督灸治疗痰湿体质型低密度脂蛋白升高患者临床疗效观察  

Clinical observation of governor vessel moxibustion on patients with low-density lipoprotein elevation of the phlegm-dampness constitution

作　　者：苗晓雪 邵淑娟[1] 张子环 王璐明[2] 李书扬 Miao Xiaoxue;Shao Shujuan△;Zhang Zihuan;Wang Luming;Li Shuyang(Tianjin Beichen Traditional Chinese Medicine Hospital,Tianjin 300400,China;Tianjin University of Traditional Chinese Medicine,Tianjin 300000,China)

机构地区：[1]天津市北辰区中医医院,天津300400 [2]天津中医药大学,天津300000

出　　处：《保健医学研究与实践》2023年第8期39-42,共4页Health Medicine Research and Practice

基　　金：天津市卫生健康委员会天津市中医药管理局中医中西医结合科研课题(2019091)。

摘　　要：目的探讨督灸治疗痰湿体质型低密度脂蛋白升高患者临床疗效,以期为临床治疗提供参考。方法本研究选取2019年10月—2021年6月到天津市北辰区中医医院治未病科门诊就诊的160例低密度脂蛋白升高的痰湿体质患者160例为研究对象。采用Doll’s临床病例随机表法将患者分成观察组和对照组,每组80例。对照组患者采用阿托伐他汀钙片治疗,观察组患者采用督灸治疗。比较2组患者治疗前后(治疗后为1个疗程结束时)低密度脂蛋白胆固醇水平。比较2组患者治疗前后(治疗后为1个疗程结束时)痰湿体质评分。1个疗程结束时,比较2组患者治疗效果。比较2组患者痰湿体质改善疗效。结果治疗前,2组患者低密度脂蛋白胆固醇水平比较,差异无统计学意义(P>0.05)。治疗后,2组患者低密度脂蛋白胆固醇水平均低于治疗前,差异均有统计学意义(P<0.05)。治疗后,2组患者低密度脂蛋白胆固醇水平比较,差异无统计学意义(P>0.05)。2组患者治疗效果比较,差异无统计学意义(P>0.05)。治疗前,2组患者痰湿体质评分比较,差异无统计学意义(P>0.05)。治疗后,2组患者痰湿体质评分低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者痰湿体质改善总有效率为88.75%,高于对照组的7.50%,差异有统计学意义(P<0.05)。结论督灸在痰湿体质型低密度脂蛋白水平升高患者治疗中的效果显著,可降低低密度脂蛋白胆固醇水平,改善痰湿体质,且价格实惠、简便易行,值得临床推广应用。Objective This study aimed to investigate the clinical effect of governor vessel moxibustion on patients with elevated low-density lipoprotein(LDL)of the phlegm-dampness constitution to provide evidence for clinical treatment.Methods From October 2019 to June 2021,160 patients with elevated low-density lipoprotein of the phlegm-dampness constitution were enrolled in this study.Doll's clinical case randomization table was used to allocate the patients to the observation group and control group,with 80 cases in each group.The patients in the control group were treated with atorvastatin calcium tablets,and the patients in the observation group governor vessel moxibustion.Low-density lipoprotein cholesterol levels were compared between the two groups before and after treatment(after treatment as at the end of a course of treatment).The phlegm-dampness constitution scores were compared between the two groups before and after treatment(after treatment as at the end of a course of treatment).At the end of one course of treatment,the treatment outcomes and the effect of phlegm-dampness constitution improvement were compared between the groups.Results Before treatment,no significant difference was observed in low-density lipoprotein cholesterol levels between the two groups(P>0.05).After treatment,the low-density lipoprotein cholesterol levels in the two groups were significantly decreased(P<0.05).After treatment,no significant difference was observed in low-density lipoprotein cholesterol levels between the groups(P>0.05).No significant difference was found in the treatment outcomes between the groups(P>0.05).Before treatment,there was no significant difference in phlegm-dampness constitution score between the two groups(P>0.05).After treatment,the phlegmdampness constitution score of the two groups was decreased,and the observation group was lower than the control group,with statistical significance(P<0.05).The overall response rate of phlegm-dampness constitution improvement in the observation group was significantly h

关 键 词：督灸 低密度脂蛋白胆固醇 痰湿体质 临床疗效 

分 类 号：R543.5[医药卫生—心血管疾病]