不同疗法治疗单纯性肥胖的疗效比较与分析

目的:探讨提高单纯性肥胖症临床疗效的最佳治疗方法。方法:将80例患者随机分成3组,体针组采用体针辨证治疗,按胃肠腑热型、脾虚湿阻型、脾肾阳虚型进行辨证;耳体结合组在体针辨证基础上配合耳穴贴压施治;观察组在耳体结合治疗基础上结合背俞穴推罐。观察治疗前后肥胖相关指标体重、体质指数、体脂百分率、血脂变化及临床主要症状改善情况。结果:体针组总有效率69·6%,耳体结合组76·0%,观察组90·6%。观察组与体针组疗效比较差异有显著性意义,两组在临床主症、肥胖外部指标及血脂代谢方面差异亦有显著性意义。耳体结合组各项检查指标均优于体针组,但多数指标差别不显著。结论:耳穴贴压结合体针并配合背俞穴推罐对单纯性肥胖有显著疗效,为治疗单纯性肥胖较佳的疗法。

Comparison and analysis of therapeutic effects of different therapies on simple obesity

Objective To search for the best therapy for simple obesity. Methods Eighty cases were randomly divided into 3 groups. The body acupuncture group were treated based on the syndrome of heat of stomach and intestine, syndrome of spleen deficiency and stagnation of dampness, and syndrome of spleen and kidney yang-deficiency; the auricular and body acupuncture group were treated by the syndrome treatment of body acupuncture combined with auricular point sticking; the observation group were treated by the combined auricular and body acupuncture treatment plus moving cupping on back-shu points. Body weight, BMI, body fat%, blood lipids and clinically main symptoms before and after treatment were investigated. Results The total effective rate was 69.6% in the body acupuncture group, 76.0% in the auricular and body acupuncture group, and 90.6% in the observation group, with significant differences in the therapeutic effect, clinically main symptoms, external indexes of obesity and blood lipid metabolism between the observation group and the body acupuncture group. The various indexes in the auricular and body acupuncture group were superior to those in the body acupuncture group, with no significant differences in most indexes. Conclusion Auricular and body acupuncture combined with moving cupping at back-shu points has obvious therapeutic effect on simple obesity and this is a better therapy for simple obesity.