摘要
目的 观察针灸在改善阳虚质超重/肥胖人群体质量、中医体质、体表温度及基础代谢率方面的临床疗效。方法 将符合纳入标准的受试者62例依据随机数字表法和信封法随机分为试验组和对照组各31例。两组均给予生活方式干预,试验组行针刺、电针联合温针灸治疗,对照组行假针刺、假电针及假温针灸干预。疗程1周3次,共12周。以12周后体质量、体质量指数(BMI)、腰围、阳虚质转化分为主要评价指标;腋温、大椎穴温度、至阳穴温度和基础代谢率(basal metabolic rate,BMR)为次要结局指标;并评估两组的不良反应情况。结果 (1)研究过程中试验组脱落2例,对照组脱落2例,最终试验组及对照组各29例完成本试验。(2)干预后,试验组及对照组的体质量、BMI及腰围均降低(P<0.05),但试验组的降低程度更多,差异均具有统计学意义(P<0.05)。(3)干预后,试验组及对照组的阳虚质转化分均降低,差异具有统计学意义(P<0.05),且试验组的降低程度优于对照组,差异具有统计学意义(P<0.05)。(4)干预后,对照组的腋温降低,大椎穴温度升高,差异无统计学意义(P>0.05),对照组至阳穴温度升高,差异具有统计学意义(P<0.05);试验组的腋温、大椎穴温度及至阳穴温度均升高,差异均具有统计学意义(P<0.05);且与对照组相比,试验组的腋温、大椎穴温度及至阳穴温度均较高,差异均具有统计学意义(P<0.05)。(5)干预后,试验组及对照组的BMR均较前降低,差异具有统计学意义(P<0.05),与对照组相比,试验组的BMR更低,差异无统计学意义(P>0.05)。(6)研究过程中,试验组出现1例月经不调,对照组出现1例便秘,均未影响治疗疗程,两组不良反应率差异无统计学意义(P>0.05)。结论 针灸具有减轻体质量和改善阳虚质的作用,在改善阳虚质超重/肥胖受试者的体质量、BMI、腰围、阳虚质转化分、腋温、大椎穴温度和至阳穴温度方面显示有效。但与对照组相比,针灸尚不能显示出对BMR的改善作用。
Objective To observe the clinical efficacy of acupuncture in improving body weight,TCM constitutions,body surface temperature and basal metabolic rate of overweight/obese people with yang deficiency.Methodss 62 subjects who met the inclusion criteria were randomized into a experimental group and a control group,using random number tables and the envelope method,with 31 cases in each.Both groups were given lifestyle intervention.The experimental group was treated with acupuncture and electroacupuncture combined with warming needle moxibustion,while the control group was treated with sham acupuncture,sham electroacupuncture and sham warm needle moxibustion.The treatment was given three times a week for 12 weeks.Body weight,BMI,waist circumference and transformation of yang deficiency after 12 weeks were the main evaluation indexes.Axillary temperature,Dazhui point temperature,Zhiyang point temperature and basal metabolic rate(BMR)were secondary outcome indicators.The adverse reactions of the two groups were evaluated.Results①During the study,2 participants dropped out in each group.A total of 29 subjects in the experimental group and in the control group completed the trial.②After the intervention,the body weight,BMI and waist circumference in both groups decreased(P<0.05),with the experimental group showing a significantly greater reduction compared to the control group(P<0.05).③After the intervention,the transformation scores of yang deficiency in both groups decreased(P<0.05),with the experimental group showing a significantly greater reduction than the control group(P<0.05).@After the intervention,the axillary temperature of the control group decreased and the temperature of Dazhui point increased,but the difference was not statistically significant(P>0.05).The Zhiyang acupoint temperature increased significantly in the control group(P<O.05).The axillary temperature,Dazhui point temperature and Zhiyang point temperature in the experimental group increased(P<0.05).And compared with the control group,the axilary temperature,Dazhui point temperature and Zhiyang point temperature in the experimental group were higher,and the difference was statistically significant(P<0.05).After the intervention,BMR decreased in both groups,and the difference was statistically significant(P<0.05).The experimental group showed a lower BMR than the control group,but the difference was not statistically significant(P>0.05).@During the study,there was one case of irregular menstruation in the experimental group and one case of constipation in the control group,which did not affect the treatment course.There was no significant difference in the adverse reaction rate between the two groups(P>0.05).Conclusion Acupuncture can reduce body weight and improve yang deficiency,and it is effective in improving the weight,BMI,waist circumference,transformation of yang deficiency,axillary temperature,Dazhui point temperature and Zhiyang point temperature of overweight/obese subjects with yang deficiency.However,compared with the control group,acupuncture did not show a significant improvement in BMR.
作者
李婷
阎思宁
尹丽红
王翰林
陈裕
谢长才
LI Ting;YAN Sining;YIN Lihong;WANG Hanlin;CHEN Yu;XIE Changcai(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510403;Guangdong Provincial Hospital of Traditional Chinese Medicine Zhuhai Hospital;Guangdong Provincial Hospital of Traditional Chinese Medicine;State Key Laboratory of Dampness Syndrome of Traditional Chinese Medicine,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine)
出处
《现代中医临床》
2025年第4期18-23,共6页
Modern Chinese Clinical Medicine
基金
省部共建中医湿证国家重点实验室专项(No.SZ2022KF14,SZ2021ZZ08)。
关键词
阳虚质
超重/肥胖
针灸
假针灸
yang deficiency
overweight/obesity
acupuncture
sham acupuncture
