改良微针V形无痛穴位埋线治疗单纯性肥胖病的疗效观察

目的观察改良微针V形无痛穴位埋线治疗单纯性肥胖病的疗效。方法70例单纯性肥胖病患者,按照区组随机的方法以1∶1比例分为埋线组(改良微针V形无痛穴位埋线)和针刺组,各35例,观察两组患者治疗前后的体质量、体质量指数(BMI)、体脂量(BFM)、水分质量(TBW)、无机盐质量、骨骼肌质量(SMM)、疼痛量化评分及不良反应等指标的变化情况。结果埋线组总有效率84.85%,高于对照组总有效率67.74%,两组疗效比较差异有统计学意义(P<0.05);治疗后两组体质量、BMI、BFM均下降,埋线组下降幅度大于针刺组(P<0.05);治疗后,埋线组SMM含量增多,而针刺组SMM含量明显减少(P<0.05),两组治疗前后TBW和无机盐质量差异均无统计学意义(P>0.05);疼痛量化评分结果显示,改良无痛穴位埋线组患者疼痛程度明显低于针刺组(P<0.05);两组均未出现感染等明显不良事件,针刺组出现1例晕针患者。结论改良微针V形无痛穴位埋线治疗单纯性肥胖病疗效显著,同时能显著减轻疼痛感,更具安全性、无痛性,值得在临床上进一步推广和应用。

Objective To observe the clinical efficacy of modified microneedle V-shaped painless acupoint embedding in the treatment of simple obesity.Methods 70 cases of simple obesity patients meeting the experimental criteria were randomly divided into the modified microneedle V-shaped painless acupoint embedding group and the acupuncture group,each with 35 cases.and the changes of body weight,body mass index(BMI),body fat mass(BFM),body water mass(TBW),inorganic salt mass,skeletal muscle mass(SMM),quantitative score of pain,and adverse reactions of the two groups before and after the treatment were observed.And the data were statistically analyzed.Results The total effective rate of the modified painless acupoint embedding group was 84.85%,much higher than the total effective rate of the acupuncture group of 67.74%,and the comparison of the efficacy of the two groups was significant(P<0.05).The weight,BMI and BFM of the two groups decreased after the treatment,and the decrease of modified painless acupoint embedding group was greater than that of the acupuncture group(P<0.05).The content of SMM in the modified painless acupoint embedding group increased after the treatment,while the content of SMM in the acupuncture group was significantly reduced(P<0.05),and the TBW and the inorganic salt mass of patients in the two groups did not change significantly before and after the treatment(P>0.05).The results of the quantitative pain score showed that the degree of pain in patients in the modified painless acupoint embedding group was significantly lower than that in the acupuncture group(P<0.05).There were no obvious adverse events such as infections in both groups,and there was one case of a patient with needle-sickness in the acupuncture group.Conclusion Modified microneedle V-shaped painless acupoint embedding for the treatment of simple obesity has remarkable efficacy,and at the same time,it can significantly reduce the pain,and it is more safe,painless,and is worthy of further promotion and application in the clinic.