针刀治疗单纯性肥胖症疗效观察

Clinical observation on acupotomy for treatment of simple obesity

目的:对比针刀与电针、手针治疗单纯性肥胖症的疗效差异。方法:将105例患者随机分为针刀组、电针组、手针组,每组35例,3组均穴取中脘、天枢、上巨虚、三阴交等,并且辨证配穴,针刀组采用0.6 mm×40 mm的减肥针刀治疗,电针组采用韩氏LH402A穴位神经电刺激仪治疗,手针组采用单纯针刺治疗。比较3组临床疗效,对肥胖相关指标体质量、体质量指数(BMI)、肥胖度等及血脂、血糖进行观察。结果:针刀组愈显率为91.4%(32/35),优于电针组的71.5%(25/35)和手针组的42.9%(15/35)(均P<0.05)。3组肥胖相关指标及血脂、血糖的同组治疗前后比较差异均有统计学意义(P<0.05,P<0.01)。治疗前后差率组间比较,针刀组体质量、BMI、肥胖度、胸围、腰围、股围、腰臀比、总胆固醇均优于电针组、手针组(均P<0.05),臀围、空腹血糖优于手针组(均P<0.001)。结论:针刀治疗单纯性肥胖症疗效显著,具有明显的减脂、降血糖、降血脂作用。

Objective To compare the efficacy differences among acupotomy, electroacupuneture and acupuncture for treatment of simple obesity. Methods One hundred and five cases were randomly divided into an aeupotomy group, an electroacupuncture group and an acupuncture group, 35 cases in each group, and Zhongwan （CV 12）, Tianshu （ST 25）, Shangjuxu （ST 37）, Sanyinjiao （SP 6）, etc, were selected in three groups and also with selection of acupoints according to symptoms. The acupotomy group was treated with acupotomy 40 mm in length and 0.6 mm in diameter, the electroacupuneture group with the Han＇s LH402A eleetroacupuncture stimulator and the acupuncture group with simple acupuneture treatment. The clinical therapeutic effects of three groups were compared. The obesity signs such as body weight, body mass index （BMI）, obesity degree, etc. , and blood lipid and fasting blood sugar （FBS） were observed. Results The markedly effective rate of 91.4% （32/35） in the acupotomy group was higher than that of 71.5%（25/35） in the eleetroacupuncture group and that of 42.9% （15/35） in the hand acupuncture group（both P〈0.05）. There were significant differences in the obesity signs and blood fat and FBS of the three groups before and after treatment （P〈0.05,P〈0.-01）. The differences rates of body weight, BMI, obesity degree, chest circumference, waistline, thighline, waist-hip ratio, total cholesterol before and after treatment in the acupotomy group were all better than those in the electroacupuncture group and in the acupuncture group fall P〈0.05）, and the differences rates of hipline, FBS in the acupotomy group were better than those in the acupuncture group （both P〈0. 001）. Conclusion Aeupotomy treatment can obviously reduce fat, FBS and blood lipid and has obvious therapeutic effects on simple obesity.