针刺与耳穴贴压治疗单纯性肥胖症的随机对照观察

目的：比较针刺和耳穴贴压治疗单纯性肥胖症的疗效。方法：实验于2004-02/04在香港浸会大学校本部完成。选择40例单纯性肥胖患者随机分为针刺组20例及耳穴组20例。①针刺组主穴采用天枢、中脘、水分、气海、关元、水道、大横、足三里、丰隆、三阴交、内庭、曲池，肥胖局部可针三四针，每周针刺3次，12次为1个疗程。②耳穴组选取胃、神门、内分泌、肺、饥点，腹穴,王不留行籽贴压,每次贴一只耳，两耳交替，4d更换一次。治疗4周后测体质量、腰围、臀围、体质量指数，与治疗前对比。结果：按实际处理分析，39例进入结果分析。①体质量针刺组和耳穴组治疗后均低于治疗前[（73.83±4.90）,（75.54±4.97）kg;（68.05±3.29）,（69.33±3.34）kg,P＜0.01]，但两组间无差异。②腰围针刺组和耳穴组治疗后均小于治疗前[（93.37±2.75）,（97.74±2.58）cm;（90.73±2.29）,（94.05±2.21）cm，P＜0.01]，但两组间无差异。③臀围针刺组和耳穴组治疗后均小于治疗前[（103.18±2.07）,（105.76±2.14）cm;（102.40±1.73）（104.55±1.95）cm，P＜0.01]，但两组间无差异。④体质量指数针刺组和耳穴组治疗后均小于治疗前[（27.53±1.18）,（28.22±1.21）kg/m2;（26.81±0.88）,（27.30±0.90）kg/m2,P＜0.01]，但两组间无差异。结论：单纯性肥胖症患者单一应用针刺或耳穴贴压治疗，均可显著减体质量、减腰臀围和体质量指数，两者的疗效相似。

AIM: To compare the curative effect of acupuncture and auricular-point tapping and pressing therapy in the treatment of simple obesity. METHODS: The experiment was conducted in Hong Kong Baptist University from February to April 2004. 40 patients with simple obesity were randomly divided into two groups: Acupuncture group （n=20） and auricular-point group （n=20）. ①Patients in the acupunture group received acupuncture at points of Tianshu, Zhongwan, Shuifen, Qihai, Guanyuan, Shuidao, Daheng, Zusanli, Fenglong, Sanyinjiao, Neiting and Quchi. Local obesity parts were acupunctured with 3-4 bullets, three times each week and 12 times as one course. ②Points of stomach, Shenmen, endocrine, lung, Jidian and abdomen in patients of the auricular-point group were pressed with cowherb seeds, one ear was treated each time and two ears alternatively tapped for every 4 days. Body mass, waistline, hip circumference and index of body mass were measured 4 weeks after the treatment, and then compared with those before the treatment. RESULTS: Thirty-nine patients were involved in the analysis of results. ①Body mass: It was lower in both groups than that before the treatment[（73.83±4.90）,（75.54±4.97）kg;（68.05±3.29）,（69.33±3.34）kg,P ＜ 0.01],and there were no differences between the two groups. ②Waistline: It was smaller in both groups after treatment than those before the treatment [（93.37±2.75）,（97.74±2.58）cm;（90.73±2.29）,（94.05±2.21）cm,P ＜ 0.01], and no difference existed between two groups. ③Hip circumference: It was smaller in both groups after treatment than that before treatment[（103.18±2.07）,（105.76±2.14）cm;（102.40±1.73）（104.55±1.95）cm, P ＜ 0.01],and no difference existed between two groups. ④Index of body mass: It was smaller in both groups after treatment than that before treatment[（27.53±1.18）,（28.22±1.21）kg/m2;（26.81±0.88）,（ 27.30±0.90） kg/m2, P ＜ 0.01], and no difference existed between two groups. CONCLUSION: Single use of acupuncture or auricular-point tapping and pressing therapy on patients with simple obesity can significantly reduce body mass, waistline, hip circumference and index of body mass, and the curative effects of two ways are similar.