针刺治疗胃肠实热型肥胖症的疗效观察  

Observation on Effects of Acupuncture Clinical Treatment to 67 Cases of Obesity Patients Under Accumulation of Heat in the Intestines and Stomach

作　　者：欧阳强波[1] 廖秀莲[1] 孙洁[1] 张露芬[1] 

机构地区：[1]北京中医药大学针灸推拿学院,北京100029

出　　处：《现代生物医学进展》2012年第23期4447-4450,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨针刺疗法对胃肠实热型单纯性肥胖症的治疗效果。方法:纳入近5年新加坡广惠肇留医院中医门诊中心符合胃肠实热型单纯性肥胖症标准的病例共67例,遵循中医"辨证施治"原则制定治疗方案,采用腹部围针法加体针进行治疗,每周治疗两次,10次为一个疗程,共治疗三个疗程,观察三个疗程针刺对单纯性肥胖症(胃肠实热型)体重及体重指数(BMI)的影响。结果:(1)男女两组患者BMI分布明显不同,超重和1度肥胖的女性患者明显多于男性,有显著性差异(P<0.05);(2)单纯性肥胖病患者经针刺治疗三个疗程后,治愈率68.7%,显效率23.9%,总有效率92.6%;患者体重显著降低(P<0.01),且两个疗程显著优于l疗程(P<0.01),三个疗程疗效显著优于两个疗程(P<0.01)。结论:针灸可明显降低体重及体重指数(BMI),且辨证论治是提高针刺疗效的关键环节,同时治疗时间越长,效果越显著。Objective： To investigate the effect of acupuncture treatment on simple obesity patients who caused under accumulation of heat in the Intestines and Stomach. Methods： 67 patients were chosen in this study. The method of treatment was set with guidance of traditional Chinese medicine theory of ＇syndrome differentiation and treatment＇. Apply acupuncatre surround the Stomach and Body Region. Twice per week, 10 times per session, total 3 sessions, the efficacy rate of acupunctttre treatment amongst categories for 3 sessions was evaluated. Results： （1） The BMI of female patients had significant difference from that of male patients, the female patients with overweight and obesity for first degree were more than male patients, which had a significant difference （P〈0.05）; （2） The simple obesity patients after underwent 3 sessions of acupuncture treatment, the rehabilitation rate was 68.7%, significant efficiency rate was 23.9%, overall efficiency rate was 92.6%; The weight of simple obesity patients had drastically reduced, which had a significant difference（P〈0.01）. The efficacy rate for 2 sessions of acupuncture treatment was higher than 1 session. The efficacy rate for 3 sessions of acupuncture treatment is higher than 2 sessions. The significant difference level is （P〈0.01）. Conclusion： Acupuncture treatment can reduce body weight and BMI dramatically, and the method of ＇syndrome differentiation and treatment＇ is a key to achieve the ideal weight and BMI. Simultansly, the longer treatment session apply, the higher efficiency rate achieved.

关 键 词：胃肠实热型 单纯性肥胖症 针灸 

分 类 号：Q723.14[生物学—分子生物学] R245[医药卫生—针灸推拿学]