五苓散加减联合电针治疗痰湿内阻型高脂血症患者疗效研究  

Observation on curative effect of Wuling San combined with electro-acupuncture in treating phlegm dampness internal resistance type hyperlipidemia

作　　者：刘婷[1] 段刚峰[1] Liu Ting;Duan Gangfeng(Wuhan No.1 Hospital(Wuhan 430022))

机构地区：[1]武汉市第一医院,武汉430022

出　　处：《陕西中医》2018年第3期307-309,共3页Shaanxi Journal of Traditional Chinese Medicine

基　　金：武汉市卫生和计划生育委员会立项项目(WZ14A06)

摘　　要：目的:探讨五苓散联合电针治疗痰湿内阻型高脂血症患者的疗效。方法:182例痰湿内阻型高脂血症患者随机分为治疗组(五苓散联合电针)和对照组(电针),每组91例。依据中医辨证施治的基本原则,两组均给予电针加针刺治疗,治疗组加施耳针治疗,治疗时间皆为3个月。观察两组患者接受治疗前、后甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白胆固醇(LDL-c)、肥胖度(A)、体质量指数(BMI)、体脂百分率(F%)水平变化情况。结果:治疗组降脂有效率高于对照组,降脂疗效组间对比有统计学差异(P<0.05)。治疗后两组患者HDLc明显上升(P<0.01),TC、TG、LDL-c均有明显下降(P<0.01),治疗组患者治疗后TC、LDL-c、HDL-c改善程度皆大于对照组(P<0.05)。治疗组的总有效率为93.65%,对照组总有效率为80.95%,两组比较差异有统计学意义(P<0.05)。结论:五苓散联合电针和单纯电针对痰湿内阻型高脂血症都具有良性治疗作用,且电针联合耳针疗法在减肥效应及改善异常的脂质代谢优于单纯电针疗法。Objective:To observe the curative effect of Wuling San combined with electroacupuncture in the treatment of hyperlipidemia patients with phlegm damp internal resistance.Methods:182 cases of phlegm dampness resistance hyperlipidemia patients were randomly divided into treatment group(Wuling San combined with electroacupuncture)and control group(electroacupuncture),91 cases in each group.According to the basic principle of traditional Chinese medicine dialectical therapy,two groups were treated with electroacupuncture plus acupuncture treatment,treatment group with ear acupuncture treatment,treatment time was 3 months.Observe the 2 groups of patients before and after treatment,triglyceride(TG),total cholesterol(TC).high density lipoprotein cholesterol(HDL-c),low density lipoprotein cholesterol(LDL-c),obesity(A),body mass index(BMI),body fat percentage(F%)level changes.Results:The effective rate of lipid-lowering therapy in treatment group was higher than that in the control group,and there was a significant difference between the two groups(P<0.05).After treatment,the two groups of patients with HDL-c significantly increased(P<0.01),TC,TG and LDL-c were significantly decreased(P<0.01),the treatment group after treatment TC,LDL-c and HDL-c improvement were greater than the control group(P<0.05).The total effective rate of the treatment group was 93.65%,and the total effective rate of the control group was 80.95%,the difference between the two groups was statistically significant(P<0.05).Conclusion:Wuling San combined with electro acupuncture and electroacupuncture has positive effect on the treatment of phlegm dampness type hyperlipidemia,and electro acupuncture combined with ear acupuncture therapy in the effect of weight loss and improve the abnormal lipid metabolism was better than acupuncture therapy.

关 键 词：高脂血症/中医药疗法 痰湿内阻证 五苓散/治疗应用 

分 类 号：R781.6[医药卫生—口腔医学]