摘要
目的观察电针疗法对儿童青少年单纯性肥胖的临床疗效。方法 84例儿童青少年单纯性肥胖患儿均给予电针疗法,主穴取阴陵泉(双侧)、丰隆(双侧)、天枢(双侧)、中脘、大横(双侧)、滑肉门(双侧)、曲池(双侧),隔日1次,12次为1个疗程,3个疗程后观察疗效,并检测血清总胆固醇(TC)、血浆甘油三酯(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、空腹血糖(FPG)、空腹胰岛素(FINS)、血清载脂蛋白A5(Apo A5)、瘦素的含量。结果显效49例,有效32例,无效3例,总有效率为96.43%。治疗后患儿TC、FPG、TG、LDL、FINS、瘦素含量较治疗前明显下降,差异均有统计意义(P<0.05或P<0.01);Apo A5含量较治疗前明显回升,差异有高度统计意义(P<0.01)。结论电针治疗儿童青少年单纯性肥胖疗效显著,可降低TC、TG、LDL、FPG、FINS、瘦素水平,提高血清Apo A5含量,对异常糖、脂代谢有良性调节作用,改善胰岛素抵抗和瘦素抵抗,有利于患儿的健康成长。
Objective To observe the effect of simple obesity in children and adolescents by electro-acupuncture therapy.Methods 84 cases of children and adolescents with simple obesity were treated with electro-acupuncture,principal points are bilateral Yinlingquan（ P9）,bilateral Fenglong（ S40）,bilateral Tianshu（ S25）,Zhongwan,bilateral Daheng（ SP15）,bilateral Huaroumen,bilateral Quchi（ LI 11）.Electro-acupuncture was applied on alternate days,12 times as a course of treatment.After three courses treatment,observed curative effect,and tested the detection of total cholesterol（ TC）,serum triglyceride（ TG）,high density lipoprotein（ HDL）,low density lipoprotein（ LDL）,fasting plasma glucose（ FPG）,fasting insulin（ FINS）,serum apolipoprotein A5（ Apo A5）,the content of leptin.Results The numbers of remarkable effect,effect and inefficacy after treatment were 49,32 and 3cases respectively,the total effective rate was 96.43%.TC,TG,LDL,FPG,FINS and leptin decreased significantly compared with those before treatment,which has obvious difference（ P〈0.05 or P〈0.01）;Apo A5 rebounded compared with that before treatment,the difference was statistically significant（ P〈0.01）.Conclusion Electro-acupuncture therapy applied in children and adolescents with simple obesity has a good effect,for its reduction of TC,TG,LDL,FPG,FINS,and leptin,increase of Apo A5 content,benign adjustment of abnormal glycolipid metabolism as well as improvement of insulin and leptin resistance,which is conducive to the healthy growth of children.
出处
《中医儿科杂志》
2016年第6期78-81,共4页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
单纯性肥胖
儿童
青少年
电针
针刺
疗效观察
simple obesity
children
adolescents
electro-acupuncture
acupuncture
efficacy observation
