穴位埋线与电针治疗单纯性肥胖的疗效及成本效益分析比较

Comparation of effect and cost-benefit analysis between acupoint catgut-embedding and electroacupuncture on simple obesity

目的:比较穴位埋线与电针治疗单纯性肥胖的临床疗效,并对两种方法进行成本-效果分析,评价其经济学效益。方法:将60例患者随机分为穴位埋线组和电针组,每组30例。两组均选取中脘、天枢、大横、水分、气海、关元、足三里、阿是穴为主穴,穴位埋线组采用埋线法,每周治疗1次,4周为一疗程,连续治疗2个疗程;电针组采用电针疗法,每周治疗3次,4周为一疗程,连续治疗2个疗程。比较两组总有效率、肥胖指标和成本。结果:①穴位埋线组总有效率为90.0%(27/30),电针组为86.7%(26/30),两组疗效相当(P>0.05);②两组肥胖指标比较:两组治疗后体质量、体质量指数(BMI)、腰围、臀围、腰臀比值均明显降低(均P<0.05),且两组之间差异无统计学意义(均P>0.05);③成本效果分析示穴位埋线组医疗总成本为61 500元,人均成本为2050元,电针组总成本117 210元,人均成本为3907元,穴位埋线组平均每人比电针组少支出1857元。结论:穴位埋线治疗单纯性肥胖疗效确切,治疗成本较低,具有较好的经济学效益。

Objective To compare the clinical effect of acupomt catgut-embedding and electroacupuncture on simple obesity and evaluate the economics benefit by cost-benefit analysis. Methods Sixty cases were randomly devided into an acupoint catgut-embedding group and an electroacupuncture group, 30 cases in each group. Zhongwan （CV 12）, Tianshu（ST 25）, Daheng （SP 15）, Shuifen （CV 9）. Qihai （CV 6）, Guanyuan （CV 4）. Zusanli （ST 36） and Ashi acupoints were selected as the main acupoints m both groups. The acupoint catgut-embedding group was treated with acupoim catgut-embedding, once each week. four weeks as a course for two courses. The electroacupuncture group was treated with electroacupuncture, three times each week for eight weeks. Results （1）The total effective rate in the acupont catgut-embedding group was 90.0% （27/30） and in the electroacupuncture group was 86.7% （26/30）, with the similar therapeutic effect between the two groups （P〉0.05）. （2） The body mass. body mass index（BMI）, waistline, hip circumference and waist-to-hip ratio in the two groups were all decreased significantly （all P 〈0.05）. （3） The total medical treatment cost in the acupoint catgut-embedding group was 61 500 yuan and the cost per patient was 2050 yuan, and in the electroacupuncture group, the total cost was 117 210 yuan and the cost per patient was 3907 yuan. The cost effect analysis showed that there were 1857 yuan of the cost per patient m the acupoint catgut-embedding group less than that in the electroacupuncture group. Conclusion Acupoint catgut-embedding has significant effect in treating simple obesity with low cost and fine economics benefit.