针罐埋线与电针治疗胃肠实热型单纯性肥胖临床疗效对比

目的：寻找能够提高治疗胃肠实热型单纯性肥胖临床疗效的方法。方法：将82例胃肠实热型单纯性肥胖症患者随机分成A组（40例）、B组（42例）。A组采用电针加走罐、埋线法治疗；B组单纯采用电针治疗。两组电针取穴相同（中脘、下脘、气海等），A组除电针外在任、督、脾、胃、膀胱经脉走罐和穴位埋线。对其疗效、主要症状、体重指标、腰围、臀围和腰臀比值进行对比观察。结果：A组总有效率为90．0％，明显优于B组的78．6％（P〈0．01），在体重、体质指数（BMI）和腰围、臀围值下降方面，两组比较差异亦有显著性意义（P〈0．05，P〈0．01）；对消谷善饥、大便秘结、颜面痤疮等主要症状的改善方面，A组亦优于B组（P〈0．01）。结论：针罐埋线并用治疗胃肠实热型单纯性肥胖能提高疗效，是治疗本病较佳的方法。

Comparison of therapeutic effects of acupuncture-cupping plus acupoint catgut embedding and electroacupuncture on simple obesity of stomach and intestine excess-heat type

OBJECTIVE: To search for a therapy of increasing clinical therapeutic effect on simple obesity with stomach and intestine excess-heat. METHODS: Eighty-two cases of simple obesity with stomach and intestine excess-heat were randomly divided into group A (n=40) and group B (n=42). They were treated with electroacupuncture (EA), movable cupping plus acupoint catgut embedding, and simple EA, respectively. EA at Zhongwan (CV 12), Xiawan (CV 10) and Qihai (CV 6) were given in the two groups. And in the group A, acupoint catgut embedding and movable cupping at the Channels CV, GV, SP, ST and UB were added. The therapeutic effect, main symptoms, body mass index (BMI), waist circumference (WC), hip circumference (HC), and WHR were investigated. RESULTS: The total effective rate was 90.0% in the group A, significantly better than 78.6% in the group B (P< 0. 01), with significant differences in decrease of body weight, BMI, WC, HC and main symptoms between the two groups (P<0.05, P<0.01). CONCLUSION: Acupuncture, cupping plus acupoint catgut embedding therapy can increase therapeutic effect on simple obesity of stomach and intestine excess-heat type, and it is a better method for treatment of this disease.