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題 名 | 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 |
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作 者 | 許中華; 高尚德; 黃焜璋; 林昭庚; 鄭振鴻; 陳建中; 何彥頤; 游大榮; | 書刊名 | 臺灣中醫醫學雜誌 |
卷 期 | 2:1 2003.03[民92.03] |
頁 次 | 頁5-40 |
分類號 | 413.91 |
關鍵詞 | 肥胖; 電針減重; 針灸減重; 肥胖證型; 生活品質; 肥胖指數; Obesity; Electrical acupuncture; Acupuncture; Chinese symptomatic scores; Life quality; BMI; |
語 文 | 中文(Chinese) |
中文摘要 | 肥胖是經濟發達國家普遍存在的社會問題,根據世界衛生組織(WHO)的定義BMI(Body Mass Index)>30kg/㎡,為肥胖,根據相關研究顯示,隨著體重增加,死亡率及罹病率,也隨著增加,冠狀動脈心臟病、高血壓、糖尿病等疾病,根據美國治療肥胖FDA guideline,當BMI>30kg/㎡可以以藥物或其他方式治療。為證實電針減重之療效,我們採用肥胖研究,公認最佳指標如:BMI、腰圍、臀圍、體重、腰臀比、局部脂肪等為主;本試驗以隨機、對照方式進行,研究對象以台北醫院門診之肥胖病人為主,腰圍大於90公分及BMI>30kg/㎡,並符合入/排除標準之患者,被隨機分為兩組:電針刺激組(A組)及正對照組(仰臥起坐)(B組)。分配為A組者為穴位電刺激每週二次每次40分共6週,分配為B組者接受為期6週每天10下之仰臥起坐局部運動;除非中途退出,否則應接受為期週之治療。從結果來看,電針治療(A)組,主要療效指標(BMI、腰圍)在治療前後比較,都違統計顯著水準,腰圍減少2.73±1.75公分(p>0.001),BMI(kg/㎡)減少0.66±0.72(p=0.001),組入變化達顯著差異存在;生化值方面,電針刺激組(A)治療前後三酸廿油值、飯前血糖之降低達顯著水準(p=0.031,p=0.0014);治療前後,正對照(B)組飯前血糖之降低達顯著水準(p=0.037);膽固醇在兩組內變化皆未達顯著水準。整體而言電針治療組生活品質及中醫症狀,都有較佳之改善趨勢,尤其是生活品質之生理層次方面(p=0.045),及中醫之頭痛(p=0.02)及消榖善飢(p=0.021)之症狀最明顯,共達統計之水準;電針刺激治療前後對中醫之舌象及脈象無影響;從中醫辯證角度來看,本研究之肥胖病人以氣虛、痰濕、及胃腸熱證最常見。 |
英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。