电针联合艾灸对脾虚痰阻型高脂血症患者脂质水平及氧化应激指标的影响  

Effect of Electroacupuncture Combined with Moxibustion on Levels of Lipid and Oxidative Stress Index in Patients with Hyperlipidemia of Spleen Deficiency and Phlegm Obstruction Type

作　　者：王鹏[1] 丰建宇[1] 张春男[1] 王君[1] WANG Peng;FENG Jianyu;ZHANG Chunnan;WANG Jun(Department of Integrated Medicine, Heilongjiang Provincial Hospital, Heilongjiang Province, Harbin 150036, China)

机构地区：[1]黑龙江省医院中西医结合科,黑龙江哈尔滨150036

出　　处：《中国中医药现代远程教育》2019年第2期95-97,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的观察电针联合艾灸对脾虚痰阻型高脂血症患者的临床疗效及作用机制。方法 68例脾虚痰阻型高脂血症患者随机分为对照组和治疗组,各34例。对照组给予阿托伐他汀钙片口服治疗,治疗组采用电针足三里联合丰隆穴温和灸的治疗方法,2组患者疗程均为8周。分别比较2组患者治疗前后脂质指标(总胆固醇、甘油三酯、高密度脂蛋白、低密度脂蛋白)和氧化应激指标(谷胱甘肽过氧化物酶、过氧化物歧化酶、丙二醛)的水平,并评价其临床疗效。结果对照组总有效率为73.5%(25/34),治疗组总有效率为91.2%(31/34),治疗组明显优于对照组(P<0.05);治疗组治疗后甘油三脂、低密度脂蛋白、丙二醛的含量均明显低于对照组(P<0.05),高密度脂蛋白、谷胱甘肽过氧化物酶、过氧化物歧化酶明显高于对照组(P<0.05),而2组治疗后总胆固醇的含量比较,差异无统计学意义(P>0.05)。结论电针联合艾灸能够调节高脂血症患者脂质代谢,增加抗氧化应激能力,临床疗效显著。Objective To observe the clinical effect and mechanism of electroacupuncture combined with moxibustion on hyperlipidemia of spleen deficiency and phlegm obstruction type. Methods 68 hyperlipidemia patients of spleen deficiency and phlegm obstruction type were divided into the control group and the treatment group randomly, with 34 cases in each group. The control group was treated with atorvastatin tablets, and the treatment group was treated with electroacupuncture combined with moxibustion. Patients in both groups were treated for 8 weeks. The levels of lipid index (TC, TG, HDL and LDL) and oxidative stress index (GSH-PX, SOD, MDA) were measured before and after treatment in both groups, and the clinical effect were evaluated after treatment. Results The total effective rate was 73.5% in the control group and 91.2% in the treatment group, and the treatment group was significantly better than the control group (P<0.05). After treatment, the contents of TC, LDL and MDA in the treatment group were significantly lower than those in the control group (P<0.05). The contents of HDL, GSH-PX and SDO in the treatment group were significantly higher than those in the control group (P<0.05). There was no significant difference in TC between the two groups after treatment (P >0.05). Conclusion Electroacupuncture combined with moxibustion can regulate lipid metabolism and increase the ability of antioxidant stress in patients with hyperlipidemia, and has a remarkable clinical effect.

关 键 词：电针 艾灸 高脂血症 中医综合疗法 脾虚痰阻 

分 类 号：R246.1[医药卫生—针灸推拿学]