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目的:应用核磁共振成像(MRI)评价“接力赛”电针法对女性腹部脂肪的影响。方法:30例腹型肥胖女性随机分为对照组和电针治疗组,每组15例。对照组不接受任何减肥治疗,电针治疗组采用“接力赛”电针法,主穴选择滑肉门、天枢、外陵、水道、腹结、大横等,每周治疗3次,共治疗3个月。治疗前后对体质量指数(BMI)、腰围(WC)进行测量,MRI扫描计算L4、L5、S3下缘及耻骨联合上缘水平腹壁脂肪厚度及L4-S3所有层面累积脂肪体积并进行疗效评估。结果:治疗后,电针治疗组与对照组比较,BMI,WC,L4、L5、S3下缘及耻骨联合上缘水平腹壁脂肪厚度减少值及L4-S3脂肪体积减少值差异均有统计学意义(P<0.01),电针治疗组优于对照组。电针治疗组耻骨联合上缘水平腹壁脂肪厚度及L4-S3区间脂肪体积治疗后较治疗前明显下降(P<0.01,P<0.05)。结论:“接力赛”电针法可以有效减少腹型肥胖女性腹部脂肪,运用MRI评价腹部脂肪变化更为客观。
Objective: To evaluate the effect of electroacupuncture on abdominal fat in women by using MRI (magnetic resonance imaging). Methods: Thirty obese women with abdominal obesity were randomly divided into control group and electroacupuncture group, 15 cases in each group. The control group did not receive any weight loss treatment. The electroacupuncture treatment group adopted the electro-acupuncture method of “relay race” and the main point of choice was sliding meat door, Tianshu, Wailing, waterway, abdominal knot, , A total of 3 months treatment. Body mass index (BMI) and waist circumference (WC) were measured before and after treatment. The thickness of abdominal fat at the lower edge of L4, L5, S3 and upper edge of the pubic symphysis and the cumulative fat volume of all layers of L4-S3 were calculated by MRI scanning. Results: After treatment, there was significant difference between the reduction of abdominal fat thickness and the reduction of L4-S3 fat volume in BMI, WC, L4, L5, S3 lower edge and upper pubic symphysis margin (P <0.01), EA group was better than control group. Electroacupuncture treatment group at the pubic symphysis upper edge of the level of abdominal fat thickness and L4-S3 interval fat volume decreased significantly after treatment than before treatment (P <0.01, P <0.05). Conclusion: Electroacupuncture can effectively reduce abdominal fat in abdomen obese women, and it is more objective to evaluate abdomen fat changes by MRI.