穴位埋线与电针治疗单纯性肥胖症疗效维持时间的对比研究

摘要

目的：比较穴位埋线与电针治疗单纯性肥胖症的疗效维持时间。方法将72例单纯性肥胖症患者随机分为治疗组和对照组,每组36例。治疗组采用穴位埋线治疗,对照组采用电针治疗。观察两组治疗前后体重、体重指数、胸围、腰围、髋围的变化情况,并比较两组临床疗效。结果两组治疗1、2个疗程后及治疗后3、6个月体重、BMI、腰围、髋围与同组治疗前比较,差异均具有统计学意义(P＜0.01)。两组治疗2个疗程后体重、BMI、腰围、髋围与同组治疗1个疗程后比较,差异均具有统计学意义(P＜0.01)。两组治疗后3个月体重、BMI、腰围、髋围与同组治疗2个疗程后比较,差异均具有统计学意义(P＜0.01,P＜0.05)。两组治疗后6个月体重、BMI、腰围、髋围与同组治疗后3个月比较,差异均具有统计学意义(P＜0.01)。治疗组治疗后3个月腰围与对照组比较,差异具有统计学意义(P＜0.05)。治疗组治疗1、2个疗程后及治疗后3、6个月总有效率分别为86.1%、91.7%、88.9%及83.3%,对照组分别为69.4%、88.9%、80.6%及77.8%。两组治疗1个疗程后及治疗后3个月总有效率比较,差异均具有统计学意义(P＜0.05)。结论穴位埋线与电针治疗均是治疗单纯性肥胖症的有效方法,其中穴位埋线有较好疗效,且治疗1个疗程后及治疗后3个月疗效维持时间优于针刺治疗。%Objective To compare the efficacy maintenance time between acupoint thread embedding and electroacupuncture for simple obesity.Method Seventy-two simple obesity patients were randomly allocated to a treatment group and a control group, 36 cases each. The treatment group received acupoint thread embedding and the control group was intervened by electroacupuncture treatment. The body weight, body mass index (BMI), chest measurement, waist and hip circumferences of the two groups were recorded before and after the treatment. The therapeutic effects were compared between the two groups.Result The body weight, BMI, waist and hip circumferences were significantly changed after 1 treatment course, 2 treatment courses, 3 and 6 months after treatment in the two groups (P<0.01). The body weight, BMI, waist and hip circumferences after 2 treatment courses were significantly different from that after 1 treatment course in the two groups (P<0.01). The body weight, BMI, waist and hip circumferences 3 months after treatment were significantly different from that after 2 treatment courses in the two groups (P<0.01, P<0.05). The body weight, BMI, waist and hip circumferences 6 months after treatment were significantly changed compared to that 3 months after treatment in the two groups (P<0.01). Three months after treatment, the waist circumference in the treatment group was significantly different from that in the control group (P<0.05). The total efficacy rate was 86.1% after 1 treatment course, 91.7% after 2 treatment courses, 88.9% 3 months after treatment, and 83.3% 6 months after treatment in the treatment group, versus 69.4%, 88.9%, 80.6% and 77.8% in the control group. There were significant differences in comparing the total efficacy rate between the two groups after 1 treatment course and 3 months after treatment (P<0.05).Conclusion Acupoint thread embedding and electroacupuncture both are effective for simple obesity. The efficacy of acupoint thread embedding is comparatively better, and the efficacy maintenance time of acupoint thread embedding is longer than that of acupuncture treatment after 1 treatment course and three months after treatment.