Different frequency of acupoint thread-embedding for overweight/obesity of spleen deficiency and dampness retention: a randomized controlled trial

YUAN Jing-xue; LIU Jin-hong; NI Jin-xia; ZHANG Zi-niu; WANG Ding-hao; QING Lun-xue; HE Ya-nan

doi:10.13703/j.0255-2930.20230219-k0001

您当前的位置：

首页 >

文章列表页 >

Different frequency of acupoint thread-embedding for overweight/obesity of spleen deficiency and dampness retention: a randomized controlled trial

Clinical Research | 更新时间：2024-06-03

- Different frequency of acupoint thread-embedding for overweight/obesity of spleen deficiency and dampness retention: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 43, Issue 11, Pages: 1229-1234(2023)
- 作者机构：
  
  北京中医药大学东直门医院针灸科，北京100700
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20230219-k0001
  CLC： R 246.1
- Received：19 February 2023，
  
  Online First：12 October 2023，
  
  Published：12 November 2023
- 稿件说明：
移动端阅览
袁静雪,刘金红,倪金霞等.不同频次穴位埋线治疗脾虚湿阻型超重/肥胖：随机对照试验[J].中国针灸,2023,43(11):1229-1234.

YUAN Jing-xue,LIU Jin-hong,NI Jin-xia,et al.Different frequency of acupoint thread-embedding for overweight/obesity of spleen deficiency and dampness retention: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(11):1229-1234.
袁静雪,刘金红,倪金霞等.不同频次穴位埋线治疗脾虚湿阻型超重/肥胖：随机对照试验[J].中国针灸,2023,43(11):1229-1234. DOI： 10.13703/j.0255-2930.20230219-k0001.

YUAN Jing-xue,LIU Jin-hong,NI Jin-xia,et al.Different frequency of acupoint thread-embedding for overweight/obesity of spleen deficiency and dampness retention: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(11):1229-1234. DOI： 10.13703/j.0255-2930.20230219-k0001.

摘要

目的

比较不同频次穴位埋线对脾虚湿阻型超重/肥胖受试者的减重效果。

方法

将126例脾虚湿阻型超重/肥胖受试者随机分为间隔2周组（63例，脱落13例）和间隔3周组（63例，脱落11例、剔除1例）。两组分别予每2周1次、每3周1次穴位埋线治疗，均取穴中脘、水分、气海、关元，双侧章门、天枢、梁门、大横、腹结、脾俞、阴陵泉，均治疗4次。观察两组受试者治疗前后及治疗后2个月随访体质量指数（BMI）、体质量、腰围、臀围、腰臀比、肥胖度、脂肪百分率（F％）、皮褶厚度。

结果

治疗后及随访时，两组患者BMI、体质量、腰围、臀围、腰臀比、肥胖度、F％、皮褶厚度均较治疗前减少（

0.001，

0.01），间隔2周组BMI、体质量、肥胖度、F％、皮褶厚度减少值大于间隔3周组（

0.05，

0.01，

0.001）。

结论

每2周1次穴位埋线对脾虚湿阻型超重/肥胖受试者减重效果优于每3周1次。

Abstract

Objective

To compare the effect of different frequency of acupoint thread-embedding on weight loss in subjects with overweight/obesity of spleen deficiency and dampness retention.

Methods

A total of 126 subjects with overweight/obesity of spleen deficiency and dampness retention were randomized into a 2-week group（63 cases，13 cases dropped out）and a 3-week group（63 cases，11 cases dropped out，1 case was eliminated）. The two groups were treated with acupoint thread-embedding once every 2 weeks and once every 3 weeks respectively，Zhongwan（CV 12），Shuifen（CV 9），Qihai（CV 6），Guanyuan（CV 4） and bilateral Zhangmen（LR 13），Tianshu（ST 25），Liangmen（ST 21），Daheng（SP 15），Fujie（SP 14），Pishu（BL 20），Yinlingquan（SP 9）were selected. Four times were required in the two groups. Before and after treatment， follow-up after 2 months of treatment completion， the body mass index（BMI）， body weight， waist circumference，hip circumference，waist-to-hip ratio，obesity degree，fat percentage（F%），skin fold thickness were observed in the two groups.

Results

After treatment and in follow-up，the BMI

， body weight， waist circumference， hip circumference， waist-to-hip ratio，obesity degree，F%，skin fold thickness in the two groups were decreased compared with those before treatment （

0.001，

0.01），the changes of BMI，body weight， obesity degree， F%， skin fold thickness in the 2-week group were larger than those in the 3-week group（

0.05，

0.01，

0.001）.

Conclusion

The effect of acupoint thread-embedding once every 2 weeks on weight loss in subjects with overweight/obesity of spleen deficiency and dampness retention is superior to that once every 3 weeks.

关键词

Keywords

references

Schwartz MW , Seeley RJ , Zeltser LM , et al . Obesity pathogenesis: an endocrine society scientific statement [J ] . Endocr Rev , 2017 , 38 ( 4 ): 267 - 296 .

Wharton S , Lau DCW , Vallis M , et al . Obesity in adults: a clinical practice guideline [J ] . CMAJ , 2020 , 192 ( 31 ): E875 - E891 .

Wang YF , Zhao L , Gao LW , et al . Health policy and public health implications of obesity in China [J ] . Lancet Diabetes Endocrinol , 2021 , 9 ( 7 ): 446 - 461 .

中国营养学会肥胖防控分会 , 中国营养学会临床营养分会 , 中华预防医学会行为健康分会 , 等 . 中国居民肥胖防治专家共识 [J ] . 中华流行病学杂志 , 2022 , 43 ( 5 ): 609 - 626 .

Garvey WT , Mechanick JI , Brett EM , et al . American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity [J ] . Endocr Pract , 2016 , 22 ( Suppl 3 ): 1 - 203 .

王泽旭 . 超重肥胖患者的中医证型特点与代谢指标的相关性分析 [D ] . 沈阳 : 辽宁中医药大学 , 2021 .

黄珍珍 . 不同长度线体干预穴位埋线治疗脾虚湿阻型单纯性肥胖的量效研究 [D ] . 北京 : 北京中医药大学 , 2020 .

郑肖 , 吉海春 . 穴位埋线治疗单纯性肥胖40例 [J ] . 中医外治杂志 , 2015 , 24 ( 6 ): 28 - 29 .

陈媛媛 , 李乃芳 , 崔铖 , 等 . 针刺结合穴位埋线治疗单纯性肥胖的临床疗效观察 [J ] . 光明中医 , 2015 , 30 ( 6 ): 1266 - 1268 .

中华人民共和国国家卫生和计划生育委员会 . 成人体重判定 : WS/T 428-2013 [S ] . 北京 : 中国质检出版社,中国标准出版社 , 2013 .

危北海 , 贾葆鹏 . 单纯性肥胖病的诊断及疗效评定标准 [J ] . 中国中西医结合杂志 , 1998 , 18 ( 5 ): 317 - 319 .

中华人民共和国国家卫生和计划生育委员会 . 人群健康监测人体测量方法 : WS/T 424-2013 [S ] . 北京 : 中国标准出版社 , 2013 .

中国医疗保健国际交流促进会营养与代谢管理分会 , 中国营养学会临床营养分会 , 中华医学会糖尿病学分会 , 等 . 中国超重/肥胖医学营养治疗指南(2021) [J ] . 中国医学前沿杂志 (电子版), 2021 , 13 ( 11 ): 1 - 55 .

Wing RR . The challenge of defining the optimal lifestyle weight loss intervention for real-world settings [J ] . JAMA , 2022 , 328 ( 22 ): 2213 - 2214 .

Nguyen NT , Varela JE . Bariatric surgery for obesity and metabolic disorders: state of the art [J ] . Nat Rev Gastroenterol Hepatol , 2017 , 14 ( 3 ): 160 - 169 .

国家质量监督检验检疫总局 , 中国国家标准化管理委员会 . 针灸技术操作规范第10部分:穴位埋线 : GB/T 21709.10-2008 [S ] . 北京 : 中国标准出版社 , 2008 .

程玲 , 梁欣 , 侯珣瑞 , 等 . 近10年穴位埋线关键要素特征的临床文献计量研究 [J ] . 针刺研究 , 2022 , 47 ( 9 ): 830 - 836 .

姚晓兵 , 帕茹克·鲁提夫拉 , 马忠 . 穴位埋线疗法临床研究进展 [J ] . 新疆中医药 , 2017 , 35 ( 1 ): 115 - 118 .

Dai L , Wang M , Zhang KP , et al . Modified acupuncture therapy, long-term acupoint stimulation versus sham control for weight control: a multicenter, randomized controlled trial [J ] . Front Endocrinol (Lausanne) , 2022 , 13 : 952373 .

Wei JL , Lai LL , Lin ZC , et al . Acupoint catgut embedding versus acupuncture for simple obesity: a systematic review and Meta-analysis of randomized controlled trials [J ] . J Tradit Chin Med , 2022 , 42 ( 6 ): 839 - 847 .

吴丽媚 , 关冰河 , 古文霞 , 等 . 穴位埋线治疗单纯性肥胖的研究概况 [J ] . 中国中医药现代远程教育 , 2022 , 20 ( 22 ): 205 - 208 .

聂红昉 , 侯珣瑞 , 梁欣 , 等 . 微创埋线后PGLA线体对正常人体三阴交穴刺激效应的时效性观察 [J ] . 针刺研究 , 2019 , 44 ( 2 ): 148 - 152 .

谢丽丽 , 高垣 , 童秋瑜 , 等 . 穴位埋线治疗单纯性肥胖的Meta分析 [J ] . 上海中医药杂志 , 2017 , 51 ( S1 ): 34 - 38 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Clinical observation on acupoint thread-embedding for overweight and obesity in young adults with phlegm-dampness constitution

Clinical efficacy and cost-effectiveness evaluation of acupoint thread-embedding for knee osteoarthritis of early to middle stage

Acupoint thread-embedding therapy in treatment of postoperative complications of mixed hemorrhoids: a randomized controlled trial

Acupoint thread-embedding at fat layer for abdominal obesity: a randomized controlled trial

Electroacupuncture promotes browning of white adipose tissue by regulating mTOR/SREBP1 signaling pathway in obese mice

Related Author

MA Yuxia

ZHAO Lihua

HUANG Xin'ge

HUANG Yu

HUANG Dingjian

AO Wanyi

ZHENG Wenchun

YANG Kaiyang

Related Institution

Graduate School, Guangxi University of CM

Department of Acupuncture and Moxibustion, First Affiliated Hospital of Guangxi University of CM

Ren'ai Branch of First Affiliated Hospital of Guangxi University of CM

Department of Acupuncture and Moxibustion, Shaanxi Provincial Hospital of TCM

Eleventh Department of Encephalopathy, Xi′an TCM Hospital of Encephalopathy

⁰