核磁共振成像评价“接力赛”电针法对腹型肥胖女性腹部脂肪的影响  

Evaluate the Efficacy of Electroacupuncture Therapy on Abdominal Fat in Obese Women by Using Magnetic Resonance Imaging

作　　者：雷红[1] 陈晓[2] 胡动刚[3] 陈玉婷[1] 冯立成[1] 陈镇燕[4] 李芳 LEI Hong CHEN Xiao HU Dong-gang CHEN Yu-ting FENG Li-cheng CHEN Zhen-yan LI Fang(Department of Acu-moxibustion , Pu＇ ai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430033, Chin 1 Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 43000 2 Department of Mathematics and Statistics of Faculty of Science, Huazhong Ag- ricultural University, Wuhan 430070 3 Department of Clinical Nutrition, Tongji Hospital, Tongji Medical College, Hua- zhong University of Science and Technology, Wuhan 430000 4 Xian-an District Hospital of Traditional Chinese Medicine, Xianning 43700)

机构地区：[1]华中科技大学同济医学院附属普爱医院针灸科,武汉430033 [2]华中科技大学同济医学院附属同济医院放射科,武汉430000 [3]华中农业大学理学院,武汉430070 [4]华中科技大学同济医学院附属同济医院临床营养科,武汉430000 [5]湖北省咸宁市咸安区中医院,咸宁437000

出　　处：《针刺研究》2016年第5期451-456,共6页Acupuncture Research

基　　金：武汉市卫生计生委科研项目(No.WZ 14D02)

摘　　要：目的:应用核磁共振成像(MRI)评价"接力赛"电针法对女性腹部脂肪的影响。方法:30例腹型肥胖女性随机分为对照组和电针治疗组,每组15例。对照组不接受任何减肥治疗,电针治疗组采用"接力赛"电针法,主穴选择滑肉门、天枢、外陵、水道、腹结、大横等,每周治疗3次,共治疗3个月。治疗前后对体质量指数(BMI)、腰围(WC)进行测量,MRI扫描计算L4、L5、S3下缘及耻骨联合上缘水平腹壁脂肪厚度及L4-S3所有层面累积脂肪体积并进行疗效评估。结果:治疗后,电针治疗组与对照组比较,BMI,WC,L4、L5、S3下缘及耻骨联合上缘水平腹壁脂肪厚度减少值及L4-S3脂肪体积减少值差异均有统计学意义(P<0.01),电针治疗组优于对照组。电针治疗组耻骨联合上缘水平腹壁脂肪厚度及L4-S3区间脂肪体积治疗后较治疗前明显下降(P<0.01,P<0.05)。结论:"接力赛"电针法可以有效减少腹型肥胖女性腹部脂肪,运用MRI评价腹部脂肪变化更为客观。Objective To evaluate the efficacy of electroacupuncture（EA）therapy on abdominal fat in obese women by using magnetic resonance imaging（MRI）.Methods Thirty abdominal obesity women patients were randomly divided into control group（n=15）and EA group（n=15）.The obesity patients of the control group did not receive any treatment for weight reduction,and those of the EA group were treated by EA stimulation of bilateral Neiting（ST 44）,Fenglong（ST 40）,Zusanli（ST 36）,Huaroumen（ST 24）,Tianshu（ST 25）,Wailing（ST 26）,Shuidao（ST 28）,Fujie（SP 14）,Daheng（SP 13）,etc.for 25 min,once every other day,3times per week for 3months.The patient＇s body weight,height,waist circumference（WC）were measured with different devices,and the body mass index（BMI）was calculated,and the subcutaneous adipose tissue thickness at the inferior edges of L4,L5 and S3and the superior edge of the pubic symphysis and the total abdominal fat volume between the L4 and S3levels were detected using MRI systems before and after the treatment.Results The effects of the EA group were significantly superior to those of the control group in lowering difference values（between pre-and post-treatment）of BMI,WC and subcutaneous adipose tissue thickness at the levels of the inferior edges of L4,L5,S3 and the superior edge of the pubic symphysis（all P0.01）and in reducing total abdominal fat volume between L4 and S3（all P0.01）.After the treatment,the subcutaneous adipose tissue thickness at the superior edge of the pubic symphysis（P0.01）and the total abdominal fat volume between L4 and S3（P0.05）were significantly decreased in the EA group compared to pre-treatment.There were no significant differences between post-and pre-treatment in BMI,WC,subcutaneous adipose tissue thickness at the levels of the L4,L5 and S3in both EA and control groups and in the subcutaneous adipose tissue thickness at the level of the superior edge of the pubic symphysis and the total abdominal fat volume between L4 and

关 键 词：电针 腹型肥胖 核磁共振成像 腹部脂肪 

分 类 号：R445.2[医药卫生—影像医学与核医学]