不同疗程针刺治疗腹型肥胖疗效初探  

Preliminary Study on Therapeutic Effect of Acupuncture at Different Courses for Abdominal Obesity

作　　者：梁翠梅[1] 孙颂歌 胡慧[1] LIANG Cuimei;SUN Songge;HU Hui(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Beijing Hospital of Traditional Chinese Medicine Shunyi Hospital,Beijing 101300,China)

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医医院顺义医院,北京101300

出　　处：《辽宁中医药大学学报》2018年第8期169-172,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：北京市科委“首都临床特色应用研究”专项课题项目(Z141107002514079);北京中医药大学“新奥奖教奖学基金项目”优秀传承团队——杨甲三名家研究室;北京中医药大学2014年自主选题资助项目(2014-JYBZZ-JS-079)

摘　　要：目的：观察不同疗程针刺治疗腹型肥胖的临床疗效。方法：将120例腹型肥胖患者按2∶1的比例随机分为治疗组80例,对照组40例。两组均给予健康教育,治疗组同时针刺治疗,隔日1次,1周3次,4周为1个疗程,共治疗2个疗程。观察比较两组治疗前后相关生化指标及不同疗程的简易体脂参数变化。结果：经重复测量数据方差分析,治疗后治疗组腰围（WC）、臀围（HC）和腰围身高比（WHt R）均低于对照组（P〈0.05）。治疗组每疗程各简易体脂参数指标均持续减少（P〈0.001,P〈0.05）;对照组WC、HC、腰臀比（WHR）和WHt R在第2疗程后较前减少（P〈0.001,P〈0.05）。治疗组治疗后甘油三酯及尿酸较治疗前降低（P〈0.001,P〈0.05）;空腹血糖、总胆固醇及低密度脂蛋白-胆固醇升高值小于对照组（P〈0.05）。两组疗效比较,治疗组愈显率及有效率均高于对照组（P〈0.001）。结论：针刺治疗能有效缓解腹型肥胖的各简易体质参数指标,且优于单纯健康教育。针刺组改善腹型肥胖各指标的起效时间早于单纯健康教育,有助于患者早期改善临床症状,缓解代谢紊乱,防治相关并发症的发生。Objective：To the clinical effect of acupuncture at different courses on abdominal obesity. Methods：120 cases of abdominal obesity patients were randomly divided into two groups at the scale of 2∶1,80 for intervention group and 40 for control group. All of patients were given health education. Meanwhile acupuncture of every other day,three times a week,4 weeks for a course of treatment was given for intervention group,which was total two courses of treatment. The changes of simple body fat parameters and related biochemical indexes were observed and compared before and after treatment and different courses of treatment at the two groups. Results：The datum were processed by repeated measures data analysis of variance. The waist circumference（WC）,hip circumference（HC）and waist to height ratio（WHt R）of the intervention group were lower than those of the control group（P〈0.05）. The simple body fat parameters of intervention group were decreased continuously（P〈0.001,P〈0.05）;while the WC,HC and waist to hip ratio and WHt R of control group were decreased by the second course of treatment（P〈0.001,P〈0.05）. The triglyceride and uric acid were decreased before and after treatment at the intervention group（P〈0.001,P〈0.05）;the elevated values of fasting blood glucose,total cholesterol and low density lipoprotein cholesterol at the intervention group were less than the control group（P〈0.05）. The cure-remarkable-effectiveness rate and effective rate of intervention group were higher than those of control group（P〈0.001）. Conclusion：Acupuncture treatment can effectively alleviate the simple body fat parameters of abdominal obesity,which was better than simple health education. The effect of acupuncture in improving abdominal obesity was earlier than that of simple health education,that could help patients to improve their clinical symptoms and relieve metabolic disorders,then prevent related complications.

关 键 词：针刺时效 起效时间 治未病 

分 类 号：R245[医药卫生—针灸推拿学]