热敏脐灸联合穴位埋线疗法治疗脾虚湿阻型单纯性肥胖临床研究  

Clinical Study on Heat-Sensitive Umbilical Moxibustion Combined with Catgut Em⁃bedment in Point for Simple Obesity of Spleen Deficiency with Dampness Obstruction Type

作　　者：闫丽超 章奇 郑肖[1] 李素红 陈丽红 方剑乔[3] YAN Lichao;ZHANG Qi;ZHENG Xiao;LI Suhong;CHEN Lihong;FANG Jianqiao(Taizhou Traditional Chinese Medicine Hospital,Taizhou Zhejiang 318000,China;Taizhou First People's Hospital,Taizhou Zhejiang 318020,China;Zhejiang Chinese Medical University,Hangzhou Zhejiang 310053,China)

机构地区：[1]台州市中医院,浙江台州318000 [2]台州市第一人民医院,浙江台州318020 [3]浙江中医药大学,浙江杭州310053

出　　处：《新中医》2023年第15期146-151,共6页New Chinese Medicine

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教发〔2013〕47号)。

摘　　要：目的:观察热敏脐灸联合穴位埋线治疗脾虚湿阻型单纯性肥胖的临床疗效。方法:选取脾虚湿阻型单纯性肥胖患者60例,按随机数字表法分为观察组和对照组各30例。对照组采用常规穴位埋线治疗,观察组在对照组基础上加用热敏脐灸治疗。评价2组临床疗效,比较2组治疗前后的体质量、体质量指数(BMI)、腰围、中医证候评分变化。结果:观察组总有效率为93.33%,高于对照组86.67%(P<0.05)。治疗后,2组体质量、腰围、BMI较治疗前降低(P<0.05),且观察组体质量、腰围、BMI低于对照组(P<0.05)。治疗后,2组中医证候积分较治疗前降低(P<0.05);且观察组中医证候积分低于对照组(P<0.05)。结论:热敏脐灸联合穴位埋线治疗脾虚湿阻型单纯性肥胖疗效显著,可降低BMI,改善患者临床症状,安全可靠。Objective:To observe the clinical effect of heat-sensitive umbilical moxibustion combined with catgut embedment in point for simple obesity of spleen deficiency with dampness obstruction type.Methods:A total of 60 cases of patients with simple obesity of spleen deficiency with dampness obstruction type were selected and divided into the observation group and the control group according to the random number table method,with 30 cases in each group.The control group was treated with routine catgut embedment in point,and the observation group was additionally treated with heat-sensitive umbilical moxibustion based on the treatment of the control group.The clinical effects in the two groups were evaluated.Before and after treatment,the changes in body mass,body mass indexes(BMI),waist circumference,and traditional Chinese medicine(TCM)syndrome scores were compared between the two groups.Results:The total effective rate was 93.33%in the observation group,higher than that of 86.67%in the control group(P<0.05).After treatment,the body mass,waist circumference,and BMI in the two groups were decreased when compared with those before treatment(P<0.05),and the body mass,waist circumference,and BMI in the observation group were lower than those in the control group(P<0.05).After treatment,TCM syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the TCM syndrome score in the observation group was lower than that in the control group(P<0.05).Conclusion:Heat-sensitive umbilical moxibustion combined with catgut embedment in point has a significant curative effect in treating simple obesity of spleen deficiency with dampness obstruction type,and can decrease BMI and improve clinical symptoms,which is safe and reliable.

关 键 词：单纯性肥胖 脾虚湿阻型 热敏脐灸 穴位埋线 体质量指数 腰围 

分 类 号：R589.2[医药卫生—内分泌]