简介:Aims:Toinvestigatetheinfluenceofacupunctureoninsulinresistanceinobesitypatients.Methods:Intreatmentgroup,20obesitypatientsweretreatedwithacupunctureofNeiguan(PC6),Zusanli(ST36),Daimai(GB26),Sanyinjiao(SP6),Zhongwan(CV12),etc..Incontrolgroup,12normalvolunteersubjectswereobserved.Theobesityindex,fastingbloodsugar(FPG),plasmainsulin(FINS)andC-peptidecontents,andinsulinsensitiveindex(ISI)weremeasuredbeforeandafteracupuncturetreatment.Results:Beforetreatmentincomparisonwithcontrolgroup,FPG,FINSandC-peptideofobesitypatientsweresignificanthigher(P<0.01),whileISIwasconsiderablylower(P<0.01);afteracupuncturetreatment,thelevelsofplasmainsulinandCpeptidedecreasedobviously,ISIincreasedmarkedly(P<0.01),andtheobesityindexwasconsiderablyimprovedwithatotaleffectiverateof85%.Conclusion:Acupuncturecanalleviateobesityandimproveinsulinresistance.
简介:Esophagealandgastriccancer(GC)arerelatedtoobesityandbariatricsurgery.Riskfactors,suchasgastroesophagealrefluxandHelicobacterpylori,mustbeinvestigatedandtreatedinobesepopulation.Aftersurgery,GCreportsareanecdotalandtreatmentisnotstandardized.ThisreviewaimstodiscussGCrelatedtoobesitybeforeandafterbariatricsurgery.
简介:Objective:Toobservetheeffectofacupunctureonhyperleptinaemiaandhyperinsulinemiaforstudyingitsunderlyingmechanismaboutanti-obesityandreducingbloodlipidinobesityrats.Methods:Atotalof80SDratswererandomizedintonormalcontrol,model,acupunctureandmedicationgroups,with20casesineachgroup.Hypothalamicobesitymodelwasestablishedbysubcutaneousinjectionof15%sodiumglutamate(0.2mL/10gbodyweight),oncedailyandcontinuouslyfor5days.'Zusanli'(足三里ST36),'Sanyinjiao'(三阴交SP6),'Guanyuan'(关元CV4)and'Zhongwan'(中脘CV12)werepuncturedandstimulatedelectrically(100Hz,dense-sparsewaves,andasuitablestrengthinducinglocalmusculartremor)for15min,oncedaily.Inmedicationgroup,ratswerefedwithSibutramine4mg/kg,oncedaily.After4weeks'treatment,Lee'sindexwasdetected,andserumleptinandinsulincontentsweredeterminedbyradioimmunoassay(RIA).Results:Comparedwithnormalcontrolgroup,Lee'sindex,serumleptinandinsulincontentsofmodelgroupincreasedsignificantly(P<0.01).Comparisonbetweenacupunctureandmodelgroups,Lee'sindexandserumleptinofacupuncturegroupdecreasedsignificantly(P<0.01),andseruminsulinlevelalsolowered.Incomparisonwithmodelgroup,Lee'sindex,serumleptinandinsulinlevelsofmedicationgroupalsolowered.ComparisonbetweenacupunctureandmedicationgroupsshowedthatLee'sindexandserumleptinlevelofacupuncturegroupweresignificantlylowerthanthoseofthelatergroup(P<0.01),displayingthatthetherapeuticeffectofacupunctureisbetterthanthatofSibutramineinloweringLee'sindexandserumleptin.Nosignificantdifferenceswerefoundbetweenacupunctureandmedicationgroupsinbodyweightandlengthandseruminsulin(P>0.05).Conclusion:AcupuncturecaneffectivelyreduceLee'sindex,serumleptinandinsulincontentsinfastingobeserats,whichmaycontributetoitseffectinanti-obesity.
简介:目的:探讨针刺对单纯性肥胖症患者胰岛素抵抗的调节作用与临床疗效。方法:采用“益气健脾,化痰消浊”法,取脐周八穴(天枢、滑肉门、外陵、阴交、水分)、关元、足三里等穴,配合耳穴贴压,并与同期30例健康体检者比较,观察针刺前后单纯性肥胖症患者FBG、INS、ISI、TC、TG、LDLC、HDLC变化;观察针刺前后单纯性肥胖症患者腰围、臀围、腰臀比、体重、BMI的变化,及其Ⅰ度肥胖、Ⅱ度肥胖的疗效差异。结果:治疗前单纯性肥胖症患者存在高胰岛素血症(HI),ISI显著下降(P〈0.01),治疗后腰围、臀围、腰臀比、体重、BMI明显下降职0.05,P〈0.01),同时FBG、INS、TC、TG、LDLC亦明显下降(P〈0.01,P〈0.05),ISI、HDLC明显上升(P〈0.05)。结论:针刺治疗不仅能有效改善单纯性肥胖症患者的体脂参数,同时也能调整单纯性肥胖症患者异常脂质代谢,改善胰岛素抵抗状态。
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简介:BecauseofnoexactnameaboutobesityintraditionalChinesemedicine,clinicallytherehavenounifiedsyndrometypesaboutobesity.Thepresentpaperusestheoriginalsyndromedifferentiationofbodyfluidandselectsclassicalacupunctureandmoxibustionprescriptionstotreatobesity,whichisconducivetofurthersystematizingclassicalacupunctureandmoxibustionprescriptionsandprovidingsufficientbasisforclinicalpopularization.
简介:AbstractGestational diabetes mellitus (GDM) is a well-established risk factor for fetal macrosomia. A significant number of patients with GDM also suffer from obesity, a factor associated with fetal macrosomia. An important question is whether GDM is independently associated with fetal macrosomia, or whether this relationship is merely the result of maternal obesity acting as a confounder. In this review of the literature, we attempt to further elucidate the relationship between GDM, maternal obesity, and fetal macrosomia.
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简介:Objective:Toobservetheeffectofacupunctureonsimpleobesityandcellularhemorheology.Methods:Thirty-twocasesofsimpleobesitypatientswereenrolledintothisstudy.AcupointsoftheStomachMeridianandSpleenMeridianasZhongwan(中脘CV12),Liangmen(梁门ST21),Tianshu(天枢ST25),Guanyuan(关元CV4),etc.werepunctured,oncedailyinthefirst5days,andonceeveryotherdayafterwards,with10sessionsbeingatherapeuticcourse.Beforetreatmentandafter3coursesoftreatment,thebodyweight,waistline,weightindex,serumcholesterol(CH),triglycerideandaggregationindexofredbloodcell(RBC)weredetected.Results:Afteracupuncturetreatment,alltheindexesofbodyweight,waistline,weightindex,serumCH,triglycerideandaggregationindexofRBCdecreasedsignificantlyincomparisonwiththoseofpre-treatment(P<0.05).Conclusion:Acupuncturecanapparentlyimprovecellularhemorheology,reducebodyweight,serumcholesterolandTGlevelsinsimpleobesitypatients.