陈梅-针刀治疗单纯性肥胖病的临床研究

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1、针刀治疗单纯性肥胖症的临床研究陈梅(南京中医药大学210046)【摘要】目的：对比针刀与电针、手针治疗单纯性肥胖症的疗效差异。方法：将105例患者随机分为3组，每组35例，3组均穴取中月完、天枢、上巨虚、三阴交等，并且辨证配穴，针刀组釆用0.6mmx40mm的减肥针刀治疗，电针组采用韩氏LH402A穴位神经电刺激仪治疗，手针组采用单纯针刺治疗。比较3组临床疗效，对肥胖相关指标体质量、体质指数(BMI)、肥胖度等及血脂、血糖进行观察。结果：针刀组愈显率为91.4%(32/35),优于电针组的71.5%(25/35)和手针组的42.9%(15/35)。3组肥胖相关指标及血脂、血糖的同组治疗前后比

2、较差异均有统计学意义(均R0.05)。治疗前后差率组间比较，针刀组体质量、BMI.肥胖度、胸围、腰围、股围、腰臀比、总胆固醇均优于电针组、手针组(均R0.05),臀围、空腹血糖优于手针组(均P<0.05)。结论：针刀治疗单纯性肥胖症疗效显著，具有明显的减脂、降血糖、降血脂作用。【关键词】针刀电针针刺单纯性肥胖症ClinicalObservationonTreatingSimpleObesitywithAcupotomyChenMei(NcmJingUniversityofTCM,theSecondCollegeofClinicalMedicine,JiangSu,210046,China)A

3、BSTRACTObjectiveToobservetheclinicaleffectofacupotomyandelectroacupunctureandacupunctureonsimpleobesity.MethodsOnehundredandfivecaseswererandomlydividedintothreegroups,35casesofeachgroup,threegroupswereallappliedatZhongwan(CV12),Tianshu(ST25),Shangjuxu(ST37),Sanyinjiao(SP6),ect,andalsoselectionofac

4、upointsaccordingtothesymptoms.Theacupotomytreatmentgroupwastreatedwith4gaugeinlengthand0.6mmindiameter.TheelectroacupuncturecontrolgroupwastreatedwiththeHanLH402Aelectroacupuncturestimulator.Theacupuncturecontrolgroupwastreatedwithmovingretainingneedles・Theclinicalcurativeeffectofthreegroupshadbeen

5、compared・Theobesitysigns(bodyweight,bodymassindex,obesitydegreeandsoon)andbloodfatandFBSofthethreegroupshadbeencomparedbeforeandaftertreatment,andthediffererncesratesoftheseonbeforeandaftertreatmenthadbeencomparedamongthethreegroups・ResultsThecuredandobviouslyeffectiverateof91.4%intheacupotomygroup

6、washigherthanthatof71.5%intheelectroacupuncturegroup(P<0.05),alsowashigherthanthatof42.9%intheacupuncturegroup(P<0.05)・TheobesitysignsandbloodfatandFBSofthethreegroupscomparedbeforeandaftertreatmentwereallwithsignificantdifferences(allPv0・05)・Thediffererncesratesofbodyweight,bodymassindex,obesityde

7、gree,chcstlinc,waistline,thighlinc,waist-hipratio,TConbeforeandaftertreatmentintheacupotomygroupwereallbetterthanintheclcctroacupuncturcgroup(allP<0.05),andalsoallbetterthanintheacupuncturegroup(allP<0.05);