揿针疗法治疗肥胖症的临床应用进展

Advances in the Clinical Application of Qinzhen Acupuncture Therapy in the Treatment of Obesity

摘要: 通过对中国知网数据库(CNKI)、万方数据库(Wanfang)、维普数据库(VIP)进行检索，归纳和总结揿针在肥胖症治疗方面的研究进展，目前对于揿针治疗肥胖症的机制尚未有明确的定论，但在针刺治疗肥胖的研究中发现的机制可以在一定程度上作为揿针治疗肥胖症的参考。目前主流观点认为针刺治疗肥胖症的机制可能是对机体内分泌和体内激素水平的调节和调节肝脏对脂肪代谢的功能以促进肝脏对脂肪代谢的效果有关。目前在临床观察中，揿针治疗肥胖症合并2型糖尿病时可取得理想的疗效，并且也有部分实验证明了其机制可能与直接加速脂肪消耗、促进体内血脂代谢调节血糖以及降低糖化血红蛋白、促进胰岛细胞功能恢复、调节内分泌来促进体重的减轻密切相关。由于在揿针疗法的简便易行，在多数临床评估中，使用揿针疗法在同等的时间和经济负担下，其安全性和经济性方面具有更大的优势，其简便易操作、安全也是揿针在临床推广时的优势所在。虽然目前配合揿针治疗肥胖症的研究已有初步的推广，但是揿针治疗减肥的临床疗效缺少更高等级的循证依据，仍然需要规范研究。

Abstract: By searching the China National Knowledge Infrastructure (CNKI), Wanfang and VIP databases, this paper summarized the research progress of Qinzhen acupuncture in the treatment of obesity. There is no clear conclusion on the mechanism of Qinzhen acupuncture in the treatment of obesity. However, the mechanism found in the study of acupuncture in the treatment of obesity can be used as a reference for the treatment of obesity to a certain extent. At present, the mainstream view is that the mechanism of Qinzhen acupuncture in the treatment of obesity may be related to the regulation of endocrine and hormone levels in the body, to promote the regulation of the liver’s function on fat metabolism. In nearly clinical observation, the ideal effect can be achieved in the treatment of obesity complicated with type 2 diabetes, some experiments have proved that its mechanism may be closely related to directly accelerating fat consumption, promoting blood lipid metabolism, regulating blood sugar, reducing glycosylated hemoglobin, recovering pancreatic islet cell function, and regulating endocrine to promote weight loss. Due to the Convenience and affordability of Qinzhen acupuncture therapy, in most clinical evaluations, the use of Qinzhen acupuncture therapy has greater advantages in safety. Qinzhen acupuncture is becoming increasingly popular for the treatment of obesity. The clinical efficacy of Qinzhen acupuncture in the treatment of weight loss lacks a higher level of evidence-based basis, and standardized research is still needed.