温针灸治疗痰湿闭阻型单纯性肥胖的临床研究

Treatment of Simple Obesity Patients with Phlegm Dampness Stagnation Syndrome with Warming Needle Moxibustion

目的:观察温针灸对单纯性肥胖痰湿闭阻证患者的治疗效果。方法:60例痰湿闭阻型单纯性肥胖患者按随机数字表随机分为治疗组与对照组,每组30例。对照组采用常规饮食控制,治疗组针刺中极、双侧丰隆、双侧阴陵泉并温针灸双侧合谷、双侧天枢、中脘、双侧足三里,每次30min,隔日治疗1次,共治疗8周。比较两组患者临床疗效、体质量指数(BMI)、体脂百分率(F%)、肥胖度(A)及血清甘油三酯(TG)、总胆固醇(CHO)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平。结果:治疗后,治疗组总有效率为90.0%(27/30),高于对照组(63.3%,19/30,P<0.01)。治疗后,治疗组患者BMI、F%、A较治疗前均下降,对照组患者BMI、F%较治疗前均下降(P<0.01);与对照组相比,治疗组F%治疗后降低更明显(P<0.01)。治疗后治疗组患者CHO、TG较治疗前下降,HDL-C较治疗前升高(P<0.01),对照组患者TG较治疗前下降(P<0.05);与对照组相比,治疗组患者CHO、TG水平降低更明显(P<0.05)。结论:在饮食控制的基础上采用温针灸治疗痰湿闭阻证单纯性肥胖具有良好的临床疗效。

Objective To observe the therapeutic effect of warming needle moxibustion stimulation of Hegu（LI 4）,Tianshu（ST 25）,Zhongwan（CV 12）,Zusanli（ST 36）,etc.for simple obesity patients with phlegm dampness stagnation syndrome（PDSS）.Methods A total of 60 simple obesity patients with PDSS were equally randomized into control group（13 men and 17 women,18-53 years in age）and treatment group（14 men and 16 women,19-45 years in age）.All the patients of both groups were treated by diet control（trying their best to reduce high fat,high glucose and high salt foods,supplementing proteins）.Patients of the treatment group received additional treatment of warming needle moxibustion,i.e.,the inserted acupuncture needles in bilateral Hegu（LI 4）,Tianshu（ST 25）,Zhongwan（CV 12）,and Zusanli（ST 36）,Fenglong（ST 40）,etc.,were manipulated for a while with reducing technique after＂deqi＂,followed by attachment of ignited moxa-cones at each of the needle handles for 30 min.The treatment was conducted once every other day for 8 weeks.The therapeutic effect was assessed according to the＂Criteria for Diagnosis and Therapeutic Effect Evaluation of Simple Obesity＂（1998）.Before and after the treatment,body fat percentage（F%）,body adiposity index（BAI）,and body mass index（BMI）were calculated,serum triglyceride（TG）,total cholesterol（CHO）,low density lipoprotein cholesterol（LDL-C）and high density lipoprotein cholesterol（HDL-C）were detected using a biochemical analyzer.Results Following the treatment,of the two 30 cases of obesity patients in the control and treatment groups,0（0.0%）and 1（3.3%）was under control,11（36.7%）and 16（53.3%）had a marked improvement,8（26.7%）and 10（33.3%）were effective,and 11（36.7%）and 3（10.0%）failed in the treatment,with the effective rates being 63.3% and 90.0%,respectively.The effective rate of the warming needle moxibustion plus diet control was significantly superior to that of the simple diet control（P〈0.01）.After the treatment,the BMI,F%,serum CHO and TG levels and BAI in the treatment group were significantly decreased in comparison with its own pre-treatment in treatment group（P,0.05,P〈0.01）,while serum HDL-C of the treatment group was obviously increased compared with its own pre-treatment（P〈0.01）.The decreased F%,CHO and TG levels were markedly lower in the treatment group than in the control group（P〈0.05,P〈0.01）.Conclusion Warming needle moxibustion has a positive effect for simple obesity patients with PDSS in controlling their symptoms.