不同波形电针治疗单纯性肥胖病的临床对比观察  

Comparative Observation on Electro-acupuncture with Different Waves for Treatment of Simple Obesity

作　　者：王威 董勤[2] 胡津丽[3] 

机构地区：[1]南京市鼓楼区中医院针灸科 [2]南京中医药大学第二临床医学院 [3]江苏省中医院针灸康复科

出　　处：《中医杂志》2011年第22期1939-1942,共4页Journal of Traditional Chinese Medicine

摘　　要：目的观察连续波、疏密波电针对单纯性肥胖病肥胖指标及临床疗效的影响。方法将68例患者随机分为连续波组33例和疏密波组35例,两组患者均选取中脘、天枢、气海、足三里,三阴交、曲池,并分别在中脘、气海、双侧天枢穴上加用10Hz连续波和2Hz、10Hz、100Hz循环疏密波。30次为1个疗程,治疗2个疗程后评价临床疗效。治疗过程中对体重、体脂含量的变化进行动态监测,并于治疗前后分别测定两组患者的临床症状积分及各项肥胖指标。结果连续波组显效率21.21%,总有效率87.88%;疏密波组显效率45.71%,总有效率94.29%,两组显效率比较差异有统计学意义(P<0.05),总有效率比较差异无统计学意义(P>0.05)。除腰臀比外,两组患者其他肥胖指标及临床症状总积分治疗后均较治疗前明显下降(P<0.01);其中两组治疗后临床症状总积分比较,两组治疗前后体重、体重指数、腰围差值比较差异亦有统计学意义(P<0.05或P<0.01)。两组体重、体脂含量的动态变化情况基本一致,体重基本呈现"下降明显-近似平台-缓慢下降"的趋势;而体脂含量治疗初期变化缓慢,之后下降幅度日渐增大,且持续稳步下降,未见明显的平台期。结论连续波、疏密波电针均可改善单纯性肥胖病症状及肥胖指标,但总体疗效疏密波优于连续波。Objective To observe the effect of electro-acupuncture with continuous wave and disperse-dense wave on the indices of simple obesity.Methods Sixty-eight simple obesity patients were randomized into the continuous wave group of 33 cases and the disperse-dense wave group of 35 cases.The acupoints for both groups were Zhongwan（CV 12）,Tianshu（ST 25）,Qihai（CV 6）,Zusanli（ST 36）,Sanyinjiao（SP 6）,and Quchi（LI 11）.The 10Hz continuous wave electro-acupuncture was applied to the continuous wave group,while the 2Hz-10Hz-100Hz disperse-dense wave electro-acupuncture was applied to the disperse-dense wave group at Zhongwan（CV 12）,Qihai（CV 6）,and Tianshu（ST 25）（both sides）,30 times of treatment as one course.The therapeutic effect was evaluated after 2 courses of treatment.During the treatment,the dynamic changes of body weight and body fat content（BFR） were observed,and the clinical symptom scores and various obesity indices of the two groups were measured before and after treatment respectively.Results The remarkably effective rate of the continuous wave group was 21.21% and the total effective was 87.88%.The remarkably effective rate of the disperse-dense wave group was 45.71% and the total effective was 94.29%.The difference of remarkably effective rate between the two groups was statistically significant（P0.05）,while the difference of total effective rate was not significant（P0.05）.Except the waist-hip ratio,the other obesity indices and total score of clinical symptoms of the two groups were significantly lowered after treatment（P0.01）.The total score of clinical symptoms of the two groups after treatment,the body weight,body mass index,and D-value of waistline of the two groups before and after treatment were also significantly different（P0.05 or P0.01）.The dynamic changes in body weight and BFR of the two groups were basically the same.The change of body weight presented a tendency of ＂significant decrease-approximate platform-slow drop＂.The change of BFR w

关 键 词：单纯性肥胖病 电针 疏密波 连续波 

分 类 号：R246[医药卫生—针灸推拿学]