不同频次电针治疗腹型肥胖的疗效观察

Therapeutic Observation of Different Frequency of Electro-acupuncture for Abdominal Obesity

【目的】探讨电针治疗腹型肥胖的疗效与频次之间的关系。【方法】将60例腹型肥胖患者随机分为观察组和对照组,每组各30例。2组患者均选取相同的主穴针刺,对症配穴,均采用频率为2/15 Hz的疏密波,每次留针时间为30 min,观察组每周治疗3次,对照组每周治疗2次,4周为1个疗程,均治疗2个疗程。评价2组患者的临床疗效,比较2组患者治疗前后腰围(WC)、臀围(HC)、腰臀比(WHR)、腰围身高比(WHtR)、体质量(BW)、体质量指数(BMI)的变化情况。【结果】(1)观察组愈显率为66.67%,对照组为26.67%。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者WC、HC、WHR、WHtR、BW、BMI均明显改善(P<0.01),且观察组对BMI、WC、WHR和WHtR的改善作用明显优于对照组,差异均有统计学意义(P<0.05)。【结论】电针每周3次与每周2次均能治疗腹型肥胖,但在肥胖主要指标的改善上,每周3次的疗效优于每周2次。

Objective To evaluate the relationship between the efficacy and frequency of electro-acupuncture for the treatment of abdominal obesity.Methods Sixty patients with abdominal obesity were randomized into observation group and control group,30 cases in each group.The two groups were given acupuncture at the same main points,the points matching symptoms,dense wave frequency being 2/15 Hz,needle retention was 30 min each time.Additionally,the treatment was performed 3 times per week in the observation group,and twice per week in the control group.Four weeks constituted one course,and the treatment covered 2 courses.After treatment,the curative effect in the two groups was evaluated,and the changes of waist circumference(WC),hip circumference(HC),waist-to-hip ratio(WHR),waist height ratio(WHtR),body weight(BW),body mass index(BMI)were compared before and after treatment.Results(1)The markedly recovery and effective rate was 66.67%in the observation group,and was 26.67%in the control group.The clinical efficacy of the observation group was superior to that of the control group,the difference being significant(P<0.05).(2)After treatment,the levels of WC,HC,WHR,WHtR,BW and BMI were improved in the two groups(P<0.01),and the improvement in BMI,WC,WHR and WHtR of the observation group was superior to that of the control group,the difference being significant(P<0.05).Conclusion Electro-acupuncture with 3 times per week or twice per week is effective for the treatment of abdominal obesity,but the curative effect of the electro-acupuncture with 3 times per week was superior to that of the electro-acupuncture with twice per week at aspect of the improvement of main indicators of obesity.