俞募配穴法穴位埋线治疗单纯性肥胖症的临床研究

Clinical Research on Catgut Embedding in the Treatment of Simple Obesity with Back-Shu and Front-Mu Points

观察俞募配穴法穴位埋线治疗单纯性肥胖症的临床疗效,为临床提供新的治疗方案。方法按照纳入标准选择病例,采用随机数字表法随机分为穴位埋线治疗组76例和电针对照组73例。治疗组采用俞募配穴法穴位埋线,对照组采用针刺加电针治疗。治疗2个疗程后进行统计学分析。结果治疗2个疗程结束时,治疗组总有效率86.84%;对照组总有效80.82%,两组疗效比较无显著性差异(P>0.05);治疗1个疗程后,治疗组与对照组患者的平均BMI下降不显著;治疗2个疗程后治疗组BMI和对照组BMI下降差异显著(P<0.05)具有统计学意义。治疗组与对照组间BMI比较,在分别治疗1个疗程及治疗2个疗程后差异不显著,不具有统计学意义;治疗1个疗程后,治疗组与对照组患者的平均腹围下降差异并不显著。治疗2个疗程后,治疗组患者的平均腹围下降均差异显著,具有统计学意义(P<0.05),对照组患者的平均腹围下降不显著(P>0.05)。治疗组与对照组间腹围改善比较,分别在治疗1个疗程及2个疗程后差异不显著(P>0.05)。结论两组患者治疗前后临床疗效有显著性差异,BMI及腹围均较治疗前明显改善。两组比较,治疗组在改善BMI以及腰围方面有优势,但无明显统计学意义。与对照组比较,穴位埋线疗法具有安全简便,所需治疗时间短,易推广等优势。

Objective To observe the clinical therapeutic effect of catgut embedding in the treatment of simple obesity with baek-shu and frontmu points for offering new treatment options. Methods Patients were randomly divided into catgut embedding therapy treatment group （76 cases） and electro-acupuncture control group （73 cases） with lottery method according to the inclusion criteria. The treatment group was treated by catgut embedding with back-shu and front-mu points. The control group was treated by electro-acupuncture. Results After 2 courses of treatment, the total effective rate of the treatment group and the control group was 86. 84% and 80. 82% , respectively, and there was no significant difference between the two groups （ P 〉 0.05 ）. The average BMI decline of catgut embedding treatment group and the electro- acupuncture group was not significant after one course of treatment. After two courses of treatment, BMI decreased in catgut embedding group was statistically significantly （P 〈 0.01 ）. The BMI decreased in electro-acupuncture group with significant （P 〈 0. 05）. The difference has no statistical significance of BMI compared between two groups after one course of treatment and two courses of treatment. The average abdominal circumference decline of the catgut embedding treatment group and electro-acupuncture group was not significant after one course of treatment. After two courses of treatment, abdominal circumference decreased in catgut embedding group was significantly （ P 〈 0. 05 ） , while the abdominal circumference decreased has no significantly difference （ P 〉 0. 05 ）. The difference has no statistical significance of abdominal circumference between two groups after one course of treatment and two courses of treatment （P 〉 0. 05）. Conclusion This study showed that the clinical therapeutic effect had significant difference between the two groups before and after treatment, BMI and abdominal circumference were significantly improved comparing with those before treatment. Comparing with the two groups, the catgut embedding group had advantages in improving BMI and abdominal circumference, but had no obviously statistical significance. Comparing with acupuncture, catgut embedding therapy had the advantages of safe, simple and short time, and is easy to promote.