LAUSR

ObjectiveTo observe the difference of the effect of low-frequency electroacupuncture (EA) on blood lipids between male and female patients with simple obesity due to damp induced by spleen deficiency.MethodsEighty patients with simple obesity were recruited, including 37 males and 43 females, to receive low-frequency EA by selecting Yinlingquan (SP 10), Sanyinjiao (SP 6), Zusanli (ST 36), Fenglong (ST 40), Quchi (LI 11), Tianshu (ST 25), Zhongwan (CV 12), Shuifen (CV 9), Qihai (CV 6) and Guanyuan (CV 4), with needles retained for 30 min. The treatment was given once a day, 10 sessions as a treatment course, for 2 courses in total. The contents of body fat percentage (F%), total cholesterol (TC), triglyceride (TG), high-density lipoprotein (HDL), low-density lipoprotein (LDL), blood glucose (Glu) and adiponectin (ADPN) in serum were observed to see the changes, and the two groups were compared and analyzed.ResultsAfter the treatment, F%, and serum contents of TC, TG, LDL, Glu and ADPN dropped significantly in the two groups (P<0.05 or P<0.01) and the serum content of HDL increased significantly in male group (P<0.05). The decrease of F% in female group was more significant than that in male group (P<0.01); the decrease of ADPN in male group was more significant than that in female group (P<0.05).ConclusionEA can regulate the disordered blood lipids in male and female patients with simple obesity, with certain differences between genders. The decrease of subcutaneous fat content is more significant in females than that in males, while the decrease of ADPN is more significant in males.摘要目的探讨低频电针对脾虚湿盛型男女单纯性肥胖症患者血脂调节作用的差异性。方法共纳入单纯性肥胖症患者80例, 其中男性组37例, 女性组43例, 均采用低频电针刺激阴陵泉、三阴交、足三里、丰隆、曲池、天枢、中脘、水分、气海及关元治疗, 每次留针30 min, 每天治疗1次, 10次为1个疗程, 共治疗2个疗程。观察两组患者治疗后患者体脂百分率(F%)及血清胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL)、低密度脂蛋白胆固醇(LDL)、血糖(Glu)及脂联素(ADPN)含量变化, 并进行两组比较、分析。结果治疗后两组患者F%及血清TC、TG、LDL、Glu和ADPN含量均较治疗前明显下降(P<0.05或P<0.01), 男性组血清HDL含量升高(P<0.05); 女性组患者F%较男性组降低明显(P<0.01), 男性组患者血清ADPN含量较女性组降低明显(P<0.05)。结论电针对男女单纯性肥胖症患者紊乱的血脂有明显的调节作用, 但存在一定的性别差异, 在降低皮下脂肪含量方面, 女性优于男性, 在降低血清ADPN方面, 男性优于女性。