电针、埋线对单纯性肥胖患者血清瘦素、胰岛素影响的对比研究

王佳捷; 黄伟; 韦丹; 杨天颖; 周仲瑜

doi:10.13702/j.1000-0607.170768

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电针、埋线对单纯性肥胖患者血清瘦素、胰岛素影响的对比研究

临床研究 | 更新时间：2023-08-11

- 电针、埋线对单纯性肥胖患者血清瘦素、胰岛素影响的对比研究
- Comparison of therapeutic effects of electroacupuncture and acupoint catgut embedding in reducing serum leptin and insulin levels in simple obesity patients
- 针刺研究 2019年44卷第1期页码：57-61
- 作者机构：
  
  1. 湖北省中医院针灸科
  2. 湖北省中医药研究院
  3. 湖北中医药大学第一临床学院
  4. 河南省开封中医院
- 作者简介：
- 基金信息：
  
  湖北省自然科学基金项目(No.2012FFB01601);2015年中医药行业科研专项项目(No.201507003)
- DOI：10.13702/j.1000-0607.170768
  中图分类号：
- 纸质出版日期：2019
- 稿件说明：
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王佳捷, 黄伟, 韦丹, 等. 电针、埋线对单纯性肥胖患者血清瘦素、胰岛素影响的对比研究[J]. 针刺研究, 2019,44(1):57-61.

WANG Jia-jie, HUANG Wei, WEI Dan, et al. Comparison of therapeutic effects of electroacupuncture and acupoint catgut embedding in reducing serum leptin and insulin levels in simple obesity patients[J]. Acupuncture research, 2019, 44(1): 57-61.
王佳捷, 黄伟, 韦丹, 等. 电针、埋线对单纯性肥胖患者血清瘦素、胰岛素影响的对比研究[J]. 针刺研究, 2019,44(1):57-61. DOI： 10.13702/j.1000-0607.170768.

WANG Jia-jie, HUANG Wei, WEI Dan, et al. Comparison of therapeutic effects of electroacupuncture and acupoint catgut embedding in reducing serum leptin and insulin levels in simple obesity patients[J]. Acupuncture research, 2019, 44(1): 57-61. DOI： 10.13702/j.1000-0607.170768.

摘要

目的:探讨电针及埋线治疗单纯性肥胖症的作用机制

为临床治疗方法的应用提供依据。方法:90例单纯性肥胖患者随机分为电针组、埋线组

每组45例。电针组取天枢、大横、带脉等穴电针治疗

每次30min

隔日1次

共治疗30次;埋线组每次选取9～11个穴位交替埋线

10d1次

共治疗6次。观察两组患者治疗前后空腹血清瘦素(Leptin)、胰岛素(INS)水平变化

并分析其与体质量指数(BMI)变化的相关性。结果:治疗后

两组患者空腹血清Leptin、INS水平及BMI均较治疗前降低(P<0.01)。电针组、埋线组BMI变化与空腹血清Leptin、INS变化均呈正相关(P<0.01)。结论:埋线疗法同电针疗法均能够良性调节肥胖患者空腹血清Leptin、INS水平

纠正Leptin抵抗及INS抵抗。两种治疗方法中

BMI的变化均与Leptin、INS的变化呈正相关。

Abstract

Objective To observe the therapeutic effect of electroacupuncture(EA)and acupoint catgut embedding in the treatment of simple obesity.Methods Simple obesity patients were randomized into EA group(7 men and 36 women

21-42 years in age)and catgut embedding group(4 men and 37 women

22-41 years in age).EA(4 Hz/20 Hz

a tolerable strength)was applied to main acupoints Zhongwan(CV12)

bilateral Tianshu(ST25)

Daheng(SP15)

Daimai(GB26)

Shuidao(ST28)

Zhigou(TE6)

Yinlingquan(SP9)

Zusanli(ST36)

Fenglong(ST40)

and Sanyinjiao(SP6)

and some auxiliary acupoints for 30 min

once every other day for 30 times.Subcutaneous catgut-embedment was performed in the same acupoints.Nine to 11 acupoints were used every time

once every 10 days for 6 times.Before and after the treatment

fasting serum leptin and insulin(INS)contents were detected by radioimmunoassay

and the correlation between the leptin

INS and the body mass index(BMI)was analyzed

respectively.Results Following the treatment

the serum leptin and INS concentrations and BMI in both groups were significantly decreased in comparison with those of their own pre-treatment(P<0.01).No significant differences were found between the two groups in the levels of serum leptin and INS after the treatment(P>0.05).There were positive correlations between the decreased BMI and serum leptin/INS contents in both EA and catgut embedding groups(P<0.01).Conclusion Both catgut embedding and EA interventions have a positive effect in reducing body weight of simple obesity patients

which may be related to its effects in down-regulating serum leptin and INS levels and in correcting leptin resistance and insulin resistance.

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