基于“俞募配穴”理论腹部推拿手法联合针灸治疗肝郁型腹型肥胖的临床效果研究  

Clinical research on the clinical effect of abdominal massage combined with acupuncture and moxibustion in the treatment of liver depression type abdominal obesity based on the theory of “Shu-Mu matching acupoints”

作　　者：高超[1] 李鹏[1] 刘翔鹤 GAO Chao;LI Peng;LIU Xianghe(Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine,Tianjin 300120,China)

机构地区：[1]天津市中医药研究院附属医院,天津300120

出　　处：《重庆医学》2023年第4期523-527,532,共6页Chongqing medicine

基　　金：天津市中医药管理局中医、中西医结合重点项目(2019022)。

摘　　要：目的 研究基于“俞募配穴”理论腹部推拿手法治疗腹型肥胖的有效性及其对机体低度炎症状态的改善效果。方法 选取该院2019年11月至2021年8月肝郁型腹型肥胖观察对象67例,随机分为两组,其中观察组34例,对照组33例。对照组采用针灸治疗,观察组在对照组的基础上给予腹部推拿手法治疗。两组均治疗4周,治疗期间控制热量消耗和摄入。比较两组治疗前后的腰围(WC)、体重、体重指数(BMI)、内脏脂肪指数、血液中性粒细胞/淋巴细胞比值(NLR)、单核细胞/淋巴细胞比值(MLR)、总有效率。结果 治疗后,两组WC、体重、BMI均较治疗前明显改善,且观察组WC改善程度明显优于对照组,差异均有统计学意义(P<0.05)。观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组内脏脂肪指数、两组腹部各部位尺寸均较治疗前明显改善,且观察组腹部各部位尺寸改善程度均优于对照组,差异均有统计学意义(P<0.05)。观察组治疗后的NLR和MLR改善程度明显优于治疗前(P<0.05)。结论 基于“俞募配穴”理论腹部推拿手法联合针灸治疗肝郁型腹型肥胖,可更有针对性地降低WC,减少腹部内脏脂肪,改善机体低度炎症状态。Objective To study the effectiveness of abdominal massage in treating abdominal obesity and its effect on improving the low-grade inflammatory state of the body based on the theory of “Shu-Mu matching acupoints”.Methods A total of 67 cases of abdominal obesity of liver depression type observed in the hospital from November 2019 to August 2021 were selected and randomly divided into two groups, including 34 cases in the observation group and 33 cases in the control group.The control group was treated with acupuncture, and the observation group was given abdominal massage therapy on the basis of the control group.Both groups were treated for four weeks, during which the calorie consumption and intake were controlled.The waist circumference(WC),body weight, body mass index(BMI),visceral fat index, neutrophil to lymphocyte ratio(NLR),monocytes to lymphocyte ratio(MLR),and total effective rate were compared between the two groups before and after treatment.Results After treatment, the WC,body weight, and BMI in both groups were significantly improved compared with those before treatment, and the improvement of WC in the observation group was significantly better than that in the control group, and the differences were statistically significant(P<0.05) The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05).After treatment, the visceral fat index in the observation group and the size of various abdominal parts in the two groups were significantly improved compared with those before treatment, and the improvement in the size of various abdominal parts in the observation group was better than that in the control group, and the differences were statistically significant(P<0.05).The degree of improvement of NLR and MLR in the observation group after treatment was significantly better than that before treatment(P<0.05).Conclusion Abdominal massage combined with acupuncture based on the theory of “Shu-Mu matching acupoints”

关 键 词：腹型肥胖 腹部推拿 俞募配穴 内脏脂肪 低度炎症 

分 类 号：R589[医药卫生—内分泌]