固定穴位針刺加固定辨證用藥對減肥的臨床觀察

CLINICAL OBSERVATION OF OBESITY REDUCTION USING FIXED ACUPUNCTURE POINTS PLUS A FIXED PRESCRIPTION MODEL

目的：本研究是整理2005-2007年長庚紀念醫院中醫減肥門診病人的資料作統計分析，由單一醫師完成中醫證型評估及針刺治療，以評估固定穴位針刺加固定辨證用藥處方在減重方式（體重、內臟脂肪、體脂肪）的可行性。方法：將患者依參與門診次數分兩組，比較兩組在體重、內臟脂肪、體脂肪。結果：共收案761人，其中初次就診後35天以內門診次數達6次以上者135（17.7%）人（A組），未達6次者626（82.3%）人（B組）。A組減重所費時間與門診次數（129.2天、平均門診次數19.7次）都顯著高於B組（74.6天、平均門診次數6.4次）（p<.0001）。A組體重減重（-1.4 kg）顯著比B組（-0.5 kg）好（p=.0009）。內臟脂肪減少是A組（-0.3%）顯著優於B組（-0.1%）（p=.0045）。體脂肪減少也是A組（-0.9%）顯著優於B組（-0.3%）（p=.0038）。結論：本研究結果顯示採固定穴位針刺加固定辨證用藥對肥胖患者作治療，長期（體重、內臟脂肪、體脂肪）之成效優於短期。Aims: This study analyzed the 2005-2007 data of weight control from Dr. Lee to examine the effect of fixed acupuncture points plus a fixed prescription model on body weight, body fat, and organ fat. Methods: The patients were divided into two groups based on the number of visits to the doctor for treatment. The body weights, body fat, and organ fat were compared between the study groups. Results: A total of 761 patients were involved in this study. Group A (135 individuals, 17.7%) had received 6 or more times of treatment within 35 days and group B (626 individuals, 82.3%) had received less than 6 times of treatment within 35 days. The treatment duration was significantly longer in group A (129.2 days, 19.7 outpatient-visits）than in group B (74.6 days, 6.4 outpatient-visits) (p<.0001). The results show that the reduction of body weight was significantly better in group A (-1.4kg) than in group B (-0.5kg) (p=.0009). The reduction of organ fat was also significantly better in group A (-0.3%) than in group B (-0.1%)(p=.0045). Finally, the reduction of body fat was significantly better in group A (-0.9%) than in group B (-0.3%)(p=.0038). Conclusion: We saw a superior longterm effect on body weight, organ fat, and body fat using fixed acupuncture points plus a fixed prescription model.