腹穴齐刺法治疗单纯性肥胖胃热湿阻证的临床研究

魏玮; 陈全利; 汪元军; 李娟

腹穴齐刺法治疗单纯性肥胖胃热湿阻证的临床研究

1.
遵义医学院附属医院针灸科，贵州遵义 563003
2.
遵义医学院附属医院超声科，贵州遵义 563003

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出版历程
- 收稿日期: 2014-08-10
- 修回日期: 2014-10-05
- 刊出日期: 2015-03-10

Clinical study on Qici Method in Treating Simple Obesity together with Heat and Dampness in the Stomach

1.
Department of Acupuncture and Moxibustion, Affiliated Hospital of Zunyi Medical College, Zunyi, 563003, China
2.
Ultrasonography Dept, Affiliated Hospital of Zunyi Medical College, Zunyi, 563003, China

摘要

摘要: 目的对比腹穴齐刺法针灸治疗与单独减肥饮食疗法治疗单纯性肥胖胃热湿阻证患者的临床疗效差异。方法采用简单随机数字表法将86例单纯性肥胖胃热湿阻证患者随机分为2组。治疗组44例，脱落3例，以腹穴齐刺法为主，配合针刺体穴治疗；对照组42例，脱落2例，单独采用减肥饮食疗法。对比2组患者治疗前后的肥胖相关指标、血脂水平、核磁共振扫描指标。结果 2组患者治疗2个疗程后的肥胖相关指标、血脂水平、核磁共振扫描指标均低于治疗前(P＜0.05~0.01)；且治疗组低于对照组(P＜0.05~0.01)。治疗组治疗2个疗程后的总有效率高于对照组(P＜0.05)。结论腹穴齐刺法针灸治疗单纯性肥胖胃热湿阻证患者减质量、降脂疗效较单独减肥饮食疗法有效，值得临床推广。
- 针灸 /
- 腹穴 /
- 齐刺法 /
- 单纯性肥胖 /
- 胃热湿阻证
Abstract: OBJECTIVE To compare the clinical effects of needling in the abdominal acupoints and diet only in treating simple obese patients with heat and dampness in the stomach. METHODS random number table method was adopted to divide 86 obese patients with heat and dampness in the stomach into two groups. There were 44 patients in the treatment group with 3 being uncounted later and the treating method was needling in the abdominal acupoints and certain acupoints in the body. There were 42 patients in the control group with 2 being uncounted later and they were treated with diet only. The certain indexes related to obesity， lipid levels， and nuclear magnetic resonance scanning results were recorded and compared before and after the treatment. CONCLUSIONS The certain indexes related to obesity， lipid levels， and nuclear magnetic resonance scanning results of both groups were lower compared with before(P＜0.05~0.01).And the results of the treatment group were lower than the control group(P＜0.05). The total effective rate of the treatment group after two periods of treating was higher than that of the control group(P＜0.05). CONCLUSIONS The clinical effect of needling in the abdominal acupoints is better than diet only in loosing weight and is worth of being widely used.
- Acupuncture /
- abdominal acupoints /
- qi ci methods /
- simple obesity /
- heat and dampness in the stomach

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参考文献(27)

[1]	薛思琼.针药结合治疗单纯性肥胖症的临床疗效研究[D].南宁:广西中医药大学，2014.
[2]	Xue SQ. Clinical study on the effects of the combination of acupuncture and drug in treating simple obesity[D]. Nanning: Guangxi University of Chinese Medicine， 2014.
[3]	楼美红，王超，陈利芳，等.方剑乔教授针药并用治疗中青年腹型肥胖的临床经验撷要[J].浙江中医药大学学报，2014，38(6):792-794.
[4]	Lou MH， Wang C， Chen LF， et al. Pro.Fang Jianqiao's Experience in Treating Abdominal Obesity in Young and Middle-aged with Acupuncture and Chinese Herbs[J]. J Zhejiang Coll Tradit Chin Med， 2014， 38(6):792-794.
[5]	毛珍，徐斌.针灸治疗单纯性肥胖病的组穴原则[J]. 上海针灸杂志，2007，26（4）：32-35.
[6]	Mao Z， Xu B. Principle of points selection in acupuncture-moxibustion treatment of simple obesity[J]. Shanghai J Acupunct Moxib，2007， 26(4): 32-35.
[7]	熊芳丽，崔瑾，宁友.腰腹群针法配合远端取穴治疗单纯性肥胖病的疗效及其分子生物学作用机制的研究[J]. 上海针灸杂志，2005，24（8）：8-10.
[8]	Xiong LF， Cui J， Ning Y. Clinical efficacy of lumbo-abdominal group acupuncture plus pemote point selection for treating simple obesity and the study on its mechanism of molecular biologic action[J]. Shanghai J Acupunct Moxib， 2005， 24(8):8-10.
[9]	乔子虹，雷红.腹部电针治疗单纯性肥胖47例[J].中国针灸，2005，25（1）：67.
[10]	Qiao ZH， Lei H. Electroacupuncture in the abdomen in treating simple obesity: a study of 47 cases[J]. Chin Acupunct Moxibust， 2005， 25(1):67.
[11]	危北海，贾葆鹏.单纯性肥胖病的中西医结合诊断、疗效评定标准[J].中国中西医结合杂志，1998，5(18):317-319.
[12]	Wei BH， Jian BP. Standard of the Diagnosis and Assessment of the Treatment of Simple Obesity from integrated Chinese Medicine and Western Medicine[J]. Chin J Integr Tradit West Med， 1998，5(18): 317-319.
[13]	中药新药临床研究指导原则[M].北京：中华人民共和国卫生部，1995: 176.
[14]	Guiding principles for new Chinese medicine clinical research (second album on a trial basis)[M]. Beijing: The ministry of health of the People's Republic of China，1995: 176.
[15]	陆再英，钟南山.内科学[M].北京：人民卫生出版社，2008:780-781.
[16]	Lu ZY， Zhong NS. Internal Medicine[M]. Beijing: People's medical publishing house， 2008: 780-781.
[17]	韩海荣，孙凤华.针灸配合中药对单纯性肥胖大鼠瘦素水平的影响[J].国际中医中药杂志，2011，33(5):397-399.
[18]	Han LR， Sun FH. Influence of acupuncture combined with traditional Chinese medicine on serum leptin level and hypothalamic leptin receptor expression in simple obesity rats[J].World J Tradit Chin Med， 2011， 33(5):397-399.
[19]	汪娅莉，曹新，刘志诚，等.电针治疗单纯性肥胖病胃肠腑热型疗效观察[J].世界针灸杂志（英文版），2013，23(2):1-5.
[20]	Wang YL， Cao X， Liu ZC， et al. Observation on the therapeutic effect of electroacupuncture on simple obesity of gastrointestinal heat pattern/syndrome[J]. World J Acupunct Moxib(English Version)， 2013， 23(2):1-5.
[21]	Rong PJ， Fang JL， Wang LP， et al. Transcutaneous vagus nerve stimulation for the treatment of depression: a study protocol for a double blinded randomized clinical trial[J].BMC Complement Altern Med， 2012，25（12）:255-256.
[22]	郭霭春.灵枢经校释[M]. 北京：人民卫生出版社，2008，163.
[23]	Guo GC. Collated and Annotated Linshu[M]. Beijing: People's medical publishing house， 2008， 163.
[24]	凃茜，张红星，熊飞，等.针灸治疗单纯性肥胖患者治疗前后腹部MRI的临床对比分析[J].临床影像技术，2010，25(9):143-145.
[25]	Tu Q， Zhang HX， Xiong F， et al. Comparative analysis of scalp-acupuncture's effect on cranial MRI in acupuncture treatment of simple obesity[J]. J Chin Med Equip， 2010， 25(9): 143-145.
[26]	李海新. 电针配合耳穴贴压治疗单纯性肥胖临床疗效观察及磁共振研究[D].武汉：湖北中医药大学，2012.
[27]	Li HX. Clinical observation on the effects and magnetic resonance of electroacupuncture together with auricular-plaster therapy in treating simple obesity[D]. Wuhan: Hubei University of Chinese Medicine， 2012.