针灸治疗1330例单纯性肥胖病并发高脂血症的疗效  

Efficacy of acupuncture for simple obesity complicated with hyperlipidaemia: Analysis of 1330 cases

作　　者：王鸣[1] 刘志诚[1] 徐斌[1] 

机构地区：[1]南京中医药大学第二临床医学院,江苏省南京市210029

出　　处：《世界华人消化杂志》2016年第5期815-820,共6页World Chinese Journal of Digestology

基　　金：国家自然科学基金资助项目;Nos.30873307;81303019~~

摘　　要：目的:观察针灸对单纯性肥胖病并发高脂血症的干预效应,并分析影响疗效的因素.方法:共纳入单纯性肥胖病并发高脂血症患者1330例,观察针灸治疗3 mo前后患者肥胖指标、血脂指标:总胆固醇(total cholesterol,TC)、甘油三酯(triglyeride,TG)、低密度脂蛋白胆固醇(low density lipoproteincholesterol,LDL-C)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)水平的变化和疗效,并分析证型、年龄、性别、肥胖病程、肥胖度、病因诱因等对疗效的影响.结果:1330例患者针灸治疗后痊愈46例(3.46%),显效681例(51.20%),有效457例(34.36%),无效146例(10.98%),总有效率为89.09%,患者的肥胖指标和脂质指标均有明显的改善.证型、性别、年龄、肥胖度、肥胖病程等均影响疗效:胃肠腑热型总有效率最高,达94.40%;男性疗效优于女性;年龄越小,疗效越好;肥胖度越小,疗效越好;肥胖病程越短,疗效越好;在发病因素与疗效的关系中,情志因素引起者疗效最好,总有效率达97.52%,过食少动者次之,遗传因素引起者疗效稍差,总有效率为78.72%.结论:针灸治疗单纯性肥胖病并发高脂血症具有良好疗效,证型、性别、年龄、肥胖度、病因诱因等均可影响疗效.AIM：To observe the clinical effects of acupuncture in the treatment of simple obesity complicated with hyperlipidaemia and analyze the factors that influence therapeutic effects.METHODS：A total of 1330 patients with simple obesity complicated with hyperlipidaemia were included.The changes in obesity index,total cholesterol（TC）,triglyceride（TG）,low density lipoprotein cholesterol（LDL-C）,and high density lipoprotein cholesterol（HDL-C） were observed before and 3 mo after treatment.The influence of syndrome,age,gender,obesity degree,obesity course and etiology on efficacy was analyzed.RESULTS：After treatment,46（3.46%） cases had complete remission,681（51.20%） cases showed significant improvement,457（34.36%）cases showed improvement,and 146（10.98%）cases had no response.The total response rate was 89.09%.Both obesity index and serum lipid indexes were significantly improved.There were significant negative correlations between syndrome,patient age,obesity degree,obesity course and efficacy.Patients with stomach-intestine dryness-heat type got the best efficacy,and the total response rate was 94.40%.The total response rate was better in male patients,younger patients,and moderately obese patients than female patients,elder patients,and severely obese patients,respectively.With regard to etiology,the best therapeutic effect was achieved in patients caused by emotion factors（total effective rate,97.52%）,followed by those caused by sedentary lifestyle and genetic factors.CONCLUSION：Acupuncture for simple obesity complicated with hyperlipidaemia has good efficacy.Syndrome,patient age,obesity degree,and obesity course are closely related to efficacy.

关 键 词：肥胖 高脂血症 针灸 疗效 

分 类 号：R246.1[医药卫生—针灸推拿学]