通调带脉法针刺治疗腹型肥胖疗效观察

Acupuncture Treatment of Abdominal Obesity Patients by "Belt Vessel(Daimai)Regulating Method"

目的:观察通调带脉法针刺治疗对腹型肥胖的临床疗效,评价通调带脉法针刺治疗改善内脏脂肪异位沉积的作用。方法:腹型肥胖患者35例,以通调带脉为法取穴治疗,取带脉、天枢、大横、中脘、梁门、水道、足三里、上巨虚、丰隆、足临泣,每周治疗3次,共治疗8周。比较治疗前后患者简易体脂参数和腹部脂肪厚度、内脏脂肪指数的变化。结果:治疗后患者体质量、体质量指数、腰围、臀围、腰围/身高比值、体脂肪率均较治疗前降低(P<0.05,P<0.001),腰臀比与治疗前比较有所下降,但差异无统计学意义(P>0.05);治疗后患者腹壁、内脏脂肪厚度以及内脏脂肪指数均减低(P<0.05,P<0.001),且内脏脂肪变化较腹壁脂肪大(P<0.001)。结论:通调带脉法针刺治疗腹型肥胖疗效确切,能改善内脏脂肪异位沉积情况。

Objective To observe the clinical effect of acupuncture intervention on abdominal obesity by stimulation of ＂Belt Vessel （Daimai） Regulation Acupoint Recipe＂. Methods A total of 35 abdominal obesity outpatients were recuited in the present study. The ＂Belt Vessel （Daimai） Regulation Acupoint Recipe＂ was composed of Daimai （GB 26）, Tianshu （ST25）, Da- heng （SP 15）, Zhongwan （CV 12）, Liangmen （ST 21）, Shuidao （ST 28）, Zusanli （ST 36）, Shangjuxu （ST 37）, Fenglong （ST 40） and Zulinqi （GB 41, both Sides except CV 12）. In addition, electroacupuncture was also applied to bilateral GB 26 and ST 25. The treatment was conducted once every other day, 8 weeks altogether. The body weight, body mass index （BMI）, waist circumference （WC）, hip circumference （HC）, Waist-to-hip ratio （WHR）, waist-to-height ratio （WHtR） and body fat rate[ = 1.2 × BMI＋ 0.23 × age-5.4-10.8 × sex（male= 1 ,female= 0）-]were measured or calculated. The thickness of abdominal adipose lay- er （i. e. ：S 1 = distance from the interface of the skin and subcutaneous fat to the linea alba abdominis at the midpoint between the xiphoid-process and the umbilicus; S2 = distance from the interface of the skin and subcutaneous fat to the anterior bounder of the external oblique muscle of abdomen on the right side closely to the umbilicus center） and visceral fat layer thickness （V 1 = dis- tance from the midpoint of the linea alba abdominis to the anterior bounder of the vertebra body; V 2 = distance from the peritone- um to the right bounder of the vertebra body at the umbilicus level） were measured for calculating ultrasound viscerofatty index EUV[= （V 1 ＋ V 2）/（S 1 ＋ S 2）]by using a color Doppler ultrasonography. Results After 8 weeks＇ treatment, the body weight, BMI, waist and hips circumferences, WHtR and percentage of body fat were declined significantly （P〈0. 05, P〈0.001）. The WHR was decreased compared to that of pre-treatment, but without statistical significance （P〉0.05）. The thickness of abdomi- nal subcutaneous adipose and visceral adipose layers and UVl were decreased significantly following the treatment （P〈0.05, P〈0. 001）. The reduction of visceral adipose layer was superior to that of the abdominal subcutaneous one （ P〈0. 001 ）. Conclusion Acupuncture intervention has a significant effect on reducing abdominal obesity in abdominal obesity patients.