针刺配合耳穴按压治疗单纯性肥胖病疗效分析

笔者多年来运用针刺配合耳穴按压的方法治疗单纯性肥胖病 ,取得了较满意的治疗效果。为进一步探讨该方法对不同年龄及不同病程患者的疗效 ,笔者对上述不同患者人群疗效进行了比较。分别按年龄将其分为 4组及按病程分为 4组 ,观察其体重、体重指数、腰髋比值等指标 ,并进行为期 1年的随访。结果 :其总有效率 ,年龄 2 0岁以下者 ,93 1 % ;2 0～ 30岁者 ,84 4% ;31～ 40岁者 ,80 0 % ;40岁以上者 ,6 3 0 %。病程在 1年以下者 ,95 2 % ;1～ 5年者 ,86 0 % ;6～ 1 0年者 ,80 0 % ;自幼肥胖者 ,2 0 0 %。提示其疗效年龄小者优于长者 ,病程短者优于长者。因此对于该病宜早治疗。

Analysis on the Therapeutic Effect of Acupuncture Combined with Otopoint Pellet Pressure Therapy for Treatment of Simple Obesity

To observe the therapeutic effect of acupuncture combined with otopoint pellet pressure therapy for treatment of simple obesity patients with different ages and various duration of disease. Methods: 118 simple obesity patients were divided into 4 groups according to the age: 1) below 20 year old group (n=29), 2) 20～ 30 year old group (n=32), 3) 31～40 year old group (n=30), and 4) above 40 year old group (n=27), and another 4 groups according to the duration of disease: a) below 1 year group (n=21), b) 1～5 year group (n=57), c) 6～10 year group (n=30) and d) above 10 year group (n=10). Indexes of body weight, body weight index and ratio of waistline and hipline were used to assess the therapeutic effect. Otopoints Ershenmen (MA TF 1), Bianmi point, Dachang (MA SC 4), Xiaochang (MA SC 2), Pi (MA IC), Wei(MA IC), Dan (EX LE 6), etc were selected and stimulated by pressing the adhered vaccaria seeds and body acupoints used were Yinlingquan (SP 9), Sanyinjiao (SP 9), Zusanli (ST 36), Xuehai (SP 10), Tianshu (ST 25), etc. Results: After one course of treatment (30 days), the total effective rates of group 1 ～4 were 93.1%, 84.4%, 80.0% and 63.0% separately and those of group a～d 95.2%, 86.0%, 80.0% and 20.0% respectively. It suggests that the younger the age and the shorter the duration of disease, the better is the therapeutic effect. Thus, simple obesity should be treated earlier.