针刺治疗腹型肥胖随机对照临床试验  

Randomized Controlled Clinical Trials for Acupuncture Treatment of Abdominal Obesity

作　　者：梁翠梅[1] 胡慧[1] 王朝歆[2] 孙颂歌 杨文津[1] 潘良[1] 

机构地区：[1]北京中医药大学东方医院针灸科,北京100078 [2]北京中医药大学东方医院功能科,北京100078

出　　处：《针刺研究》2016年第2期159-162,174,共5页Acupuncture Research

基　　金：北京中医药大学2014年自主选题资助项目(No.2014-JYBZZ-JS-079);北京市中医管理局"首都临床特色应用研究"专项课题(No.Z 141107002514079);北京市中医管理局中医药"3+3"薪火传承工程<杨甲三名家研究室>

摘　　要：目的:探讨针刺治疗对腹型肥胖内脏脂肪含量及分泌功能的影响。方法:90例腹型肥胖患者随机分为针刺组60例(实际完成50例),对照组30例(实际完成23例)。针刺组予针刺中脘、天枢、大横、带脉、水道、外关、足临泣,治疗8周,每周治疗3次,同时配合健康教育;对照组予健康教育8周。比较两组治疗前后腹部脂肪厚度、血清内脂素和体质量、腰围等指标的变化。结果:治疗后两组皮下脂肪厚度、血清内脂素均较治疗前减少(P<0.05,P<0.001);针刺组内脏脂肪厚度、肝前脂肪厚度和肾周脂肪囊厚度均较治疗前减少,且疗效优于对照组(P<0.001,P<0.05);治疗后对照组内脏脂肪指数高于针刺组(P<0.05)。治疗后两组腰围和臀围、针刺组体质量和体质量指数较治疗前减小(P<0.001,P<0.05),针刺组体质量指数、腰围、臀围小于对照组(P<0.05)。结论:针刺结合健康教育能有效治疗腹型肥胖,在减少内脏脂肪含量方面疗效优于单纯健康教育。Objective To observe the curative effect of acupuncture intervention in reducing visceral fat content and secretary function in abdominal obesity patients.Methods A total of 73 cases of abdominal obesity patients were randomly divided into acupuncture group（n=50）and control group（n=23）according to the randomized block design.For patients of the acupuncture group,Zhongwan（CV 12）,Tianshu（ST 25）,Daheng（SP 15）,Daimai（GB 26）,Shuidao（ST 28）,Waiguan（SJ 5）and Zulinqi（GB 41）were punctured with filiform needles,followed by electroacupuncture stimulation（2Hz/100 Hz,4-8mA）of bilateral ST 25 and GB 26 for 20min,once every other day for 8weeks.In addition,the patients were also given with health education in every session of treatment.The patients of the control group were asked to receive health education including restraining wine or liquor and salt intake,stopping smoking,increasing physical activities,regular daily life habit,etc.The abdominal fat thickness was detected using a color Doppler ultrasonography,and serum visfatin level was assayed using ELISA.Additionally,the body weight,body mass index（BMI）,waist circumstance（WC）and hip circumference（HC）were determind.Results After the treatment,the subcutaneous fat thickness levels including the subcutaneous fat at the mid-point between the xyphoid and the umbilicus（S1）and the right side of the umbilicus（S2）,and serum visfatin content,WC and HC in both control and acupuncture groups,visceral fat at the mid-point between the xyphoid and the umbilicus（V1）and at the right side of the umbilicus（V2）,and antero-hepatic fat（AHF）,perirenal fat（PRF）,and body weight and BMI in the acupuncture group were significantly reduced in comparison with pre-treatment in the same one group（P0.05,P0.001）,while the ultrasonic visceral fat index[UVI,=（V1＋V2）/（S1＋S2）]of the control group was markedly increased（P0.05）.The S1,V1,V2,AHF,PRF and UVI levels,and BMI,WC and HC were significantly lower in the acu

关 键 词：针刺疗法 腹型肥胖 血清内脂素 腹部脂肪厚度 

分 类 号：R245.3[医药卫生—针灸推拿学]