核磁共振成像评价“接力赛”电针法对腹型肥胖女性腹部脂肪的影响

摘要

目的：：应用核磁共振成像(MRI)评价“接力赛”电针法对女性腹部脂肪的影响。方法：30例腹型肥胖女性随机分为对照组和电针治疗组,每组15例。对照组不接受任何减肥治疗,电针治疗组采用“接力赛”电针法,主穴选择滑肉门、天枢、外陵、水道、腹结、大横等,每周治疗3次,共治疗3个月。治疗前后对体质量指数(BMI)、腰围(WC)进行测量,MRI 扫描计算 L4、L5、S3下缘及耻骨联合上缘水平腹壁脂肪厚度及L4-S3所有层面累积脂肪体积并进行疗效评估。结果：治疗后,电针治疗组与对照组比较,BMI,WC,L4、L5、S3下缘及耻骨联合上缘水平腹壁脂肪厚度减少值及 L4- S3脂肪体积减少值差异均有统计学意义(P <0.01),电针治疗组优于对照组。电针治疗组耻骨联合上缘水平腹壁脂肪厚度及 L4-S3区间脂肪体积治疗后较治疗前明显下降(P <0.01,P <0.05)。结论：“接力赛”电针法可以有效减少腹型肥胖女性腹部脂肪,运用 MRI 评价腹部脂肪变化更为客观。%Objective To evaluate the efficacy of electroacupuncture (EA)therapy on abdominal fat in obese women by using magnetic resonance imaging(MRI).Methods Thirty abdominal obesity women patients were randomly divided into control group (n = 1 5)and EA group (n = 1 5).The obesity patients of the control group did not receive any treatment for weight reduc-tion,and those of the EA group were treated by EA stimulation of bilateral Neiting (ST 44),Fenglong (ST 40),Zusanli (ST 36), Huaroumen (ST 24),Tianshu (ST 25),Wailing (ST 26),Shuidao (ST 28),Fujie (SP 1 4),Daheng (SP 1 3),etc.for 25 min, once every other day,3 times per week for 3 months.The patient’s body weight,height,waist circumference (WC)were mea-sured with different devices,and the body mass index (BMI)was calculated,and the subcutaneous adipose tissue thickness at the inferior edges of L4 ,L5 and S3 and the superior edge of the pubic symphysis and the total abdominal fat volume between the L4 and S3 levels were detected using MRI systems before and after the treatment.Results The effects of the EA group were signifi-cantly superior to those of the control group in lowering difference values (between pre-and post-treatment)of BMI,WC and sub-cutaneous adipose tissue thickness at the levels of the inferior edges of L4 ,L5 ,S3 and the superior edge of the pubic symphysis (all P <0.0 1 )and in reducing total abdominal fat volume between L4 and S3 (all P <0.0 1 ).After the treatment,the subcutaneous adipose tissue thickness at the superior edge of the pubic symphysis (P <0.0 1 )and the total abdominal fat volume between L4 and S3 (P <0.05)were significantly decreased in the EA group compared to pre-treatment.There were no significant differences between post-and pre-treatment in BMI,WC,subcutaneous adipose tissue thickness at the levels of the L4 ,L5 and S3 in both EA and control groups and in the subcutaneous adipose tissue thickness at the level of the superior edge of the pubic symphysis and the total abdominal fat volume between L4 and S3 in the control group (P >0.05).Conclusion EA intervention can effectively reduce abdominal fat in obese women based on the evaluation of MRI.