电针对代谢综合征患者脂代谢的影响  

Effect of electroacupuncture on lipid metabolism in metabolic syndrome

作　　者：李青[1] 李莲[1] 王少锦[2] 罗亚萍[1] 安翠萍[3] 马玲[4] 米惠如[1] 宋敬坤[5] 

机构地区：[1]石家庄市中心医院中西医结合科,河北石家庄050011 [2]河北医科大学中医学院针灸系 [3]石家庄市中心医院检验科,河北石家庄050011 [4]石家庄市中心医院老年病科,河北石家庄050011 [5]石家庄市中心医院体检中心,河北石家庄050011

出　　处：《中国针灸》2010年第9期713-716,共4页Chinese Acupuncture & Moxibustion

基　　金：河北省中医药管理局科技攻关项目:2009099

摘　　要：目的:探讨电针干预代谢综合征患者脂代谢的机制。方法:将80例代谢综合征患者随机分为电针配合西药组(针药组)和单纯西药组(西药组),每组40例。针药组采用背俞穴、足三里、中脘、三阴交等为主穴配合口服辛伐他汀、格列吡嗪控释片(瑞易宁)、非洛地平缓释片降脂、降糖、降压治疗;西药组采用单纯药物治疗(同针药组中药物治疗)。分别于治疗前后检测患者体质指数(BMI)及血脂。结果:针药组治疗前后比较,BMI、甘油三酯(TG)、胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)差异均有统计学意义(均P<0.01)。西药组治疗前后比较,BMI差异无统计学意义,TG、TC、LDL-C、HDL-C差异均有统计学意义(均P<0.01)。针药组与西药组治疗后比较,BMI、TG、TC、LDL-C、HDL-C差异均有统计学意义(P<0.01,P<0.05)。结论:电针减轻体质量有明显疗效,针药并用较单纯使用药物具有更好的改善脂代谢的作用。Objective To probe into the mechanism of electroacupuncture intervention for lipid metabolism of metabolic syndrome patients. Methods Eighty cases of metabolic syndrome were randomly divided into an electro-acupuncture combined with western medicine group （observation group） and a simple western medicine group （control group）, 40 cases in each group. The observation group was treated With electroacupuncture at Back shu points, Zusanli （ST 36）, Zhongwan （CV 12）, Sanyinjiao （SP 6） etc. as main combined with oral administration of Simvastatin, Glipizide XL, and Felodipine sustained-release tablets for lipid-lowering, glucose-lowering and antihypertensive treatment ; the control group was treated with oral administration of western medicine only （the medicine was the same with observation group）. The Body Mass Index （BMI）and the blood lipid of the patients were detected respectively before and after treatment. Results The BMI, Three Acids Glyceride （TG）, Total Cholesterol（TC）, Low Density Lipoprotein Cholesterol （LDL-C） and High Density Lipoprotein Cholesterol （HDL-C） were compared respectively before and after treatment, there were significant differences between them in observation group （all P〈0.01） ;while in control group, there were significant differences of TG,TC, LDL-C and HDL-C before and after treatment （all P〈0.01）, and with no significant difference in BMI before and after treatment. There were significant differences of BMI, TG, TC, LDL-C and HDL-C between two groups after treatment（P〈0. 01, P〈0. 05）. Condusion The electroacupuncture has an obvious effect to reduce body mass, and acupuncture combined with medication has a better effect of improving the lipid metabolism than simple medication.

关 键 词：代谢疾病 代谢综合征 针药并用 电针 

分 类 号：R246.1[医药卫生—针灸推拿学]