健脾化痰药膳治疗女性单纯性肥胖的临床研究  

Clinical Observation on Medicated Diet with Spleen-invigorating and Phlegm-removing Herbs for Simple Obesity

作　　者：张穗娥[1] 董彦敏[1] 陶加平[1] 

机构地区：[1]广东省深圳市中医院,深圳518033

出　　处：《广州中医药大学学报》2006年第3期209-211,共3页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】探讨健脾化痰药膳对针灸治疗单纯性肥胖的临床疗效的影响。【方法】采用简单随机法将96例单纯性肥胖属中医脾虚痰湿内困型的女性患者随机分为药膳组(48例)和对照组(48例)2组。2组均给予饮食控制和相同的针灸(取足三里、脾俞、肺俞穴)和埋穴(取脾、胃、三焦等耳穴)治疗,药膳组同时服用益气健脾、化痰利湿药膳。治疗1个月后,观察2组总疗效,计算体质量、体质指数(IBM),检测血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C),高密度脂蛋白(HDL-C)等血脂指标的水平。【结果】治疗后2组的体质量、体质指数、血脂均较治疗前有所改善(均P<0.05),而药膳组在改善患者的体质量、体质指数和血清TC、TG、LDL-C水平方面均比对照组优(均P<0.05),总体疗效也优于对照组(P<0.05)。【结论】益气健脾、化痰利湿药膳能提高针灸治疗单纯性肥胖女性患者的疗效,并可降低患者的血脂水平,且无明显毒副作用。[Objective] To observe the influence of medicated diet with spleen-invigorating and phlegm-removing herbs on the therapeutic effect of acupuncture for simple obesity. [Methods] Ninety-six female simple obesity patients with phlegm-damp retention in the interior due to spleen deficiency were equally randomized into two groups by simple random method. Groups A （ n = 48 ） and B （ n = 48 ） were given dietary control, acupuncture on acupoints of Zusardi （ST36）, Pishu （BL20） and Feishu （BL13）, and catgut-embedment （CE） in auricular points of spleen, stomach and tri-energizer. Group A additionally took a medicated diet for invigorating Qi and strengthening spleen, removing phlegm and draining damp. Mter one-month treatment, body weight, index of body weight and height were measured, and serum levels of total cholesterol （ TC ）, triglyceride （TG）, low-density lipoprotein （LDL） and high-density lipoprotein （HDL） were determined. [Results] Body weight, index of body weight and height, and blood lipid levels were decreased in groups A and B after treatment （ P 〈 0.05 compared with those before treatment）. The improvement of body weight, index of body weight and height, and serum levels of TC, TG and LDL-C in group A was superior to that in group B （ P 〈 0.05）. The total therapeutic effect in group A was also superior to that in group B （ P 〈 0.05）. [Conclusion] Medicated diet with spleen-invigorating and phlegm-removing herbs has a synergistic action with acupuncture for simple obesity. Meanwhile, it can decrease blood lipid levels, and has no obvious toxic and side effects.

关 键 词：肥胖症/中药疗法 益气健脾 利湿 化痰药(中药)/治疗应用 药膳 

分 类 号：R589.2[医药卫生—内分泌]