温针灸治疗脾肾阳虚型肥胖症临床研究  

Clinical Study on Needle Warming Moxibustion for Obesity of Spleen-Kidney Yang Deficiency Type

作　　者：李琦 LI Qi

机构地区：[1]北京市西城区西长安街社区卫生服务中心,北京100031

出　　处：《新中医》2020年第13期129-133,共5页New Chinese Medicine

摘　　要：目的:观察温针灸治疗脾肾阳虚型肥胖症的效果。方法:以86例脾肾阳虚型肥胖症患者作为研究对象,随机分为观察组和对照组各43例,观察组给予温针灸治疗,对照组给予针刺治疗。治疗前后检测和计算2组患者的体脂百分率、肥胖度、体质量指数(BMI)、体围(腰围、臀围、大腿围、手臂围)、血脂指标[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]水平,并观察不良反应的发生情况,比较2组的临床疗效。结果:治疗后,观察组减肥及降脂疗效的总有效率均高于对照组(P<0.05)。2组体质量、体脂百分率、肥胖度、BMI均较治疗前下降,观察组体质量、体脂百分率、肥胖度、BMI均低于对照组,差异均有统计学意义(P<0.05)。腰围、臀围、上臂围及大腿围均较治疗前有所缩小,观察组腰围、臀围、上臂围及大腿围均小于对照组,差异均有统计学意义(P<0.05)。2组HDL-C、LDL-C、TC、TG水平均较治疗前有所改善,观察组HDL-C高于对照组,LDL-C、TC、TG均低于对照组,差异均有统计学意义(P<0.05)。2组患者均无不良反应发生。结论:将温针灸应用于脾肾阳虚型肥胖症的治疗,安全有效,可减轻患者的体质量及肥胖度、缩小体围,并可调节患者的血脂代谢。Objective:To observe the effect of needle warming moxibustion for obesity of spleen-kidney yang deficiency type.Methods:A total of 86 cases of patients with obesity of spleen-kidney yang deficiency type were selected as the study objects,and randomly divided into the observation group and the control group,43 cases in each group.The observation group was given needle warming moxibustion,and the control group was given simple acupuncture.Before and after treatment,the percentage of body fat,the degree of obesity,Body Mass Index(BMI),body girth including waist circumference,hip circumference,thigh circumference and arm circumference,as well as the levels of blood lipid including total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C)and high-density lipoprotein cholesterol(HDL-C)in the two groups were detected and counted;the incidence of adverse reactions was observed;the clinical effect was compared between the two groups.Results:After treatment,the total effective rate of reducing weight and lipid in the observation group was higher than that in the control group(P<0.05).Body mass,the percentage of body fat,the degree of obesity and BMI in the two groups were decreased when compared with those before treatment,and the above indexes in the observation group were lower than those in the control group,differences being significant(P<0.05).Waist circumference,hip circumference,arm circumference and thigh circumference in the two groups were decreased when compared with those before treatment,and the above circumferences in the observation group were smaller than those in the control group,differences being significant(P<0.05).The levels of HDL-C,LDL-C,TC and TG in the two groups were improved when compared with those before treatment;in the observation group,the level of HDL-C was higher than that in the control group,and the levels of LDL-C,TC and TG were lower than those in the control group,differences being significant(P<0.05).No adverse reactions occurred in the two groups.Conclusion:T

关 键 词：肥胖症 脾肾阳虚型 温针灸 减肥 体质量 体脂百分率 肥胖度 血脂 

分 类 号：R72314[医药卫生—儿科]