针刺减肥对体成分影响的临床观察

Effect of Acupuncture Therapy on Body Compositions in Patients with Obesity

目的:观察针刺对减肥患者人体成分中脂肪、骨质、肌肉、水分的影响。方法:将符合纳入标准的71例减肥需求患者按照个人意愿自行入组针灸营养组(简称针营组,40例)或单纯营养组(简称营养组,31例)。针营组每周3次针刺中脘、下脘、天枢、曲池、外关、足三里等穴和1次营养咨询,营养组每周进行1次营养咨询,两组均连续治疗4周。应用人体成分分析仪观察治疗前后两组患者的体质量、体质量指数、脂肪质量、体脂百分比、肌肉质量、蛋白质质量、水分质量、骨质质量。结果:治疗后,两组患者的体质量、体质量指数、脂肪质量和体脂百分比较治疗前均显著下降(P<0.01);针营组较营养组下降更显著(P<0.01)。结论:针刺对减少体质量、脂肪质量和体脂百分比的效果显著,对蛋白质、水分、骨质质量的影响不明显。

Objective To observe the clinical effectiveness of acupuncture intervention in weight reduction by modula- ting body compositions in obesity patients. Methods A total of 71 obesity patients during weight-loss procedure were allocated to acupuncture＋ nutrition-consultation group （n = 40） and simple nutrition-consultation group （n = 31）. The patients of the acu- puncture ＋ nutrition-consultation group were treated by acupuncture stimulation of Zhongwan （OV 12）, Xiawan （CV 10）, Tianshu （ST 25）, Wailing （ST 26）, Qihai （CV 6）, Guanyuan （CV 4）, etc. for 30 min, once every other day, 3 times per week, 12 times altogether, and also given with weekly nutrition consultation （including subjective query, objective measurement, analysis, pro- gram for nutrition support） at the same time. The patients of the simple nutrition-consultation group were treated by only weekly nutrition consultation for 4 weeks. Before and after the treatment, the patients＇ body weight, body mass index （BMI）, fat mass, percentage of body fat, muscle mass, protein quality, water quality and bone mass were measured by using a composition analy- zer. Results After 4 weeks＇ treatment, the body mass, BMI, fat mass and fat percentage in both acupuncture＋ nutrition-consul- tation and simple nutrition-consultation groups were significantly decreased （P〈0. 01 ）, while the weight levels of muscle, pro- tein, bone and water content had no apparent changes （P〉0.05）. The therapeutic effect of acupuncture ＋ nutrition-consultation group was markedly superior to that ot the simple nutrition-consultation group in increasing the improved degrees of body weight, BMI, fat mass and fat percentage （P〈0.01）. Conclusion Acupuncture plus nutrition consultation is effective in reducing body mass, fat mass and percentage of body fat in obesity patients.