针刺治疗对单纯性向心性肥胖内脏脂肪的影响

目的:以超声测量内脏脂肪厚度(VFT)作为主要评价指标,观察针刺治疗单纯性向心性肥胖的效果。方法:收集单纯性向心性肥胖(胃肠实热型)患者60例,分为两组,对照组(28例)采用单纯饮食和运动治疗方案治疗6个月,针刺组(32例)在前者基础上同时加用针刺治疗3个月(针刺脐周8穴为主,其中4个穴采用电针,隔日治疗1次)。在治疗前、治疗3个月和6个月时,分别采用VFT、体质量指数(BMI)和腰围(WC)进行疗效评估。结果:在治疗6个月时,针刺组与对照组比较,VFT(48.3±4.7)mm vs(51.5±6.5)mm]和WC(85.9±4.3)cm vs(88.2±3.6)cm]均明显下降(P0.05)。针刺组和对照组在治疗3个月和6个月时,VFT、BMI和WC均较治疗前明显下降(P0.01)。结论:在运动和饮食治疗方案基础上加用针刺治疗,可以进一步减少VFT。VFT可以作为一种较为敏感的肥胖症治疗效果检测指标。

Effect of Acupuncture Therapy on Visceral Fat Thickness in Simple Central Obesity Patients

Objective To evaluate the efficacy of acupuncture therapy in decreasing visceral fat thickness(VFT)in patients with simple central obesity.Methods Sixty patients with simple central obesity(syndrome of stomach and intestinal excessive heat)were randomly divided into control and acupuncture groups.Patients of the control group were treated with diet control and physical exercise procedure(basic treatment)for 6months,and those of the acupuncture group treated with basic treatment combined with acupuncture stimulation of main acupoints Shuifen(CV 9),Yinjiao(CV 7),and bilateral Tianshu(ST 25),Huaroumen(ST 24)and bilateral Wailing(ST 26),etc.,in combination with electroacupuncture(EA,50-100 Hz,1-5mA)of bilateral ST 25,CV 9and CV 7for 30 min,once every other day for 3months.The VFT(1cm above the umbilicus)was detected by using an ultrasonic diagnosis instrument,and the body mass index(BMI,body weight/height 2),and waist circumfe-rence(WC)were measured before treatment,3and 6months after the treatment,respectively.Results Following 3and 6months' treatment,the VFT,BMI and WC of both groups were significantly decreased(P<0.01),and the effects of the acupuncture group were significantly superior to those of the control group in lowering VFT (51.5±6.5)mm vs(48.3±4.7)mm)]and WC (88.2±3.6)cm vs(85.9±4.3)cm]6months' after the treatment(P<0.05).There was no significant difference between the control and acupuncture groups in BMI fowllowing 6months' treatment(31.0±4.3)vs(30.1±3.2),P>0.05].Conclusion Acupuncture intervention combined with diet control and physical exercise can effectively decrease VFT and WC in simple central obesity patients.VFT is a sensitive and better parameter for evaluating the effect of obesity treatment.