穴位埋线治疗单纯性肥胖症不同证型的疗效观察

Observation on therapeutic effect of catgut implantation at acupoint on simple obesity of different syndrome types

目的:观察采用穴位埋线疗法治疗单纯性肥胖症不同证型的临床疗效,以分析此疗法对何种证型疗效最佳。方法:将137例患者根据中医辨证分为脾虚湿阻组(30例)、胃热湿阻组(30例)、肝郁气滞组(27例)、脾肾两虚组(26例)、阴虚内热组(24例),均予穴位埋线治疗,主穴取梁门、中脘、天枢、气海、丰隆,配穴随证取穴,1周治疗1次,4周为一疗程,连续治疗2个疗程。在治疗前后分别记录体重、体质量指数(BMI)、三围及症状体征的变化情况。结果:5组患者体重、BMI、腰围、髋围治疗前后比较,差异均有统计学意义。脾虚湿阻、胃热湿阻、肝郁气滞、脾肾两虚和阴虚内热5组总有效率分别为83.3%、93.3%、48.2%、69.2%和41.7%。5组疗效从高到低顺次为胃热湿阻组、脾虚湿阻组、脾肾两虚组、肝郁气滞组和阴虚内热组。结论:穴位埋线疗法对单纯性肥胖症胃热湿阻型疗效最为显著,对阴虚内热型疗效较差。

Objective To observe the therapeutic effect of catgut implantation at acupoint on simple obesity of different syndrome types, so as to understand the syndrome type most suitable to this therapy. Methods Using prospective and double blind method one hundred and thirty-seven cases were divided into a group of dampness stagnancy due to spleen deficiency （n= 30）, a stomach heat dampness stagnation group （n=30）, a group of stagnation of liver qi （n=27）, a group of deficiency of both spleen and kidney （n=26） and a group of endogenous heat due to yin deficiency （n= 24）. They were treated with catgut implantation at main acupoints Liangmen （ST 21）, Zhongwan （CV 12）, Tianshu （ST 25）, Qihai （CV 6）, Fenglong （ST 40） and adjuvant points selected according to different syndromes, once each week, 4 weeks constituting one course, for 2 courses. Changes of body weight, body mass index （BMI）, circumferences of chest, waist and hip, and symptoms and signs before and after treatment were ob served. Results After treatment, the body weight, BMI, circumferences of waist and hip in the 5 groups had sig nificant changes; the total effective rates in the group of dampness stagnancy due to spleen deficiency, the stomach heat dampness stagnation group, the group of stagnation of liver qi, the group of deficiency of both spleen and kidney deficiency, the group of endogenous heat due to yin deficiency were 83.3%, 93.3%, 48.2%, 69.2% and 41.7%, respectively. Conclusion The therapeutic effect of catgut implantation at acupoints is the best for simple obesity of the stomach heat dampness stagnation type and the worst for the type of endogenous heat due to yin deficiency.