摘要
目的:基于中医基础理论及现代腧穴学研究辩证选穴,观察比针灸更具持续性作用的穴位埋线结合耳压疗法治疗单纯性肥胖病的疗效。方法:纳入2004-07/2005-09大连医科大学美容医学院中医减肥专科门诊单纯性肥胖病患者30例,男6例,女24例,正常组35例,男16例,女19例。以中医理论采用穴位埋线结合耳压疗法辩证论治选穴治疗单纯性肥胖病患者,每次辨证选取5～6个体穴进行埋线,每次选用的穴位不同于前1次,可左右交替,每2周埋线1次,3次(40d)为1疗程。耳压法:将王不留行籽固定于边长为0.6～0.8cm正方形的胶布上,然后粘贴在相应耳穴上,每天按压5～7次,三餐前30min必须按压,每次按压2～3min,两耳交替进行,5d交换1次,至埋线疗程结束。观察治疗前后自身对照3个疗程,分析对体质量、血糖、血脂、胰岛素等指标的影响。结果:参与实验的单纯性肥胖患者30例,健康体检者35例均进入结果分析,未脱失。①经过3个疗程治疗,30例患者,治愈6例,占20%;显效8例,占27%;有效12例,占40%;无效4例,占13%,总有效率87%。②治疗后体质量、皮脂厚度、体围、体质量指数、腰髋比与治疗前比较差异有显著性(P<0.001～0.05),且皮脂厚度降低尤为明显。③治疗前患者血清瘦素、胰岛素、空腹血糖均明显高于正常组(P<0.01),胰岛素敏感指数明显低于正常组(P<0.01),治疗120d后瘦素、胰岛素明显下降、胰岛素敏感指数明显回升与治疗前相比差异有显著性意义(P<0.01)。④治疗前单纯性肥胖病的患者脂质指标中除高密度脂蛋白-胆固醇明显低于正常外,其他指标均高于正常水平。治疗120d后与治疗前比较,患者脂质指标中除高密度脂蛋白-胆固醇明显上升外,均出现了显著的下降,差异有显著性(P<0.05)。结论:穴位埋线结合耳压疗法能调节血糖,提高瘦素、胰岛素的敏感性,从而改善胰岛素抵抗及瘦素抵抗,且对患者的脂质�
AIM： To observe the effect of catgut implantation at acupoint and auricular-plaster therapy on simple obesity according to theories of traditional Chinese medicine and modern acupuncture point theory.
METHODS： . Totally 30 cases including 6 males and 24 females with simple obesity were selected from the out-patient service of losing weight of Cosmetology College of Dalian Medical University between July 2004 and September 2005. Among 35 cases in the normal group, there were 16 males and 19 females. The patients were treated with catgut implantation at acupoint and auricular-plaster according to the principle in traditional Chinese medicine of determination of treatment based on the differentiation of symptoms and signs. Five or 6 points were treated every time with catgut implantation and auricular-plaster therapy. The acupoints selected each time were different from the previous. The acupoints on the two sides of the body were treated alternatively. Catgut implantation was conducted every two weeks, three times in one course （40 days）. Method of auricularplaster：. Wang bu liu xing was fixed on square plastic cloth （0.6 cm-0.8 cm）, then stuck to the auricular points and asked the patients to press them 5-7 times every day. The auricular points must be pressed for 2-3 minutes, 30 minutes before meals every day. Treatments on the two ears were done alternatively, changing ears every five days until the end of the course. The patients were observed three courses before and after serf-comparison, and the clinical effect on body weight, blood glucose, blood lipid and insulin were analyzed. RESULTS： The 30 cases of simple obesity and the 35 cases of healthy patients were all included in the results analysis. ① After three courses of treatment, among 30 cases, 6 cases were cured （20%）; 8 cases were effective （27%）; 12 cases were valid （40%）; 4 cases were invalid （13%）. The rate of total effectivenes~ was 87%. ②Body weight, body girth, sebum fat thickness body mass index （BMI） wa
出处
《中国临床康复》
CSCD
北大核心
2006年第11期8-10,共3页
Chinese Journal of Clinical Rehabilitation
