超声引导下穴位埋线减重的有效层次与得气的初步研究  

Preliminary research of deqi and the tissue depth of acupoint thread embedding therapy on weight reduction under ultrasonic guidance

作　　者：陈婷[1] 万意佳 孙丹红 陶涛[3] 许莉华[1] 房訾晴 蒋孝鸣 蒋晓春 姜卫香 CHEN Ting;WAN Yi-jia;SUN Dan-hong;TAO Tao;XU Li-hua;FANG Zi-qing;JIANG Xiao-ming;JIANG Xiao-chun;JIANG Wei-xiang(Department of Ultrasound Medicine,2Department of Acupuncture and Moxibustion,3Department of Anesthesiology,First Affiliated Hospital of Zhejiang Chinese Medical University/Zhejiang Provincial Chinese Medicine Hospital,Hangzhou 310006,China)

机构地区：[1]浙江中医药大学附属第一医院(浙江省中医院)超声医学科,杭州310006 [2]浙江中医药大学附属第一医院(浙江省中医院)针灸科,杭州310006 [3]浙江中医药大学附属第一医院(浙江省中医院)麻醉科,杭州310006

出　　处：《中国针灸》2021年第6期628-632,共5页Chinese Acupuncture & Moxibustion

基　　金：浙江省中医药管理局基金资助项目:2020ZQ015。

摘　　要：目的:探讨超声引导下不同层次穴位埋线对减重效应的影响。方法:70例超重或肥胖患者,随机分为浅层埋线组(35例,脱落5例)和深层埋线组(35例,脱落4例),分别进行超声引导下浅层和深层埋线,穴取中脘、下脘、水分、中极等,每2周治疗1次,共治疗3次。记录两组患者治疗前和治疗后2周的体质量、体质量指数(BMI)、腰围、臀围,每一次治疗后超声探查穴位下血管数目、血管性质,并进行针感和针感强度评分,观察埋线后不良事件。结果:治疗后深层埋线组体质量、BMI、腰围下降幅度大于浅层埋线组(P<0.05),深层埋线组胀满感评分、针感强度评分高于浅层埋线组(P<0.05)。浅层埋线组有29例、深层埋线组有27例发现至少1处穴位下血管,穴位下血管分布不均匀(P<0.05)。两组均无出血和感染的不良事件。结论:深层穴位埋线较浅层穴位埋线“得气”更强烈,减重效应更佳;超声引导下穴位埋线可以精准定位埋线层次,降低埋线不良事件发生。Objective To explore the impacts on weight reduction effect treated with acupoint thread embedding therapy at different tissue levels under ultrasonic guidance.Methods A total of 70 patients with overweight or obesity were randomized into a shallow-tissue thread embedding group(35 cases,5 cases dropped off)and a deep-tissue thread embedding group(35 cases,4 cases dropped off).Under ultrasonic guidance,the thread was embedded in the shallow tissue level and the deep tissue level respectively.The acupoints were Zhongwan(CV 12),Xiawan(CV 10),Shuifen(CV 9),Zhongji(CV 3),etc.The thread embedding therapy was exerted once every 2 weeks,totally for 3 times.Before and 2 weeks after treatment,body mass,body mass index(BMI),waist circumference and hip circumference were recorded in the patients of the two groups separately.After each treatment,the number and the property of blood vessels under each acupoint were detected by ultrasound.Besides,the needling sensation and the intensity were scored and the adverse events were observed after thread embedding therapy.Results After treatment,the reduction range of body mass,BMI and waist circumference in the deep-tissue thread embedding group were larger than those in the shallow-tissue thread embedding group successively(P<0.05).The scores of distention and fullness sensation,needling sensation and intensity in the deep-tissue thread embedding group were higher than those in the shallow-tissue thread embedding group successively(P<0.05).Of 29 cases in the shallow-tissue thread embedding group and 27 cases of the deep-tissue thread embedding group,under at least one acupoint,the vessels were found and distributed unevenly(P<0.05).There were no adverse events,i.e.bleeding and infection in the two groups.Conclusion The deep-tissue thread embedding therapy achieves the stronger deqi(needling sensation)and better effect of weight reduction.The acupoint thread embedding therapy under ultrasonic guidance can accurately locate the tissue depth and reduce the incidence of adverse events o

关 键 词：超声引导 穴位埋线 减重 得气 

分 类 号：R245.9[医药卫生—针灸推拿学]