针刺联合脐疗贴治疗痰浊血瘀型肥胖合并高脂血症疗效观察  

Observations on the efficacy of acupuncture plus umbilicus patch for phlegm turbidity and blood stasis-type obesity with hyperlipidemia

作　　者：王春烨 黄成怡 姚嘉敏 施征[2] WANG Chunye;HUANG Chengyi;YAO Jiamin;SHI Zheng(Shanghai Huangpu District Xiangshan Hospital of Traditional Chinese Medicine,Shanghai 200020,China;Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China)

机构地区：[1]上海市黄浦区香山中医医院,上海200020 [2]上海市针灸经络研究所,上海200030

出　　处：《上海针灸杂志》2023年第5期445-452,共8页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市黄浦区培育专科(2019pyzk07)。

摘　　要：目的观察针刺联合脐疗贴治疗痰浊血瘀型肥胖合并高脂血症患者的临床疗效。方法将60例痰浊血瘀型肥胖合并高脂血症患者随机分为研究组和对照组,每组30例。研究组采用针刺联合脐疗贴治疗,对照组采用针刺治疗。观察两组治疗前后体质量、身体质量指数(body mass index,BMI)、体脂百分比、血脂指标[血清总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)、低密度脂蛋白(low-density lipoprotein cholesterol,LDL-C)、高密度脂蛋白(high-density lipoprotein cholesterol,HDL-C)]和中医证候积分变化,并比较两组临床疗效。结果研究组和对照组总有效率分别为90.0%和70.0%,两组比较差异有统计学意义(P<0.05)。治疗后,两组体质量、BMI和体脂百分比较治疗前降低(P<0.05),且研究组低于对照组(P<0.05);两组血清TC、TG、LDL-C和HDL-C水平较治疗前均降低(P<0.05),且研究组血清TC、TG和LDL-C水平均低于对照组(P<0.05);两组中医证候积分总分及各个维度积分较治疗前均降低(P<0.05),且研究组低于对照组(P<0.05)。结论针刺联合脐疗贴和单纯性针刺均为治疗痰浊血瘀型肥胖合并高脂血症的有效方法,均能改善患者肥胖、血脂指标,减轻痰浊血瘀证不适症状,且针刺联合脐疗贴疗法优于单纯性针刺疗法。Objective To observe the clinical efficacy of acupuncture plus umbilicus patch for patients suffering from phlegm turbidity and blood stasis-type obesity with hyperlipidemia.Method Sixty patients with suffering from phlegm turbidity and blood stasis-type obesity with hyperlipidemia were randomized to study and control groups,with 30 cases in each group.The study group received acupuncture plus umbilicus patch therapy and the control group,acupuncture alone.Body weight,body mass index(BMI),body fat percentage,blood fat indicators(serum total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C)and high-density lipoprotein cholesterol(HDL-C))and traditional Chinese medicine(TCM)symptom scores were observed in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was 90.0%in the study group,and 70.0%in the control group with a statistically significant difference between the two groups(P<0.05).After treatment,body weight,BMI and body fat percentage decreased in the two groups compared with before(P<0.05)and were lower in the study group than in the control group(P<0.05).After treatment,TC,TG,LDL-C and HDL-C levels decreased in the two groups compared with before(P<0.05)and TC,TG and LDL-C levels were lower in the study group than in the control group(P<0.05).After treatment,the TCM symptom total score and item scores decreased in the two groups compared with before(P<0.05)and were lower in the study group than in the control group(P<0.05).Conclusion Both acupuncture plus umbilicus patch and acupuncture alone are effective ways to treat phlegm turbidity and blood stasis-type obesity with hyperlipidemia and can reduce obesity and relieve the discomfortable symptoms of phlegm turbidity and blood stasis syndrome,and acupuncture plus umbilicus patch therapy is better than acupuncture alone.

关 键 词：穴位疗法 敷脐 穴位贴敷法 针刺疗法 肥胖 高脂血症 痰浊血瘀 

分 类 号：R246.1[医药卫生—针灸推拿学]