30-minute EA (EA30) followed by an eight-week washout period, then eight weeks of five-minute EA (EA5), or EA5 followed by a washout period, then EA30. Electro-acupuncture was performed at 14 acupoints for two sessions per week. Participants were randomized to undergo either eight weeks of EA30 followed by an eight-week washout period, then eight weeks of EA5, or EA5 followed by a washout period, then EA30. Electro-acupuncture was performed using a stainless silver needle at 14 acupoints for two sessions per week. The needle was connected to an electric stimulator that delivered a constant current, 40 Hz and 3 mA, for 30 or five minutes according to the assigned treatment period. The primary outcome was the difference in weight reduction between the short-duration and the conventional EA while differences in other anth-ropometric parameters and biochemical parameters were considered as secondary outcomes.

RESULTS

After each treatment period, all anthro-pometric characteristics of both groups decreased from the baseline regardless of the treatment sequence, including body weight (1.4-1.8 kg; 0.01), body mass index (0.56-0.70 kg/m ; 0.01), waist and hip circumference, skinfold thickness and body fat percentage as well as the improvement in fasting blood glucose and lipid profiles. There were no significant differences of the treatment effects on anthropometric parameters and biomedical chemistries between conventional and short-duration EA. No adverse effects were reported.

CONCLUSION

Short duration EA at 14 acupuncture points had comparable efficacy to conventional EA in reduction of weight and other anthropometric parameters as well as to improve biochemistry parameters in obese women.

摘要

目的

比较短时间电针(EA)与常规 EA 减少泰国肥胖女性体重和其他参数的疗效。

方法

对 76 例单纯性肥胖女性进行随机交叉研究。参与者随机分为两组,分别接受 8 周 30 分钟 EA(EA30)治疗,然后进行 8 周洗脱期,然后再进行 8 周 5 分钟 EA(EA5)治疗;或接受 8 周 EA5 治疗,然后进行 8 周洗脱期,然后再进行 EA30 治疗。每周进行两次电针治疗,共 14 个穴位。参与者随机分为两组,分别接受 8 周 EA30 治疗,然后进行 8 周洗脱期,然后再进行 8 周 EA5 治疗;或接受 8 周 EA5 治疗,然后进行 8 周洗脱期,然后再进行 EA30 治疗。每周进行两次电针治疗,共 14 个穴位。使用不锈钢银针刺入穴位,连接电刺激器,以恒定电流(40 Hz,3 mA)刺激 30 或 5 分钟,具体取决于所分配的治疗期。主要结局为短时间和常规 EA 之间体重减轻的差异,而其他人体测量参数和生化参数的差异则被认为是次要结局。

结果

无论治疗顺序如何,每个治疗期后两组的所有人体测量特征均从基线下降,包括体重(1.4-1.8 kg;0.01)、体重指数(0.56-0.70 kg/m2;0.01)、腰围和臀围、皮褶厚度和体脂百分比,以及空腹血糖和血脂谱的改善。常规 EA 和短时间 EA 在人体测量参数和生物医学化学方面的治疗效果无显著差异。未报告不良反应。

结论

在减少肥胖女性体重和其他人体测量参数以及改善生物化学参数方面,14 个穴位的短时间电针与常规 EA 疗效相当。

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Evid Based Complement Alternat Med. 2018 Sep 30;2018:9569685. doi: 10.1155/2018/9569685. eCollection 2018.
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An update on physical health and economic consequences of overweight and obesity.超重和肥胖对身体健康及经济影响的最新情况
Diabetes Metab Syndr. 2018 Nov;12(6):1095-1100. doi: 10.1016/j.dsx.2018.05.004. Epub 2018 May 5.
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Acupuncture in the treatment of obesity: a narrative review of the literature.针灸治疗肥胖症:文献回顾性叙述。
Acupunct Med. 2013 Mar;31(1):88-97. doi: 10.1136/acupmed-2012-010247. Epub 2012 Nov 15.

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