针刺对单纯性肥胖症患者食欲的影响  

Effect of Acupuncture Therapy on Appetite of Obesity Patients

作　　者：姚红[1] 陈健雄[1] 张子谦[1] 潘娱[1] 郑婕[1] 童娟[1] 

机构地区：[1]广州医学院第一附属医院,广州510120

出　　处：《针刺研究》2012年第6期497-501,共5页Acupuncture Research

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:评价针刺疗法对单纯性肥胖症患者食欲调控的影响。方法:采用随机单盲试验方法,将118例单纯性肥胖症患者按2∶1比例随机分为试验组76例和安慰组42例。试验组取腹部以脐为中心12穴并配合梁丘(双)、足三里(单)、阴陵泉(单)进行针刺,隔日1次,共治疗12次;安慰组采用假针刺。观察两组患者治疗前后体质量指数(BMI)、热量摄入、胃液体残存率、食欲情况VAS量表分值及3个月后回访BMI及热量摄入的变化。结果:试验组患者治疗后BMI较安慰组明显改善(P<0.01)。试验组患者在治疗后0.5h、1h胃液体残存率均较安慰组明显升高(P<0.05)。试验组患者在治疗后进食欲望、饥饿感、意愿进食数量的分值都较安慰组有明显改善(P<0.05)。3个月后随访中显示,试验组BMI较安慰组仍有明显改善(P<0.01),且摄入热量较安慰组明显降低(P<0.01)。结论:针刺治疗可明显降低单纯性肥胖症患者BMI,并减慢胃排空,降低患者食欲,控制其摄食行为,达到减重及控制体重的效果。Objective To observe the effect of acupuncture intervention on the appetite of obesity patients. Methods A total of 118 obesity patients were randomized into acupuncture group （76 cases, treated by true acupuncture needles） and pla- cebo group （42 cases, treated by placebo acupuncture needles） using single-blind method. All the patients of the two groups were ordered to control their diet during the treatment. The acupoints around the umbilicus [Zhongwan （CV 12）, Zhongji （CV 3）, Da- heng （SP 15）, Xiawan （CV 10）, Shimen （CV 5） and Tianshu （ST 25）, etc. ]and Liangqiu （ST 34）, Zusanli （ST 36）, and Yin- lingquan （SP 9） were punctured with filiform needles which were manipulated with uniform reducing and reinforcing method for a while till＂Deqi＂ and retained for 30 min. The treatment was conducted once every other day, 12 times altogether. Body mass in- dex （BMI）, and visual analogue scale （VAS） scores of eating-desire and hunger feeling and prospective food consumption were measured before and after the treatment. The gastric fluid survival rate （GFSR） was evaluated by using ultrasound scanning. Results The BMI in the acupuncture group was obviously declined after the treatment in comparison with the placebo group （P〈0.01）. Compared to the placebo group, the VAS scores of eating-desire, hunger feeling and prospective food consumption were significantly decreased in the acupuncture group （ P〈0.05）, but there are no significant difference between two groups in the VAS score of gastric fullness feeling （P〉0.05）. The GFSR was obviously increased in the acupuncture group compared to the placebo group （P〈0.05）. Conclusion Acupuncture therapy can significantly decrease BMI and delay the digesting time and control the appetite in obesity patients, which may contribute to its effect in body weight reduction.

关 键 词：肥胖症 随机对照临床试验 针灸疗法 减重 

分 类 号：R723.14[医药卫生—儿科]