针刺配合饮食控制治疗单纯性肥胖疗效观察

Clinical observation on acupuncture combined with diet control for treatment of simple obesity

目的:探求提高单纯性肥胖疗效的有效针灸方法。方法:将334例单纯性肥胖患者随机分为观察组(112例),给予针刺治疗,穴取中脘、天枢、关元等,配合饮食控制;对照Ⅰ组(112例),给予单纯针刺治疗;对照Ⅱ组(110例),给予单纯饮食控制治疗。观察各组减肥有效率和反弹率。结果:66例因不能坚持治疗而退出(观察组3例、对照Ⅰ组5例、对照Ⅱ组58例)。观察组总有效率为91.8%,对照Ⅰ组总有效率为75.7%,对照Ⅱ组总有效率为73.1%,观察组总有效率与对照Ⅰ组、对照Ⅱ组比较,差异均有统计学意义(均P<0.005);观察组、对照Ⅰ组1年反弹率与对照Ⅱ组比较,差异均有统计学意义(均P<0.001);对照Ⅱ组退出治疗病例与观察组、对照Ⅰ组比较,差异均有统计学意义(均P<0.001)。结论:针刺配合饮食控制治疗单纯性肥胖效果显著,反弹率低,患者容易接受。

Objective To search for an effective method for increasing the therapeutic effect on simple obesity. Methods Three hundred and thirty-four cases of simple obesity were randomly divided into an observation group （n= 112）, a control group Ⅰ（n= 112） and a control group Ⅱ （n=110）. The observation group was treated with acupuncture at Zhongwan （CV 12）, Tianshu （ST 25）, Guanyuan （CV 4）, and diet control, the control group Ⅰ with simple acupuncture and the control group Ⅱ with diet control. Results Of the 334 cases enrolled, 66 withdrawn from the experiment （3 cases in the observation group, 5 cases in the control group Ⅰ and 58 cases in the control group Ⅱ）. The total effective rate was 91.8% in the observation group, 75.7% in the control group Ⅰ and 73.1% in the control group Ⅱ, with a significant differences as the observation group compared with the control group Ⅱ or the control group Ⅱ （both P〈0. 005）; the effect-rebounding rate one year later in the observation group or the control group Ⅰ was significantly different from that of the control group Ⅱ （both P〈0. 001） ; and the number of cases withdrawning from the experiment in the control group Ⅱ was significantly different from that in the observation group or in the control group Ⅰ（both P〈0.001）. Conclusion Acupuncture combined with diet control has a significant effect on simple obesity with a lower rate of the effect-rebounding, and it is easily accepted.