摘要
Objective: To compare the therapeutic efficacy between warm needling moxibustion and electroacupuncture (EA) in the treatment of simple obesity due to yang deficiency of the spleen and kidney. Methods: Seventy patients with simple obesity due to yang deficiency of the spleen and kidney were randomly divided into a warm needling moxibustion group and an EA group, with 35 subjects in each group. Same major acupoints were selected for the two groups, including Shuifen (CV 9), Guanyuan (CV 4), Daheng (SP 15), Shuidao (ST 28), Shousanli (LI 10), Zusanli (ST 36), Sanyinjiao (SP 6) and Taixi (KI 3). The warm needling moxibustion group received warm needling moxibustion, while the EA group received EA treatment. The interventions were performed once every other day, with 15 treatments as one course. The therapeutic efficacy, body weight and body mass index (BMI) were then observed and compared. Results: The total effective rate in the warm needling moxibustion group was 85.7% versus 77.1% in the EA group, and the between-group difference was statistically significant (P<0.05). The warm needling moxibustion was remarkably superior to the EA in weight loss and lowering BMI, both with statistical significance (P<0.05, P<0.01). At the three-month follow-up, the body weight and BMI further decreased in the warm needling moxibustion group (both P<0.05), and the levels were lower than those in the EA group (P<0.05, P<0.01). Conclusion: Warm needling moxibustion can produce reliable and consistent efficacy in the treatment of simple obesity due to yang deficiency of the spleen and kidney. Compared with EA, warm needling moxibustion shows advantage in both short-term and long-term efficacies, and thus is worth promotion in clinical practice.
目的:比较温针灸与电针治疗脾肾阳虚型单纯性肥胖症的临床疗效.方法:将70例脾肾阳虚型单纯性肥胖症患者随机分为温针灸组和电针组,每组35例.两组均取水分、关元、大横、水道、手三里、足三里、三阴交和太溪为主穴,温针灸组接受温针灸治疗,电针组接受电针治疗.隔日治疗1次,15次为1个疗程.一个疗程结束后,对其临床疗效、体重及体质量指数(BMI)等指标进行观察和比较.结果:温针灸组总有效率为85.7%,电针组为77.1%,两组差异有统计学意义(P<0.05);温针灸组在降低体重和BMI方面优于电针组,组间差异均有统计学意义(P<0.05,P<0.01).治疗后3个月随访,温针灸组的体重和BMI均较治疗后进一步下降(均P<0.05),且明显低于电针组(P<0.05,P<0.01).结论:温针灸治疗脾肾阳虚型单纯性肥胖症疗效确切、持久,近期和远期疗效均优于电针治疗,值得临床推广应用.
基金
上海市嘉定区科委科研课题,No.2015-KW-21.
