运用穴位埋线联合艾灸疗法治疗单纯性肥胖症的临床疗效评价  

Clinical Evaluation of Catgut Embedding in Acupoint Combined with Moxibustion in Treatment of Simple Obesity

作　　者：董如雪 陈秀玲 薛良[1] DONG Ruxue;CHEN Xiuling;XUE Liang(Affiliated Hospital of Shandong College of Traditional Chinese Medicine,Yantai 264100,China)

机构地区：[1]山东中医药高等专科学校附属医院,山东烟台264100

出　　处：《基层中医药》2024年第9期24-30,共7页Basic Traditional Chinese Medicine

基　　金：山东省中医药科技项目(Q-2022079)。

摘　　要：目的观察穴位埋线联合艾疗灸法治疗脾虚湿阻型单纯性肥胖症的临床疗效、中医证候改善情况,以及对肥胖指标、血脂指标的影响。方法将2022年11月—2023年10月在某医院门诊就诊的135例脾虚湿阻型单纯肥胖症患者采用随机数字表法分为埋线组、艾灸组、联合组,每组各45例。各组取穴相同,主穴取中脘、带脉、足三里,配穴取天枢、关元、气海、内关、丰隆、三阴交、脾俞、胃俞,治疗4周为1个疗程。经3个疗程后,观察三组患者治疗前后的肥胖指标(体质量、体质量指数、体脂率、腰围、腰臀比)、中医证候积分及血脂指标(总胆固醇、甘油三酯),并评定临床疗效。结果三组患者的肥胖指标、中医证候积分及血脂指标治疗后均较治疗前降低(P<0.05,P<0.01),且与埋线组、艾灸组比较,联合组的下降情况更为显著(P<0.01)。联合组总有效率91.11%(41/45),高于埋线组86.67%(39/45,P<0.05)及艾灸组68.89%(31/45,P<0.05)。结论穴位埋线联合艾灸法可有效改善患者的肥胖指标、中医证候及血脂指标,疗效优于单一疗法。Objective To observe the clinical efficacy of catgut embedding in acupoint combined with moxibustion therapy in treating simple obesity of the spleen deficiency and dampness obstruction syndrome,including improvements in traditional Chinese medicine(TCM)syndrome,as well as its effects on obesity indicators and blood lipid levels.Methods From November 2022 to October 2023,135 patients with simple obesity of the spleen deficiency and dampness obstruction syndrome,who were treated at an outpatient clinic,were randomly divided into three groups using a random number table,i.e.,the Embedding group,the Moxibustion group,and the Combined group,with 45 patients in each group.All groups targeted the same acupoints,with primary acupoints being Zhongwan(CV 12),Daimai(GB 26),and Zusanli(ST 36),and supplementary acupoints including Tianshu(ST 25),Guanyuan(CV 4),Qihai(CV 6),Neiguan(PC 6),Fenglong(ST 40),Sanyinjiao(SP 6),Pishu(BL 20),and Weishu(BL 21).Each treatment course lasted 4 weeks,and the effects were observed after three courses.Obesity indicators(body weight,body mass index,body fat ratio,waist circumference,and waist-hip ratio),TCM syndrome scores,and blood lipid levels(total cholesterol and triglyceride[TG])were measured before and after treatment,and clinical efficacy was evaluated.Results After treatment,the obesity indicators,TCM syndrome scores,and blood lipid levels in all three groups showed significant reductions compared to those before treatment(P<0.05,P<0.01).The reductions were more significant in the Combined group than the Embedding and Moxibustion groups(P<0.01).The total effective rate in the Combined group was 91.11%(41/45),which was higher than that of the Embedding group at 86.67%(39/45,P<0.05)and the Moxibustion group at 68.89%(31/45,P<0.05).Conclusion Catgut embedding in acupoint combined with moxibustion can effectively improve obesity indicators,TCM syndrome,and blood lipid levels,with superior efficacy to monotherapy.

关 键 词：穴位埋线 艾灸 单纯性肥胖 脾虚湿阻 

分 类 号：R24[医药卫生—中医临床基础]