目的 采用随机对照临床试验，观察电针治疗胃热湿阻型腹型肥胖患者的临床疗效，评估电针减重的有效性及安全性。方法 74例上海市中医医院招募的胃热湿阻型腹型肥胖患者按照1∶1的比例随机分配至电针组和对照组，两组各37例。电针组选取中脘、建里、下脘、双侧曲池、合谷、梁门、天枢、水道、足三里、上巨虚、内庭等穴位，进针后使用提插捻转等行针手法使患者得气，并选取双侧梁门、天枢大横穴位连接电针，选取3 Hz、连续波，强度以受试者耐受为度，留针30 min。对照组在相同穴位处行Streitberger安慰假针刺，将平头针通过套管敲击而不刺破皮肤，电针仪连接相同穴位但不通电。两组患者均接受每周3次治疗，每次30 min，共36次。主要结局指标为腰臀比;次要结局指标为体重、血脂、体重对生活质量的影响量表(Impact of weight on quality of life scale，IWQOL-Lite)、食物渴求特质问卷(Food desire trait questionnaire，FCQ-T)，两组分别于治疗前后记录各项指标。同时记录治疗期间所有用药情况，监测不良反应。结果 电针组患者治疗后腰臀比、体重均值显著下降(P＜0。05);甘油三酯和胆固醇含量下降，IWQOL-Lite和FCQ-T得分下降，但治疗前后差异无统计学意义。与对照组相比，治疗后电针组患者腰臀比更低(P＜0。05)。结论 电针可以有效改善胃热湿阻型腹型肥胖，在降低腰臀比方面优于假电针。
Clinical Study of Electroacupuncture in Treatment of Abdominal Obesity with Stomach Heat and Dampness Resistance
Objective To evaluate the effectiveness and safety of electroacupuncture treatment,the clinical efficacy of electroacupuncture in the treatment of abdominal obesity patients with stomach heat and dampness resistance type was observed by randomized controlled clinical trials.Methods 74 patients with stomach heat and dampness resistance type abdominal obesity recruited by Shanghai Traditional Chinese Medicine Hospital were randomly assigned to the electroacupuncture group and the control group(1∶1,37 patients in each group).The electroacupuncture group selected acupoints such as Zhongwan,Jianli,Xiawan,Bilateral Quchi,Hegu,Liangmen,Tianshu,Shuidao,Zusanli,Shangjuxu,Neiting,etc.After the needle was inserted,the patient was given Qi by using techniques such as lifting,inserting,twisting,and turning.The bilateral Liangmen and Tianshu transverse acupoints were selected to connect the electroacupuncture,and a continuous wave of 3 Hz was selected,with the intensity determined based on the patient's tolerance.The needle was left for 30 min.The control group received Streitberger comfort sham acupuncture at the same acupoint,and the flat headed needle was struck through a cannula without piercing the skin.The electroacupuncture device was connected to the same acupoint but not electrified.Both groups of patients received treatment three times a week for 30 min each time,a total of 36 times.The main outcome measure was waist to hip ratio.The secondary outcome measures were weight,blood lipids,and the impact of weight on quality of life scale(IWQOL-Lite)and food desire trait questionnaire(FCQ-T).Each indicator was recorded before and after treatment in both groups.Simultaneously record all medication usage during the treatment period and monitor adverse reactions.Results After treatment,the waist hip ratio and average weight of patients in the electroacupuncture group decreased significantly(P＜0.05).The levels of triglycerides and cholesterol decreased,and the scores of IWQOL-Lite and FCQ-T decreased,but there was no statistically significant difference before and after treatment.Compared with the control group,the waist hip ratio of patients in the electroacupuncture group was lower after treatment(P＜0.05).Conclusion Electroacupuncture can effectively improve abdominal obesity caused by stomach heat and dampness resistance,and is superior to sham acupuncture in reducing the waist hip ratio.
Abdominal obesityStomach heat and dampness resistanceElectroacupunctureRCT
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