不同频次穴位埋线治疗脾虚湿阻型超重/肥胖:随机对照试验  

Different frequency of acupoint thread-embedding for overweight/obesity of spleen deficiency and dampness retention:a randomized controlled trial

作　　者：袁静雪 刘金红 倪金霞[1] 张紫妞 王鼎皓 卿伦学 何雅楠 YUAN Jing-xue;LIU Jin-hong;NI Jin-xia;ZHANG Zi-niu;WANG Ding-hao;QING Lun-xue;HE Ya-nan(Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of CM,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院针灸科,北京100700

出　　处：《中国针灸》2023年第11期1229-1234,共6页Chinese Acupuncture & Moxibustion

基　　金：北京市中医药科技发展资金项目:JJ-2020-40

摘　　要：目的:比较不同频次穴位埋线对脾虚湿阻型超重/肥胖受试者的减重效果。方法:将126例脾虚湿阻型超重/肥胖受试者随机分为间隔2周组(63例,脱落13例)和间隔3周组(63例,脱落11例、剔除1例)。两组分别予每2周1次、每3周1次穴位埋线治疗,均取穴中脘、水分、气海、关元,双侧章门、天枢、梁门、大横、腹结、脾俞、阴陵泉,均治疗4次。观察两组受试者治疗前后及治疗后2个月随访体质量指数(BMI)、体质量、腰围、臀围、腰臀比、肥胖度、脂肪百分率(F%)、皮褶厚度。结果:治疗后及随访时,两组患者BMI、体质量、腰围、臀围、腰臀比、肥胖度、F%、皮褶厚度均较治疗前减少(P<0.001,P<0.01),间隔2周组BMI、体质量、肥胖度、F%、皮褶厚度减少值大于间隔3周组(P<0.05,P<0.01,P<0.001)。结论:每2周1次穴位埋线对脾虚湿阻型超重/肥胖受试者减重效果优于每3周1次。Objective To compare the effect of different frequency of acupoint thread-embedding on weight loss in subjects with overweight/obesity of spleen deficiency and dampness retention.Methods A total of 126 subjects with overweight/obesity of spleen deficiency and dampness retention were randomized into a 2-week group(63 cases,13 cases dropped out)and a 3-week group(63 cases,11 cases dropped out,1 case was eliminated).The two groups were treated with acupoint thread-embedding once every 2 weeks and once every 3 weeks respectively,Zhongwan(CV 12),Shuifen(CV 9),Qihai(CV 6),Guanyuan(CV 4)and bilateral Zhangmen(LR 13),Tianshu(ST 25),Liangmen(ST 21),Daheng(SP 15),Fujie(SP 14),Pishu(BL 20),Yinlingquan(SP 9)were selected.Four times were required in the two groups.Before and after treatment,follow-up after 2 months of treatment completion,the body mass index(BMI),body weight,waist circumference,hip circumference,waist-to-hip ratio,obesity degree,fat percentage(F%),skin fold thickness were observed in the two groups.Results After treatment and in follow-up,the BMI,body weight,waist circumference,hip circumference,waist-to-hip ratio,obesity degree,F%,skin fold thickness in the two groups were decreased compared with those before treatment(P<0.001,P<0.01),the changes of BMI,body weight,obesity degree,F%,skin fold thickness in the 2-week group were larger than those in the 3-week group(P<0.05,P<0.01,P<0.001).Conclusion The effect of acupoint thread-embedding once every 2 weeks on weight loss in subjects with overweight/obesity of spleen deficiency and dampness retention is superior to that once every 3 weeks.

关 键 词：超重 肥胖 穴位埋线 治疗频次 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]