体穴与耳穴治疗青少年单纯性肥胖症及对血脂代谢的影响

目的:探讨青少年单纯性肥胖症的最佳针刺方案。方法:将90名患者随机分成3组,对照组采用调整饮食结构、增加运动以及减肥心理指导;在对照组治疗基础之上,体穴组加针刺治疗,取三阴交、天枢、足三里等穴;耳穴组加耳针治疗,取饥点、皮质下、神门等穴,70天之后观察疗效及血脂变化,并随访1个月。结果:体穴组总有效率69·23%,耳穴组65·52%,对照组26·67%,体穴组、耳穴组与对照组的差异均有显著性意义,总胆固醇、低密度脂蛋白差异亦均有显著性意义。体穴组、耳穴组之间的各项差异均无统计学意义。结论:耳穴、体穴均对青少年单纯性肥胖症有显著疗效,对血脂有一定干预作用。耳穴简便易行,患者依从性更好,更值得推广。

Clinical therapeutic effects of body acupuncture and ear acupuncture on juvenile simple obesity and effects on metabolism of blood lipids

Objective To probe the optimal acupuncture treatment program for juvenile simple obesity. Methods Ninety cases were randomly divided into 3 groups: ear acupuncture group, body acupuncture group and control group. The patients of the control group were treated by regulating diet structure, increasing motion and mental direct of slimming, in the body acupuncture group, body acupuncture at Sanyinjiao (SP 6), Tianshu (ST 25), Zusanli (ST 36), etc. were added, and in the ear acupuncture group, acupuncture at ear acupoints Jidian (hunger point), Pizhixia (subcortex), earshenmen, etc. were added. Seventy days later, the therapeutic effects and changes of blood lipids were observed. And they were followed up after one month. Results The total effective rate was 69.23% in the body acupuncture group, 65.52% in the ear acupuncture group and 26.67% in the control group, with significant differences as the two acupuncture groups compared with the control group. And there were significant differences in total cholesterol (TC) and lower density lipid protein-cholesterol (LDL-C) as the two acupuncture groups compared with the control group. There was no significant difference between the two acupuncture groups in all the indexes. Conclusion Both ear acupuncture and body acupuncture have obvious therapeutic effect on juvenile simple obesity, and have some actions on blood lipids.