针刀疗法治疗单纯性肥胖病脂肪分布与瘦素-胰岛素关系的临床研究  

The Relationship between Fat Distribution and Leptin-Insulin with Needle-knife Treatment for Simple Obesity: A Clinical Study

作　　者：姚勤[1] 熊健 龙奕文[1] 佘畅 左珊珊 

机构地区：[1]湖南省中医药研究院,湖南长沙410006 [2]长沙市中医医院 [3]长沙市第八医院,湖南长沙410100

出　　处：《中医药导报》2015年第19期41-43,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖南省科技厅立项课题(2010SK3147)

摘　　要：目的:观察针刀减肥中脂肪分布与血清瘦素、胰岛素的关系。方法:采用针刀疗法治疗单纯性肥胖患者60例,根据患者体重指数(BMI)和腰围分成腹型肥胖和外周型肥胖两组,观察针刀减肥的临床疗效及患者脂肪分布变化与血清瘦素、胰岛素的关系。结果:针刀可以改善肥胖相关指标,瘦素变化率与体重指数(BMI)、腰围、臀围、腰臀比指标的差率成显著正相关(P<0.01),胰岛素变化率与体重指数(BMI)、腰围成显著正相关(P<0.01)。结论:针刀治疗单纯性肥胖病中腹型肥胖和外周型肥胖均有效,针刀疗法减少其内脏脂肪含量与改善胰岛素抵抗有关,减少全身脂肪含量与改善瘦素抵抗有关。Objective： To investigate the acupotomology for weight loss of the relationship of fat distribution, serum leptin, and insulin. Methods： The 60 patients with simple obesity, treated by Acupotomology, were divided into abdominal obesity and peripheral obesity groups by body weight index （BMI） and waist circumference. The efficacy of the acupotomology for weight loss, the relationship of fat distribution, serum leptin, and insulin were observed. Results： The acupotomology can improve obesity-related indicators; the rate of change of leptin and BMI, waist circumference, hip circumference, waist-hip ratio index correlated into a significant （P〈0.01）, and the rate of change of insulin and BMI, waist circumference is a significant positive correlation （P 〈0.01）. Conclusion： The acupotomology is an effective way for simple obesity, which contains to treat abdominal obesity and peripberal; The treatment to reduce visceral fat content is related to improving insulin resistance, and to reduce body fat content is related to improving leptin resistance.

关 键 词：针刀减肥 脂肪分布 瘦素 胰岛素 

分 类 号：R256[医药卫生—中医内科学]