经皮神经电刺激治疗超重和肥胖症的初步研究  

Study on the effect of transcutaneous electric nerve stimulation on obesity

作　　者：田德润[1] 李晓东[1] 石玉顺[1] 刘亦鸣[2] 韩济生[1] 

机构地区：[1]北京大学神经科学研究所 [2]北京航空航天大学

出　　处：《北京大学学报（医学版）》2003年第3期277-279,共3页Journal of Peking University:Health Sciences

摘　　要：目的 :应用韩氏穴位神经刺激仪 (HANS)对单纯性肥胖志愿者进行经皮神经电刺激 ,观察其治疗肥胖症的疗效。方法 :筛选 16例单纯性肥胖症志愿者 ,在 2 0 0 1年 11月至 2 0 0 2年 5月间进行HANS减肥临床试验。选取8个穴位 ,隔日治疗 ,每周 3次 ,记录体重变化。结果 :在未加饮食限制的条件下 ,经HANS治疗后 ,肥胖志愿者体重逐渐下降。至第 12周时 ,体重下降 (2 .0 6± 0 .31)kg ,体重下降百分率为 (2 .78± 0 .4 0 ) % (P <0 .0 1)。中止治疗4周 (春节期间 )后 ,体重有所回升。再经HANS仪治疗 15周 ,体重再度下降 ,与未治疗前相比 ,体重下降 (2 .81±0 .6 8)kg ,体重下降百分数为 (3.90± 0 .4 0 ) % (P <0 .0 0 1)。结论 :经皮神经电刺激有助于控制超重或肥胖者体重。如果再配合饮食控制和运动锻炼 。Objective: To evaluate the effect of transcutaneous electrical stimulation produced by Han's acupiont nerve stimulator (HANS) in treating obesity. Methods: Sixteen volunteers with primary obesity were recruited, without any instructions or attempts to control their dietary. The trial started in November 2001 and ended in June 2002. Each obese volunteer received transcutaneous electric nerve stimulation (TENS) at 8 acupoints. The electrical parameters were: frequency at 2Hz, with pulses width of 0.6 ms; intensity varied depending on individual's sensitivity to electrical stimulation to maintain a comfortable level. The treatment was administered 3 times per week. Body weight was recorded before each TENS treatment. Results: The main value of body weight decreased gradually during the trial, with a net decrease of (2.06 ± 0.31) kg at the end of 12 weeks' treatment (the first phase), corresponding to a decrease of (2.78±0.40) % as compared with the initial body weight ( P <0.01). In the interim period of 4 weeks (during the Chinese Spring Festival), a partial recurrence of the body weight occurred. During the second phase of treatment lasting for 15 weeks, there was again a reduction of body weight for (2.81±0.68) kg, corresponding to a decrease of (3.90±0.40)% ( P <0.001) as compared with the pretreatment level. Conclusion: An open trial of HANS treatment revealed a moderate, but significant effectiveness on weight reduction in a group of people with primary obesity. The therapy remains effective for the second phase of treatment. It is anticipated that a better effect can be achieved if the treatment is accompanied with diet control and appropriate exercise.

关 键 词：超重 肥胖症 经皮神经电刺激 电针 

分 类 号：R259.892[医药卫生—中西医结合] R245.97[医药卫生—中医内科学]