【摘要】 目的 观察针刺郄穴联合生活方式干预治疗湿证肥胖患者疗效。方法 将80例湿证肥胖患者随机分为对照组与治疗组各40例。对照组采用生活方式干预治疗，治疗组在对照组治疗基础上联合针刺郄穴治疗。比较两组临床疗效，体质量、身体质量指数（BMI）、体脂肪、内脏脂肪面积、体脂率、总胆固醇（TC）、甘油三酯（TG）、空腹血糖（FBG）、尿酸（UA）及湿证评分。结果 治疗后，治疗组总有效率高于对照组（；两组体质量、BMI低于治疗前，治疗组上述指标低于对照组（；两组体脂肪、内脏脂肪面积、体脂率低于治疗前，治疗组上述指标低于对照组（<；治疗组TC、TG低于治疗前，治疗组TG低于对照组（<，两组TC比较差异无统计学意义（；治疗组FBG低于对照组（<，两组UA比较差异无统计学意义（；两组湿证评分低于治疗前，治疗组低于对照组（<。结论 针刺郄穴联合生活方式干预治疗湿证肥胖患者疗效显著，可显著减轻肥胖程度，降低血糖水平，降低湿证评分。更多还原

【Abstract】 Objective To observe the efficacy of acupuncture at Xi acupoint combined with lifestyle intervention in treatment of dampness-obese syndrome. Methods Eighty patients with dampness-obese syndrome were randomly divided into control group and treatment group, with 40 cases each. Control group was treated with lifestyle intervention, while treatment group received acupuncture at Xi acupoint on the basis of control group. The clinical efficacy of the two groups, including the body mass, body mass index(BMI), body fat and visceral fat area, body fat percentage total cholesterol(TC), triglycerides(TG), fasting blood glucose(FBG), uric acid(UA), and dampness syndrome score were compared. Results After treatment,the total effective rate of treatment group was higher than that of control group(; the body mass, BMI of both groups were lower than those before treatment, and those in observation group were lower than those in control group(; the body fat, visceral fat area, and body fat percentage of both groups were lower than those before treatment, and those in observation group were lower than those in control group(; the levels of TC and TG in treatment group were lower than those before treatment, and the TG in treatment group was lower than that in control group(; there were no significant differences in TC in the two group before and after treatment(; FBG of treatment group was lower than that of control group(, and there was no significant difference in UA in the two groups(; the dampness syndrome score of both groups was lower than that before treatment, and that in observation group was lower than that in control group(. Conclusion Acupuncture at Xi acupoint combined with lifestyle intervention has significant efficacy in treatment of dampness-obese syndrome, which can reduce the degree of obesity, lower blood sugar level, and reduce the score of dampness syndrome significantly.更多还原