世界中医药

目的：观察俞募配穴法针刺治疗合并胰岛素抵抗的单纯性肥胖临床疗效。方法：将57例合并胰岛素抵抗的单纯性肥胖患者随机分为治疗组29例和对照组28例，两组均使用基础治疗（饮食及运动疗法），治疗组以脾胃俞募穴为主，对照组以脾、胃经穴为主，观察治疗前后体重、体重指数、腰围、臀围、腰臀指数。结果：两组均可有效降低体重、体重指数，治疗组在减小腰围、臀围方面效果较好，且在总有效率方面优于对照组。结论：俞募配穴法针刺治疗合并胰岛素抵抗的单纯性肥胖疗效确定，尤其是对腰腹部肥胖的患者，可明显减小腰围、臀围。

English Summary:

To observe the clinical effects of anterior-posterior point combination acupuncture in treating patients of simple obesity with insulin resistance (IR). Methods:A total of 57 cases were randomly divided into two groups: 29 for the treatment group and 28 for the control group. Both groups were given the same basic treatments， including diet and exercise. Only the points choosing were different between the treatment group and the control group. The treatment group chose the alarm points and the transport points of the spleen meridian and stomach meridian; while the control group chose other points of the spleen meridian and stomach meridian. Weight， BMI， waist circumference， hip circumference and WHR were measured before and after treatment. Results:The weight and BMI in both groups decreased obviously. However， the treatment group had better effect in decreasing waist circumference and hip circumference than that of the control group， and its total effective rate was also higher. Conclusion:The treatment of anterior-posterior point combination acupuncture was effective in treating patients of simple obesity with insulin resistance. Especially for the abdominal obesity patients， the treatment of anterior-posterior point combination acupuncture could significantly reduce the waist circumference and hip circumference.

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