目的：观察针刺联合耳穴贴压治疗单纯性肥胖的临床疗效。方法：选取72 例单纯性肥胖患者作为研究对象，采用随机数字表法分为A 组、B 组和C 组，各24 例。A 组给予针刺治疗，B 组给予耳穴贴压治疗，C 组给予针刺联合耳穴贴压治疗。比较3 组治疗前后空腹血糖、空腹胰岛素、胰岛素抵抗指数及体质量、体质量指数（BMI）、内脏脂肪面积（VFA） 及体脂率（BF%） 变化情况。结果：治疗后，3 组空腹血糖、空腹胰岛素及胰岛素抵抗指数较治疗前降低，治疗后C 组空腹血糖、空腹胰岛素及胰岛素抵抗指数均明显低于A 组和B 组，差异有统计学意义（P＜0.05）。治疗后，3 组体质量、BMI、VFA 及BF%均较治疗前降低，治疗后C 组体质量、BMI、VFA 及BF%均显著低于A 组和B 组，差异有统计学意义（P＜0.05）。结论：针刺联合耳穴贴压治疗单纯性肥胖可有效改善患者空腹血糖、空腹胰岛素水平，降低体质量。
Abstract： Objective： To observe the clinical effect of acupuncture combined with auricular point sticking for simple obesity. Methods：A total of 72 cases of patients with simple obesity were selected as research objects，and were divided into Group A，Group B and Group C according to the random number table method，with 24 cases in each group. Group A was treated with acupuncture； Group B was treated with auricular point sticking； Group C was treated with acupuncture combined with auricular point sticking. The changes in levels of fasting blood glucose，fasting insulin and insulin resistance index，body weight，body mass index(BMI)，visceral fat area(VFA) and body fat rate(BF%) before and after treatment in the three groups were compared. Results： After treatment， the levels of fasting blood glucose， fasting insulin and insulin resistance index in the three groups were decreased when compared with those before treatment，and the above levels in Group C were significantly lower than those in Group A and Group B， the difference being significant(P＜0.05). After treatment， body weight， BMI， VFA and BF% in the three groups were decreased when compared with those before treatment，and the above indexes in Group C were significantly lower than those in Group A and Group B，the difference being significant(P＜0.05). Conclusion：The therapy of acupuncture combined with auricular point sticking for simple obesity can effectively improve the levels of fasting blood glucose and fasting insulin in patients，and reduce body weight.