针灸治疗单纯性肥胖症的研究进展及机制探讨

Probe into Research Progress and Mechanism of Acupuncture and Moxibustion Treatment for Simple Obesity

针灸治疗单纯性肥胖症的方法包括:针刺疗法、电针疗法、穴位埋线、温针灸、拔罐法、针刺联合疗法等。针灸通过促进白色脂肪棕色化、调节肠道菌群、调节瘦素分泌、调节神经系统和内分泌等调控机体代谢,进而产生减重的治疗效应。目前,对于单纯性肥胖症的研究仍存在不足,一是对于针刺治疗单纯性肥胖症的操作手法如进针深度、补泻手法和行针手法的讨论研究样本较少,结论不充分;二是临床研究和机制研究多集中在电针和穴位埋线上,而拔罐、温针灸等临床研究及实验研究较少;三是缺乏长期随访。望今后开展更多的拔罐、温针灸等临床及实验研究,并且在未来研究中重视针刺治疗肥胖症操作手法的研究,在临床试验中进行长期随访,以验证针灸治疗的远期疗效。另外,预防及治疗超重/肥胖的首选方案仍是限制热量的摄入及增加热量的消耗,针灸治疗时嘱患者合理改善饮食方式及适当锻炼,更有利于减重。

For simple obesity,acupuncture methods include:acupuncture therapy,electro⁃acupuncture therapy,acupoint embedding,war⁃ming needle acupuncture,cupping,acupuncture combined therapy and so on.Acupuncture and moxibustion can regulate body metabo⁃lism by promoting browning of white fat,regulating intestinal flora,leptin secretion,nervous system and endocrine,thus producing thera⁃peutic effect of weight loss.At present,there are still shortcomings in the research on simple obesity.First,there are few discussion and research samples on the operating techniques of acupuncture in the treatment of simple obesity,such as injection depth,method of rein⁃forcement and reduction and needle manipulation,and the conclusions are insufficient.Second,clinical studies and mechanism studies mainly focus on electro⁃acupuncture and acupoint embedding,while cupping,warming needle acupuncture and other clinical and experi⁃mental studies are few.Third,there is a lack of long⁃term follow⁃up.Therefore,it is necessary that more clinical and experimental studies such as cupping and warming needle acupuncture and moxibustion will be carried out in the future,and more attention will be paid to the study of the manipulation of acupuncture in the treatment of obesity in future studies,and long⁃term follow⁃up will be conducted in clinical experiments to verify the long⁃term effect of acupuncture and moxibustion.In addition,the first choice of prevention and treat⁃ment of overweight/obesity is still to limit the intake of calories and increase the consumption of calories.During acupuncture treatment,patients should be advised to improve their diet and exercise properly,which is more conducive to weight loss.