穴位埋线联合常规疗法治疗单纯性肥胖症临床研究

Clinical Study on Point-embedding Combined with Conventional Therapy in the Treatment of Simple Obesity

目的:观察穴位埋线联合常规疗法治疗单纯性肥胖症的疗效。方法:将94例脾虚湿阻型单纯性肥胖症患者按照随机数字表法分为对照组和观察组各47例。2组均进行控制饮食、适量有氧运动,并于进餐时或餐后1 h内服奥利司他胶囊,观察组给予穴位埋线,2组疗程均为2个月。治疗前后检测体质量、腰围、臀围、身高,并计算体质量指数(BMI)、腰臀比(WHR)和脂肪百分率(F%),测量右三角肌下缘臂外侧正中点、右肩胛下角、右脐旁3 cm和右髂前上棘4个点的皮下脂肪厚度,评定脾虚湿阻证症状评分,比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组,差异有统计学意义(P <0.05)。2组BMI、F%和WHR均较治疗前下降(P <0.01),观察组BMI、F%和WHR均低于对照组(P <0.05)。2组右三角肌下缘臂外侧正中点、右肩胛下角、右脐旁3 cm和右髂前上棘4个点的皮下脂肪厚度均较治疗前降低(P <0.01),观察组4个点的皮下脂肪厚度均低于对照组(P <0.05)。结论:在常规饮食、用药与行为干预的基础上给予穴位埋线治疗单纯性肥胖症有较好的临床疗效,可减少皮下脂肪厚度,改善脾虚湿阻证症状。

Objective:To observe the clinical effect of the application of point-embedding combined with conventional therapy in the treatment of simple obesity.Methods:A total of 94 cases of patients with spleen deficiency and dampness obstruction type with simple obesity were divided into the control group and the observation group according to the random number table method,47 cases in each group.In both groups,diet control and moderate aerobic exercise were carried out,Orlistat Capsules were taken orally at mealtime or 1 h after mealtime and corresponding nursing measures were given.The observation group was additionally treated with point-embedding.Both groups were treated for two months.Before and after treatment,the body mass,waistline,hip-line and height were measured;body mass index(BMI),waist-to-hip ratio(WHR)and percentage of fat(F%)were calculated;the thickness of subcutaneous fat was measured at the midpoint of the lateral arm of the lower edge of the right deltoid,the angulus of right inferior scapulae point,three centimeters to the right of the umbilicus and right anterior superior iliac spine;the symptom scores of the syndrome of spleen deficiency and dampness obstruction were evaluated;the clinical effect in the two groups was compared.%Results:After treatment,the clinical effect in the observation group was better than that in the control group,the difference being significant(P<0.05).The BMI,F%and WHR in both groups were decreased when compared with those before treatment(P<0.01),and the above three levels in the observation group were lower than those in the control group(P<0.05).The thickness of subcutaneous fat at the midpoint of the lateral arm of the lower edge of the right deltoid,the angulus of right inferior scapulae point,three centimeters to the right of the umbilicus and right anterior superior iliac spine in both groups was decreased when compared with that before treatment respectively(P<0.01),and the thickness of subcutaneous fat of the above four areas was lower than that in the control group(P<0.05).Conclusion:Based on the routine diet,medication and behavioral intervention,the additional application of point-embedding has good clinical effect in treating patients with simple obesity,which can reduce the thickness of subcutaneous fat and lessen the symptoms caused by the syndrome of spleen deficiency and dampness obstruction.