留针时间对针刺治疗单纯性肥胖疗效的影响

Effect of Needle-retaining Time on the Therapeutic Effect of Acupuncture in Treating Simple Obesity

目的观察不同留针时间对针刺治疗单纯性肥胖疗效的影响。方法将80例单纯性肥胖患者随机分为治疗组和对照组,每组40例。两组取穴相同,均采用电针治疗,治疗组留针1 h,对照组留针30 min。比较两组治疗前后患者体重、体重指数、腰围、臀围及腰臀围比值,并评价减肥疗效。结果治疗组总有效率为85.0%,对照组为80.0%。两组临床疗效比较,差异无统计学意义(P>0.05)。两组治疗后体重及BMI与同组治疗前比较,差异均具有统计学意义(P<0.01)。两组治疗后腰围、臀围及腰臀围比值与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后腰围、臀围及腰臀围比值与对照组比较,差异均具有统计学意义(P<0.05)。结论针刺是一种治疗单纯性肥胖的有效方法,留针较长时间能有效地改善单纯性肥胖患者的腰围、臀围及腰臀围比值。

Objective To observe the effect of needle-retaining time on the therapeutic effect of acupuncture in treating simple obesity. Method Eighty simple obesity patients were randomized into a treatment group and a control group, 40 in each group. The two groups were both intervened by electroacupuncture at the same points, with needles retained for 1 h in the treatment group versus 30 min in the control group. The two groups were compared in terms of body weight, body mass index （BMI）, waist circumstance （WC）, hip circumstance （HC）, and waist-hip ratio （WHR）. The therapeutic efficacies were evaluated. Result The total effective rate was 85.0% in the treatment group versus 80.0% in the control group, and the difference was statistically insignificant （P〉0.05）. After treatment, the body weight and BMI were changed markedly in both groups （P〈0.01）. After treatment, the WC, HC, and WHR were changed significantly in both groups （P〈0.01）. The treatment group was significantly different from the control group in comparing WC, HC, and WHR after treatment （P〈0.05）. Conclusion Acupuncture is an effective method in treating simple obesity, and a comparatively longer needle-retaining time can significantly improve WC, HC, and WHR of patients with simple obesity.