针灸治疗单纯性肥胖症并发经前期紧张综合征的疗效分析

Analysis of curative effects of acupuncture and moxibustion therapy on simple obesity complicated with premenstrual tension syndrome

目的观察针灸疗法对女性肥胖症及肥胖并发经前期紧张综合征患者的干预效果。方法选择1998-01/2002-12在南京中医药大学门诊部就诊的肥胖症及肥胖并发经前期紧张综合征的女性患者90例,分为单纯肥胖组和伴经前期紧张综合征组,每组45例,均自愿参加观察。依据中医辨证施治基本理论,两组均采用耳体针结合的针灸疗法。耳穴埋藏揿针或王不留行籽,胶布固定,每日自行按压3次,每次每穴按压一两分钟,3d更换1次,两耳交替治疗。针灸体穴隔日1次,每次留针30m in。耳体针同时进行,以3个月为1个疗程,治疗1个疗程。治疗前及治疗3个月后比较两组患者的临床病证指数和疗效。临床病证指数得分越高表明病情越严重,总分最高为46.49。疗效判断值=[(疗前临床病证指数-疗后临床病证指数)/疗前临床病证指数]。显效疗效判断值≥2/3;有效1/3≤疗效判断值<2/3;无效疗效判断值<1/3。结果纳入肥胖症患者90例,全部进入结果分析,无脱落。①两组患者治疗3个月后的疗效比较单纯肥胖组患者的总有效率显著高于伴经前期紧张综合征组[97%,87%(χ2=25.71,P<0.01)]。②两组患者治疗前及治疗3个月后临床病证指数比较单纯肥胖组及伴经前期紧张综合征组患者治疗3个月后均显著低于治疗前[4.47±5.75,17.64±5.88;9.28±8.53,28.24±9.51(t=10.70,9.98,P<0.01)]。结论针灸疗法对单纯肥胖症及肥胖伴经前期紧张综合征患者均具有良好的干预效果,表明针灸疗法同时具有减肥和改善经前期紧张综合征病证的作用。

AIM： To observe the intervention effect of acupuncture and moxibustion therapy on patients with simple obesity complicated with premenstrual tension syndrome. METHODS： Totally 90 female patients with simple obesity complicated with premenstrual tension syndrome from Outpatient Department of Nanjing Traditional Chinese Medicine University from January 1998 to December 2002 were divided into simple obesity group （n=45） and simple obesity complicated with premenstrual tension syndrome group （n=45）. All participants took part in the observation voluntarily. According to the fundamental of Chinese medicine treatment, patients in the two groups all received combination therapy of auricular and body acupuncture. Pres-needies or cowherb seeds were put in the ear point fixed with rubberized cloth. Self-pression was performed three times each day with each time 1- 2 rains for each point, two ears alternatively received the treatment with a change of every 3 days. The acupuncture at body point was given once for every other day with 30-min-retention of the needle in the body at the same time of auricular and body acupuncture and 3 months as one course. The clinical symptom index and curative effect of patients in both groups were compared before treatment and 3 months after the treatment, the higher the index, the severer the disease. The highest total score was 46.49. Judging value of curative effect=[（clinical symtom index before treatmentindex after treatment）/index before treatment]. Significant Effect： Judging value ≥2/3; Effective as judging value 〈 2/3; Inefficiency： Judging value ≤ 1/3. RESULTS： Ninety patients with obesity were involved in the analysis of results, no subject withdrew from the study.（1）Comparison between the two groups after treated for 3 months： Total effective rate in the simple obesity group was higher than that in the other group [97%, 87% （X^2=25.71,P 〈 0.01 ）]. （2）Comparion of clinical symptom indexes between the two group before and 3 months after the treatment： In the second group, they were significantly lower 3 months after the treatment than those before the treatment （4.47±5.75,17.64±5.88;9.28±8.53,28.24±9.51, t=10.70,9.98, P〈 0.01）. CONCLUSION： Acupuncture and moxibustion therapy has good effect on simple obesity and simple obesity accompanied by premenstrual tension syndrome, which indicates that it can reduce weight as well as ameliorate premenstrual tension syndrome.