针刺胃经经穴治疗胃肠实热型肥胖的临床观察

目的:观察针刺胃经穴位治疗胃肠实热型肥胖各指标的变化规律。方法:将51例胃肠实热型肥胖患者随机分为2组,治疗组以胃经取穴为主,对照组采用俞募配穴法。电针参数:疏密波,频率40-100Hz,强度3.0-10.0mA,留针30min。隔日治疗1次,1个月为1个疗程,共治疗3个疗程。分别观察治疗前及治疗中患者的症状和体征变化,同时测量并比较治疗前后肥胖指标的改变。结果:与对照组相比,胃经组体重和体重指数的回降有显著性统计学差异(P<0.05);腰围回降也显著大于对照组(P<0.01)。结论:针刺胃经穴位对于胃肠实热型肥胖疗效显著。

Clinical Observation on the Regularity of Acupuncture-induced Body-reduction in Excess-heat-type Obesity Patients

Objective:To investigate the regularity of acupuncture of the Stomach Meridian for excess-heat-type obesity.Methods:Fifty-one patients with gastrointestine excess-heat syndrome were randomly divided into treatment group(n=25)and control group(n=26)according to the random number table method.Patients of treatment group were treated mainly with acupuncture of acupoints of the Stomach Meridian as bilateral Liangmen(ST 21),Huaroumen(ST 24),Tianshu(ST 25),Wailing(ST 26),etc.;and those of control group were treated with acupuncture of Back-Shu and Front-Mu points as bilateral Weishu(BL 21),Dachangshu(BL 25),Xiaochangshu(BL 27),Hegu(LI 4),etc.which were also stimulated electrically with parameters of 40-100 Hz,3-10 mA and stimulation duration of 30 min.The treatment was given once every other day continuously for 3 months.Body weight,body mass index(BMI),waistline and clinical symptoms were recorded before and after each course of the treatment.Results:After the treatment,of the 25 and 26 cases in treatment and control groups,5 and 0 were cured,9 and 7 had marked improvement,7 and 10 improved,4 and 9 failed,with the effective rates being 84.00% and 65.38% separately.Compared with control group and pre-treatment of the same group,the waistline,body weight and BMI of treatment group decreased significantly(P<0.05,0.01).Conclusion:Acupuncture of acupoints of the Stomach Meridian has a good therapeutic effect in reducing body weight in gastrointestine excess-heat-type obesity patients.