CAJ | 학술논문

目的探讨穴位埋线对单纯性肥胖患者胰岛素抵抗的影响.方法按随机数字表,分为治疗组(埋线组)和对照组(针刺组),各30例,治疗组取中脘、天枢、气海、上巨虚为主,1次/10d,3次一疗程,治疗3个月.观察治疗前后患者的体重、腰围、臀围、体重指数(BMI)及空腹血糖(FBG)、胰岛素(FINS)及胰岛素抵抗指数(IR).结果治疗组和对照组对单纯性肥胖患者,都有明显的减肥作用,两组对肥胖指标体重、腰围、BMI及食欲较治疗前均有显著性差异(P＜0.05);治疗前后自身比较发现,两组肥胖患者自身比较空腹血糖、胰岛素及IR的水平,治疗后较治疗前均显著降低(P＜0.05);治疗后两组各指标比较,无显著性差异(P＞0.05).结论穴位埋线对单纯性肥胖患者有明显的减肥作用,并可改善胰岛素抵抗状态.
목적 탐토혈위매선대단순성비반환자이도소저항적영향.방법 안수궤수자표,분위치료조(매선조)화대조조(침자조),각30례,치료조취중완、천추、기해、상거허위주,1차/10d,3차일료정,치료3개월.관찰치료전후환자적체중、요위、둔위、체중지수(BMI)급공복혈당(FBG)、이도소(FINS)급이도소저항지수(IR).결과 치료조화대조조대단순성비반환자,도유명현적감비작용,량조대비반지표체중、요위、BMI급식욕교치료전균유현저성차이(P＜0.05);치료전후자신비교발현,량조비반환자자신비교공복혈당、이도소급IR적수평,치료후교치료전균현저강저(P＜0.05);치료후량조각지표비교,무현저성차이(P＞0.05).결론 혈위매선대단순성비반환자유명현적감비작용,병가개선이도소저항상태.
Objective To study the effect of catgut implantation at acupoint on insulin resistance of simple obesity.Methods All patients were separated into the treatment group(catgut implantation group)and the control group(acupuncture group)with 30 cases in each group.Acupoints of zhongwan,tianshu,qihai,shangjuxu,were selected and needled for 3 months.Such indexes as body weight,waistline,hip circumference,body mass index(BMI),fasting blood glucose(FBG),insulin and insulin resistance(IR) before and after treatment were observed.Results Both groups showed obvious anti-obesity effect to simple obesity,manifested by significant differences(P＜0.05)at the indexes of body weight,waistline BMI and appetite before and after treatment.Self-comparison in each group showed such indexes as BFS,insulin and IR were significantly decreased after treatment than those before treatment (P＜0.05)There was no significant difference at the above-mentioned indexes between the two groups(P＞0.05).Conclusions Catgut implantation at acupoint can reduce fat for simple obesity patients by controlling the level of fasting blood sugar,fasting blood insulin and IR in patients.