针刺对单纯性肥胖患者血液流变学的影响

The Effect of Acupuncture on Hemorrheology in Simple Obesity Patients

目的:观察针刺对单纯性肥胖患者血液流变学的影响,以探讨针刺减肥的治疗机理。方法:门诊单纯性肥胖患者32例,采用针刺腹部相关穴位,每日1次,10次为1疗程,3个疗程后自身对照的方法,比较针刺前后体重、腰围、体质指数、血液流变学检测指标,并对临床症状的改善进行总结。结果:经针刺3个疗程,患者体重减轻,腰围缩小,不同切变率下全血液粘度、血浆粘度及红聚集指数明显降低,红细胞变形能力增强(P<0.01);便秘、腹胀、月经不调、痤疮等症状均有明显改善。结论:针刺人体脾胃经相关穴位可以改善胃肠动力学,消除腹胀便秘、痤疮,减肥塑形,降低血液粘稠加快血流速度,改善血液流变性。

Objective： To investigate the mechanism of acupuncture in treatment of simple obesity. Methods： Thirty - two cases of simple obesity patients between 18 and 65 years old were enrolled into this study. Acupuncture was given at acupoints of the stomach meridian of foot - yangming and the spleen meridian of foot - taiyin. One time a day, 30 minutes each time, 5 days late, then one time two days, 10 times constituting one course, after 3 courses, data of hemorrheology, weight, physique index and waistline before and after acupuncture treatment were compared. Results： The value of Plasma viscosity, whole blood high/low specific viscosity, Deformation index of RBC, Aggregation index of RBC, weight, weigh index and waistline lowed significantly after acupuncture on acupoints of the stomach meridian of foot - yangming and the spleen meridian of foot - taiyin in treatment of simple obesity （ P 〈 0. 01 ）. The value of Erythrocyte volume lowed significantly after acupuncture on acupoints of the stomach meridian of foot - yangming and the spleen meridian of foot - taiyin in treatment of simple obesity （ P 〈 0.05） The value of Fibrinogen hadn＇ t any significant changes （P 〉 0.05）. Conclusion： It suggests that acupuncture treatment can apparently improve hemorrheology, low the weight. phvsique index and waistline in simple obesity Patients.