摘要
目的:研究穴位埋线疗法治疗单纯性肥胖病临床疗效。方法:选择84例单纯性肥胖病患者,根据中医学理论,结合临床,辨证分型,确定埋线穴位。每2周埋线1次,共治疗3个月。观察患者体质量指数(BMI)、体脂百分率、体围、皮褶厚度、胰岛素敏感性指数及瘦素、胰岛素、血脂等的变化及相互关系。结果:穴位埋线治疗单纯性肥胖病临床总有效率为84.52%,男性总有效率为88.88%,女性为83.33%,辨证分型中胃肠实热型有效率为91.48%。穴位埋线对于单纯性肥胖病患者与肥胖相关的各项指标均有调节作用,包括:体重、体质量指数、体脂百分率、体围、皮褶厚度、腰髋比等肥胖指标治疗前后均有显著差异(P<0.05);血脂相关指标总胆固醇、甘油三酯、空腹血糖、瘦素、胰岛素治疗后显著下降与治疗前比具有极显著差异(P<0.01),高密度脂蛋白胆固醇、胰岛素敏感性指数治疗后明显回升与治疗前比有显著差异(P<0.05)。结论:穴位埋线治疗单纯性肥胖在明显减轻患者体重的同时,更重要的是降低了与肥胖相关的临床及实验室指标,表明穴位埋线可改善脂代谢,重塑体形,预防和减少肥胖并发症。
Objectives： This thesis investigates the clinical effect on treating simple obesity with catgut implantation at acupoint. Methods： A total of 84 patients with simple obesity were chosen. Guided by the theory of traditional Chinese medicine,combined with clinical syndrome differentiation,we selected the acupoints,determined the treatment program and treated the patients clinically for three months,every two weeks and observed the changes and correlations of body mass index,body fat percentage,body girth skin- fold thickness,insulin sensitivity,leptin,and blood lipid. Results： The total clinical effective rate of the treatment of catgut implantation at acupoint for simple obesity was 84. 52%,88. 88% of male and 83. 33% of female. The effective rate of syndrome differentiation of patients with the stomach and intestine excess- heat type was 91. 48%. Catgut implantation at acupoint can regulate each obesity- related index of patients with simple obesity,including body weight,body mass index,body fat percentage,body girth,skin- fold thickness,waist hip ratio,etc. Obesity indexes had significant difference before and after the treatment（ P〈0. 05）. Blood lipid- related indicators（ total cholesterol,triglyeeride,fasting blood sugar,leptin,） were declined significantly after treatment and compared with those before the treatment,there was a very significant difference（ P〈0. 01）. High density lipoprotein cholesterol and insulin sensitivity index got improved obviously after the treatment and there was a significant difference（ P〈0. 05）. Conclusions： Catgut implantation at acupoint for simple obesity can reduce patients＇ weight and at the same time,more importantly,it reduces the clinical and laboratory indicators associated with obesity,suggesting that the treatment can improve lipid metabolism,reshape figure and prevent and reduce complications of obesity.
出处
《中华中医药学刊》
CAS
北大核心
2016年第5期1143-1147,共5页
Chinese Archives of Traditional Chinese Medicine
基金
辽宁省教育厅高等学校科研项目(L2013354)
关键词
穴位埋线
单纯性肥胖
临床疗效
catgut implantation at acupoint
simple obesity
clinical effect
