耳穴贴压和耳穴贴压加体针增胖100例

Auricular point sticking and the combined therapy of auricular point sticking and body acupuncture for weight gain in 100 cases

目的:观察耳穴贴压和耳穴贴压加体针增胖的疗效,探讨不同体质人群增重的效果差异。方法:将100例门诊欲增胖者随机分为两组,每组50例。耳穴贴压组采用胶布固定王不留行籽于耳穴脾、胃、内分泌、小肠、臀、胫、前臂等,每日按压3次,每次5min,两日更换1次,两耳交替;耳穴贴压加体针组采用耳穴贴压加体针,耳穴贴压选穴、方法同前,体穴选用中脘、关元、天枢、足三里、三阴交等,用毫针针刺,2日1次。治疗20次后观察受试者体质量及体质量指数(BMI)变化。结果:(1)耳穴贴压组和耳穴贴压加体针组总有效率分别为94.0%(47/50)、98.0%(49/50),两组差异无统计学意义(P>0.05);两组干预后的平均体质量和平均BMI比较,差异无统计学意义(均P>0.05),说明单纯耳穴贴压也同样有效。(2)脾胃虚弱型偏瘦者和正常人偏瘦者之间比较,总有效率差异无统计学意义(P>0.05),但显效率差异有统计学意义(P<0.05)。脾胃虚弱型偏瘦者经过治疗后体质量增加幅度大,正常人偏瘦者体质量增加幅度小或无变化。结论:单纯耳穴贴压与耳穴贴压加体针增胖效果相当,且对脾胃虚弱型偏瘦者效果更佳。

Objective To explore the efficacy difference in weight gain between auricular point sticking and the combined therapy of auricular point sticking and body acupuncture, as well as the efficacy difference among various body constitutions. Methods One hundred cases of Weight gain were randomized into two groups, auricular point sticking group （group A） and the combined therapy of auricular point sticking and body acupuncture group （group B）, 50 cases in each one. In group A, semen vaccariae was fixed with plaster on the spleen, stomach, endocrine, small intestine, buttocks, tibia, forearm, etc. in the ear. Each point was pressed 3 times daily, for 5 min each time. The ear-points on two sides were alternated every two days. In group B, the auricular point sticking and body acupuncture were applied. The ear points and manipulation were same as the previous. Body points were Zhongwan （CV 12）, Guanyuan （CV 4）, Tianshu （ST 25）, Zusanli （ST 36）, Sanyinjiao （SP 6）, etc. Acupuncture was applied with filiform needle, once every two days. The changes in body weight and body mass index （BMI） were observed after 20 treatments. Results （1） The total effective rate was 94.0% （47/50） in group A and was 98.0%（49/50） in group B, without statistical significant difference （P〉0. 05）. The comparison of mean body weight and mean BMI after intervention did not show statistical significance between two groups （both P〉0.05）, indicating that the simple auricular point sticking could achieve the same effect as the combined therapy. （2） There was no statistical significant difference in the total effective rate between the thin persons with spleen and stomach deficiency constitution and those with normal constitution among 100 cases （P〉0.05）. But, the remarkable effective rates were different significantly in statistics （P〈0. 05）. For the thin persons with spleen and stomach deficiency constitution, after treatment, the body weight increased in big amplitude, but those with normal constitution increased in small amplitude or had no change. Conclusion The efficacy of the simple auricular point sticking on weight gain is same as the combined therapy of auricular point sticking and body acupuncture, and is much better for the cases with spleen and stomach deficiency constitution.