穴位埋线疗法治疗腹型肥胖伴轻度认知功能障碍的临床研究  

Clinical Study on Acupoint Catgut Embedding Therapy for Abdominal Obesity Complicated with Mild Cognitive Impairment

作　　者：王玉琳[1] 刘金盛 杨添淞[3] 刘佳[1] 秦鸿宇 李俊辰 WANG Yu-Lin;LIU Jin-Sheng;YANG Tian-Song;LIU Jia;QIN Hong-Yu;LI Jun-Chen(Affiliated Second Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001 Heilongjiang,China;Heilongjiang University of Chinese Medicine,Harbin 150040 Heilongjiang,China;Affiliated First Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040 Heilongjiang,China)

机构地区：[1]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150001 [2]黑龙江中医药大学,黑龙江哈尔滨150040 [3]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《广州中医药大学学报》2021年第2期311-316,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：博士后研究人员落户黑龙江科研启动资助项目(编号:LBH-Q18116,LBH-Q18117);青年科学基金项目(编号:81704170);全国中医药创新骨干人才项目;黑龙江中医药大学校青年名中医培养项目。

摘　　要：【目的】观察穴位埋线疗法治疗腹型肥胖伴轻度认知功能障碍的临床疗效。【方法】将64例腹型肥胖伴轻度认知功能障碍患者随机分为埋线组和针刺组,每组各32例,埋线组给予埋线治疗,针刺组给予针刺治疗,2组取穴相同,均治疗8周。治疗8周后,观察2组患者治疗前后的腰围(WC)、臀围(HC)、腰臀比(WHR)、腰围身高比(WHtR)、体质量(BW)、体质量指数(BMI)的变化情况,以及简易智力状态检查量表(MMSE)、蒙特利尔认知评定量表(MoCA)评分的情况,比较2组患者治疗前后总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-L)、低密度脂蛋白(LDL-L)、空腹血糖(FPG)、空腹胰岛素(FINS)的变化情况,并评价2组患者的临床疗效。【结果】(1)埋线组总有效率为81.2%(26/32),针刺组为75.0%(24/32)。埋线组疗效与针刺组相当,差异无统计学意义(P>0.05)。(2)治疗后,2组患者的BW、BMI、WC、HC、WHR与WHtR均明显改善,与同组治疗前比较,差异有统计学意义(P<0.05,P<0.01),埋线组在改善BW、BMI、WC、HC、WHR与WHtR方面均稍优于针刺组,但差异无统计学意义(P>0.05)。(3)治疗后,2组患者的MoCA及MMSE量表评分均明显改善,与同组治疗前比较,差异有统计学意义(P<0.01),埋线组在改善MoCA及MMSE量表评分方面均稍优于针刺组,但差异无统计学意义(P>0.05)。(4)治疗后,2组患者的TC、TG、LDL-L、HDL-L、FPG、FINS水平均明显改善,与同组治疗前比较,差异有统计学意义(P<0.05,P<0.01),埋线组在改善TC、TG、LDL-L、HDL-L、FPG、FINS水平方面均稍优于针刺组,但差异无统计学意义(P>0.05)。【结论】穴位埋线疗法治疗腹型肥胖伴轻度认知功能障碍,能够明显地减轻腹型肥胖、改善患者的认知功能,有效调节脂代谢及胰岛功能,疗效显著。Objective To observe the clinical effect of acupoint catgut embedding therapy for the treatment of abdominal obesity complicated with mild cognitive impairment. Methods Sixty-four patients with abdominal obesity complicated with mild cognitive impairment were divided into catgut embedding group and acupuncture group, 32 cases in each group. The catgut embedding group received catgut embedding treatment, and acupuncture group received acupuncture treatment, the two groups took the same acupoint selection, the treatment lasting 8 weeks. After 8 weeks of treatment, the changes in waist circumference(WC), hip circumference(HC),waist hip ratio(WHR),waist height ratio(WHtR),body weight(BW),body mass index(BMI),and scores of Mini-mental State Examination(MMSE)scale and Montreal Cognitive Assessment(MoCA)scale were observed in the two groups before and after treatment, and changes in total cholesterol(TC),triglyceride(TG),high-density lipoprotein-cholesterol(HDL-C),low density lipoprotein-cholesterol(LDL-C),fasting plasma glucose(FPG),fasting insulin(FINS)were compared in the two groups before and after treatment,and the clinical efficacy was evaluated in the two groups. Results(1)The total effective rate was 81.2%(26/32)in the embedding group, and was 75.0%(24/32)in the acupuncture group. There was no statistically significant difference in clinical efficacy between the two groups(P > 0.05).(2)After treatment,the levels of BW,BMI,WC,HC,WHR and WHtR were improved in the two groups(P<0.05 or P<0.01 as compared with those in the same group before treatment),and the improvement in levels of BW,BMI,WC,HC,WHR and WHtR of the catgut embedding group was superior to that of the acupuncture group,but the difference being insignificant(P>0.05).(3)After treatment,the scores of MoCA and MMSE in the two groups were improved(P<0.01 as compared with those in the same group before treatment),and the improvement in scores of MoCA and MMSE of the catgut embedding group was superior to that of the acupuncture group,but the difference being

关 键 词：穴位埋线 针刺疗法 腹型肥胖 轻度认知功能障碍 临床研究 

分 类 号：R246.9[医药卫生—针灸推拿学]