针刺对单纯性肥胖症体重指数及腰臀围比的影响

目的：观察针刺减肥的疗效。方法：将80例单纯性肥胖患者随机分为针刺组和药物组，每组各40例。针刺组采用体针、电针，配合耳穴贴压的方法，体穴取天枢、关元、三阴交等，耳穴取神门、内分泌、脾等；药物组采用口服西药西布曲明的方法。分别于治疗前后测定患者的体重、体重指数、腰围、臀围及腰臀围比值，并评价减肥疗效。结果：针刺组的总有效率为87．5％，药物组的总有效率为82．5％，2组的治疗结果相近（P〉0．05）；2组患者治疗后的体重、体重指数、腰围、臀围及腰臀围比值均较治疗前显著下降，并且针刺组患者的腰围及腰臀围比值的改善优于药物组（P〈0．05）。结论：针刺减肥的疗效确切，并且针刺能有效地改善单纯性肥胖患者的体重、体重指数、腰围、臀围及腰臀围比值。

Effects of acupuncture on body mass index and waist-hip ratio in the patient of simple obesity

OBJECTIVE: To observe the therapeutic effect of acupuncture for slimming. METHODS: Eighty cases of simple obesity were randomly divided into an acupuncture group and a medication group, 40 cases in each group. The acupuncture group were treated with body acupuncture, electroacupuncture and auricular acupoint taping and pressing, with Tianshu (ST 25), Guanyuan (CV 4), Sanyinjiao (SP 6) etc. selected for body acupuncture, and auricular acupoints Shenmen, Neifenmi (endocrine), Pi (spleen) etc. selected for ear acupoint taping and pressing. And the medication group were treated with oral administration of Sibutramine. Body weight, body mass index, waist and hip circumferences and waist-hip ratio were determined before and after treatment to evaluate therapeutic effect of slimming. RESULTS: The total effective rate of 87.5% in the acupuncture group was similar to 82.5% in the medication group (P > 0.05). After treatment, body weight, body mass index, waist and hip circumferences and waist-hip ratio significantly decreased in the two groups, but the improvement of waist circumferences and waist-hip ratio in the acupuncture group was better than that in the medication group (P < 0. 05). CONCLUSION: Acupuncture has a definite therapeutic effect in slimming and it can effectively improve body weight, body mass index, waist and hip circumferences and waist-hip ratio in the patient of simple obesity.