热敏灸治疗脾肾亏虚型单纯性肥胖病30例临床观察

Clinical Observation on Heat Sensitive Moxibustion in Treating 30 Cases of Simple Obesity with Spleen-kidney Deficiency Type

目的观察热敏灸治疗脾肾亏虚型单纯性肥胖病的临床疗效。方法 90例脾肾亏虚型单纯性肥胖病患者随机分为针刺组、热敏灸组及综合组,每组30例。热敏灸组用自制热敏灸艾条,在患者腰骶部及下腹部探寻热敏化腧穴,每次选择2~3个热敏化腧穴施灸,每周治疗5次,每次施灸45 min。针刺组选择中脘、水分、气海、关元、命门、腰阳关及双侧天枢、大横、带脉、脾俞、胃俞、水道等穴位,每次选7~10个穴针刺,用平补平泻手法,留针30 min,留针期间每10 min行针1次,每周治疗5次。综合组给予针刺加热敏灸,方法同上。各组均1个月为1个疗程,治疗3个疗程。记录患者治疗前后体重、腰围、身高,计算体重指数(BMI)、脂肪百分率及腰围身高比,并判定临床疗效。结果各组治疗后体重、BMI、脂肪百分率、腰围身高比均较本组治疗前明显下降(P<0.05);治疗后综合组体重、BMI、脂肪百分率、腰围身高比低于针刺组和热敏灸组(P<0.05),而针刺组与热敏灸组比较差异无统计学意义(P>0.05)。针刺组临床疗效总有效率为73.3%,热敏灸组为76.7%,综合组为86.7%,综合组临床疗效优于针刺组及热敏灸组(P<0.05)。结论热敏灸治疗脾肾亏虚型单纯性肥胖病有效,并且与针刺结合疗效更佳。

Objective To examine the clinical effect of heat sensitive moxibustion in treating simple obesity with spleen-kidney deficiency type. Methods Ninety simple obesity patients with spleen-kidney deficiency type were randomized into a acupuncture group,a heat sensitive moxibustion group and a combination group,with 30 cases in each group. The heat sensitive moxibustion group was given moxibustion by self-made heat sensitive moxa stick. Heat sensitization acupoints were sought at patients＇ lumbosacral portion and hypogastrium. Two or three heat sensitization acupoints were selected each time. Patients were treated for 5 times each week,each time for 45 min. In the acupuncture group,acupoints of Zhongwan（ RN12）,Shuifen（ RN9）,Qihai（ RN6）,Guanyuan（ RN4）,Mingmen（ DU4）,Yaoyangguan（ DU3）,bilateral Tianshu（ ST25）,Daheng（ SP15）,Daimai（ GB26）,Pishu（ BL20）,Weishu（ 21） and Shuidao（ ST28） were selected. Seven to ten acupoints were selected each time. Even reinforcingreducing method was used. Needle was retained for 30 min. During needle retention,manipulating the needles once every 10 min. Patients were treated by 5 times each week. The combination group was given both acupuncture and heat sensitive moxibustion. The methods were the same as above. One month was a course. Each group was treated for 3 courses. Patients＇ body weight,waistline and height were recorded before and after treatment. Body mass index（ BMI）,body fat percent and waist to height ratio were calculated before and after treatment. The clinical effect was evaluated. Results After treatment,body weight,BMI,body fat percent and waist to height ratio in each group decreased（ P〈0. 05）. After treatment,body weight,BMI,body fat percent and waist to height ratio in the combination group was lower than those in the acupuncture group and the heat sensitive moxibustion group（ P〈0. 05）; while the difference between the acupuncture group and the heat sensitive moxibustion group was not significant（ P〈0. 05）. The total effective rate in the acupuncture group was 73. 3%,with 76. 7% in the heat sensitive moxibustion group,and 86. 7% in the combination group. The clinical effect in the combination group was superior to that in the acupuncture group and in the heat sensitive moxibustion group. Conclusion Heat sensitive moxibustion therapy might be effective in treating simple obesity with spleen-kidney deficiency type. Moreover,the clinical effect seemed better if combined with acupuncture.