电针治疗单纯性肥胖病胃肠腑热型疗效观察（英文）

Observation on the therapeutic effect of electroacupuncture on simple obesity of gastrointestinal heat pattern/syndrome

目的:比较电针与针刺治疗单纯性肥胖病胃肠腑热型的疗效差异。方法:将90例单纯性肥胖病胃肠腑热型的患者随机分成电针组和针刺组,每组45例。电针组穴取内庭、上巨虚、下巨虚、丰隆、天枢、足三里、阴陵泉、曲池,行针刺疗法,并于上巨虚、内庭和天枢、丰隆行电针疗法;针刺组采用单纯针刺治疗,取穴同电针组。两组均隔日治疗1次,12次为一疗程,共治疗3个疗程。观察治疗前后患者的体质量、肥胖度、体质指数、体脂百分率等肥胖指标的变化,并比较两组的减重与减脂疗效。结果:治疗后两组患者体质量、肥胖度、体质指数和体脂百分率均明显降低(均P<0.01);第1疗程减重效果电针组总有效率优于针刺组[95.6%(43/45)vs 77.8%(35/45),P<0.05],后期2个疗程两者效果无明显差异(均P>0.05);电针与针刺在减脂疗效上差异无统计学意义(均P>0.05)。结论:电针与单纯针刺治疗单纯性肥胖疗效显著,且电针在初期减重疗效明显优于单纯针刺。

Objective To compare the therapeutic effect on simple obesity of gastrointestinal heat type between electroacupuncture （EA） and conventional acupuncture （CA）. Methods Ninety cases of simple obesity of gastrointestinal heat type were randomized into an EA group and a CA group, 45 cases in each one. In the EA group, CA was applied at Neiting （内庭 ST 44）, Shangjuxu （上巨虚 ST 37）, Xiajuxu （下巨虚 ST 39）, Fenglong （丰隆 ST 40）, Tianshu （天枢 ST 25）, Zusanli （足三里 ST 36）, YTnlingquan （阴陵泉 SP 9） and Ouchi （曲池 LI 12）. The electric stimulation was attached at ST 37, ST 44, ST 25 and ST 40. In CA group, the simple acupuncture was applied at the same points as the EA group. The treatment was given once every two days, 22 treatments made one session and 3 sessions were required totally in the two groups. The changes in body mass, obesity degree, body mass index （BMI） and body fat percentage （F%） were observed in the patients before and after treatment. The therapeutic effects on weight loss and fat loss were compared between the two groups. Results After treatment, the weight, obesity degree, BMI and F% were all reduced apparently in the patients of the two groups （all P〈0.01）. After the 2st session of treatment, concerning to the effect on weight loss, the total effective rate in the EA group was superior to that in the CA group [95.6% （43/45） vs 77.8% （35/45）, P〈0.05]. The effects were not different apparently between the two groups in the later 2 sessions of treatment （all P〉0.05）. The effect on fat loss was not different significantly in statistics between EA and CA （all P〉0.05）. Conclusion Either EA or CA achieves the significant effect on simple obesity. The therapeutic effect of EA on weight loss in the early stage is obviously superior to that of CA.