针刺治疗单纯性肥胖症临床观察  

Clinical observation on simple obesity treated by acupuncture

作　　者：童娟[1] 陈建雄[1] 张子谦[1] 刘昌盛[1] 潘娱[1] 郑婕[1] 姚红[1] 

机构地区：[1]广州医学院第一附属医院针灸科,广东广州510120

出　　处：《中国针灸》2011年第8期697-701,共5页Chinese Acupuncture & Moxibustion

基　　金：广东省科技计划项目:2006B35601014;广州市卫生局项目:2006B34

摘　　要：目的:评价针刺治疗单纯性肥胖症的有效性及安全性。方法:采用随机对照单盲试验方法,将118例单纯性肥胖症患者随机分为针刺组(76例)和安慰针对照组(42例),另纳入健康对照组30例。针刺组及安慰针对照组患者在治疗过程中均控制饮食,取腹部(中脘、中极等)及四肢(梁丘、足三里等)相应穴位进行治疗,并观察治疗后体质量指数(BMI)、血清总胆固醇、甘油三酯、葡萄糖、肌酐、尿素氮、尿酸及不良反应症状评分情况。结果:治疗后针刺组BMI低于安慰针对照组(P<0.01)。代谢指标中针刺组血清总胆固醇、葡萄糖治疗后较治疗前明显降低(均P<0.01),两组患者余代谢指标差异无统计学意义(均P>0.05)。不良反应评分治疗后针刺组饥饿感分值较安慰针对照组明显下降(P<0.05),余指标差异无统计学意义(P>0.05)。结论:针刺可降低单纯性肥胖症患者BMI,并相应降低其血清总胆固醇及葡萄糖,患者针刺治疗后未出现乏力、厌食及腹泻等不良反应,针刺是治疗单纯性肥胖症安全有效的方法之一。Objective To evaluate the effectiveness and safety of simple obesity treated by acupuncture. Methods By randomized single-blind clinical trial, one hundred and eighteen cases of simple obesity were divided into an acupuncture group （76 cases） and a placebo-acupuncture control group （42 cases）, additionally, health control group （30 cases） was included. In acupuncture group and placebo-acupuncture control group, all the patients received a restricted diet; Zhongwan （CV 12） and Zhongji （CV 3） etc. at abdomen and Liangqiu （ST 34） and Zusanli （ST 36） etc. at limbs were selected; body mass index （BMI）, Serum Total Cholesterol, triglyceride （TG）. Glucose, Creatinine, urea nitrogen （BUN）. Uric Acid and adverse reactions scores were observed. Results After treatment the BMI in acupuncture growp was lower than that in placebo-acupuncture control group （P〈0.01）. In metabolism indices, the serum Total Cholesterol and Glucose after treatment were reduced obviously than those before treatment in acupuncture group （all P〈0. 01）, and there was no significant differences in other metabolism indices （all P〉0.05）in two groups. After treatment, in adverse reactions scores, the hunger sensation scores in acupuncture group was reduced than that in placebo-acupuncture control group （P〈0. 05）, and there was no significant differences in other indices （all P〉0. 05）. Conclusion BMI of simple obesity was reduced by acupuncture, and the Serum Total Cholesterol and Glucose were reduced accordingly. The adverse reactions such as weakness, nervosa and diarrhea, etc. doesn＇t appear after acupuncture treatment. Acupuncture therapy is one of the safe and effective methods for simple obesity.

关 键 词：单纯性肥胖症 针刺疗法 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]