電針刺激對於肥胖者腰圍降低初步療效評估

An Evaluation of the Effect of Electrical Acupuncture Point Stimulation on Simple Obesity for Waist circumference

許中華(Chung-Hau Hsu) ； 高尚德(Shung-Te Kao) ； 黃焜璋(Kung-Chang Hwang) ； 林昭庚(Jaung-Geng Lin) ； 鄭振鴻(Chen-Hung Cheng) ； 陳建中(Chien-Chung Chen) ； 何彥頤(Yen-Yi Ho) ； 游大榮(Ta-Jung You)

《臺灣中醫醫學雜誌》 2卷1期 (2003/03) Pp. 5-40

摘要

Obesity is a common health problem in developed countries. WHO defined obesity as BMI (Body Mass Index)＞30kg/㎡ which should be treated with drugs or other method. Obesity is related to DM, hyperlipidemia and cardiovascular disease which were major disease in Taiwan. In general, acupuncture is effective in treatment of obesity, so it is worth to research if acupuncture could be applied to obesity. The purpose of this study is to evaluate whether electrical acupuncture can improve obesity, life quality and the Chinese medicine sign and symptom. The study subject is a randomized and positive controlled in clinical trial. Studies subjects was came from the clinic of the Chinese medicine in Taipei hospital. The main criteria is BMI (Body Mass Index)＞30kg/㎡.39patients were randomly al located in two groups:20 in positive controlled group and 19 in electrical acupuncture group. Electrical acupuncture were given twice a week for 40mins.positive control were given 10 times local abdominal exercise (仰臥起坐) each day. The whole treatment course is 6weeks. The evaluation item are BMI, BW, WC (Waist circumference), HC (Hip), WHR, Abdominal local fat, Glu, TG, Cho, life quality and Chinese symptomatic scores. There were not a statistically significant difference between positive control and electrical acupuncture after finishing treatment. In group comparison, electrical acupuncture group revealed a statistically significant difference in BMI (p=0.001), BW (p=0.02), WC (p＜0.001), LF (P＜0.001), Glu (p=0.014) and Tg (p=0.031). in addition, electrical acupuncture group was improved tendency in life quality especially in body level (p=0.045) and Chinese symptomatic scores especially in headache (p=0.02) and food appetite (p=0.021). From the point of Chinese symptomatic diagnosis, the most symptomatic groups were chi-vacuity, stomach-heat and phlegm-dampness in our studied patients. Pulse feeling and tongue inspection do not change in both groups. In conclusion, electrical acupuncture point stimulation or acupuncture point stimulation could be offer the treatment option for body weight control. We hope the detailed, long period evaluated and well-designed studies would be taken in the future.

關鍵字

肥胖 ； 電針減重 ； 針灸減重 ； 肥胖證型 ； 生活品質 ； 肥胖指數

並列摘要

Obesity is a common health problem in developed countries. WHO defined obesity as BMI (Body Mass Index)＞30kg/㎡ which should be treated with drugs or other method. Obesity is related to DM, hyperlipidemia and cardiovascular disease which were major disease in Taiwan. In general, acupuncture is effective in treatment of obesity, so it is worth to research if acupuncture could be applied to obesity. The purpose of this study is to evaluate whether electrical acupuncture can improve obesity, life quality and the Chinese medicine sign and symptom. The study subject is a randomized and positive controlled in clinical trial. Studies subjects was came from the clinic of the Chinese medicine in Taipei hospital. The main criteria is BMI (Body Mass Index)＞30kg/㎡.39patients were randomly al located in two groups:20 in positive controlled group and 19 in electrical acupuncture group. Electrical acupuncture were given twice a week for 40mins.positive control were given 10 times local abdominal exercise (仰臥起坐) each day. The whole treatment course is 6weeks. The evaluation item are BMI, BW, WC (Waist circumference), HC (Hip), WHR, Abdominal local fat, Glu, TG, Cho, life quality and Chinese symptomatic scores. There were not a statistically significant difference between positive control and electrical acupuncture after finishing treatment. In group comparison, electrical acupuncture group revealed a statistically significant difference in BMI (p=0.001), BW (p=0.02), WC (p＜0.001), LF (P＜0.001), Glu (p=0.014) and Tg (p=0.031). in addition, electrical acupuncture group was improved tendency in life quality especially in body level (p=0.045) and Chinese symptomatic scores especially in headache (p=0.02) and food appetite (p=0.021). From the point of Chinese symptomatic diagnosis, the most symptomatic groups were chi-vacuity, stomach-heat and phlegm-dampness in our studied patients. Pulse feeling and tongue inspection do not change in both groups. In conclusion, electrical acupuncture point stimulation or acupuncture point stimulation could be offer the treatment option for body weight control. We hope the detailed, long period evaluated and well-designed studies would be taken in the future.

並列關鍵字

Obesity ； Electrical Acupuncture ； Acupuncture ； Chinese Symptomatic Scores ； Life Quality ； BMI