穴位埋线联合中药熏蒸治疗脾肾阳虚型单纯性肥胖临床研究  

Clinical Study on Catgut Embedment in Acupoints Combined with Chinese Herbal Fumigation for Simple Obesity of Spleen-Kidney Yang Deficiency Type

作　　者：段晓晶[1] 高志红[1] 赵玉伟 DUAN Xiaojing;GAO Zhihong;ZHAO Yuwei(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan 450099,China;Department of Rehabilitation Medicine,People's Hospital of Zhengzhou,Zhengzhou Henan 450014,China)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450099 [2]郑州人民医院康复医学科,河南郑州450014

出　　处：《新中医》2025年第5期130-135,共6页New Chinese Medicine

基　　金：河南省中医药科学研究专项课题(2021JDZY043)。

摘　　要：目的:观察穴位埋线联合中药熏蒸治疗脾肾阳虚型单纯性肥胖临床效果。方法:选取2022年1月—2023年6月在河南中医药大学第一附属医院治疗的61例单纯性肥胖脾肾阳虚证患者,按随机数字表法分为埋线组20例、熏蒸组20例、联合组21例。联合组剔除1例,最终各组均纳入研究20例。3组均予饮食、运动干预,埋线组给予穴位埋线治疗,熏蒸组给予中药熏蒸治疗,联合组给予穴位埋线联合中药熏蒸治疗,均治疗3个月。比较3组体脂率(BFP)、体质量指数(BMI)、腰围、臀围及糖脂代谢指标[甘油三酯(TG)、血清总胆固醇(TC)、空腹血糖(FBG)];记录3组治疗期间不良反应发生情况。结果:治疗3个月后,联合组总有效率90.00%(18/20)均高于埋线组60.00%(12/20)、熏蒸组55.00%(11/20)(P<0.05)。3组BMI、BFP均较治疗前降低,联合组BMI、BFP均低于熏蒸组、埋线组(P<0.05)。3组腰围、臀围均较治疗前缩小,联合组腰围、臀围均小于埋线组、熏蒸组(P<0.05)。3组TG、TC、FBG水平均较治疗前降低,联合组TG、TC、FBG水平均低于埋线组、熏蒸组(P<0.05)。3组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:穴位埋线联合中药熏蒸治疗单纯性肥胖,整体减重效果理想,腰围、臀围缩小,改善糖脂代谢,安全性好。Objective:To observe the curative effect of the combination use of catgut embedment in acupoints and Chinese herbal fumigation on simple obesity of spleen-kidney yang deficiency type.Methods:A total of 61 patients with simple obesity of spleen-kidney yang deficiency type admitted to the First Affiliated Hospital of Henan University of Chinese Medicine from January 2022 to June 2023 were selected and divided into the catgut embedment group(20 cases),the fumigation group(20 cases)and the combination group(21 cases)according to the random number table method.One case dropped off in the combination group,and finally 20 cases were included in each group.The three groups were given intervention of diet and exercises.The catgut embedment group was treated with catgut embedment in acupoints,the fumigation group was treated with Chinese herbal fumigation,and the combination group was treated with acupoint catgut embedment combined with Chinese herbal fumigation.The three groups were treated for three months.The changes in body fat percentage(BFP),body mass index(BMI),waistline,hipline and glucolipid metabolism indexes[triglyceride(TG),serum total cholesterol(TC)and fasting blood glucose(FBG)],and the clinical effects and incidence of adverse reactions were compared among the three groups.Results:After three months of treatment,the total clinical effective rate was 90.00%(18/20)in the combination group,higher than that of 60.00%(12/20)in the catgut embedment group and 55.00%(11/20)in the fumigation group(P<0.05).The BMI and BFP in the three groups were decreased when compared with those before treatment,and the BMI and BFP in the combination group were lower than those in the fumigation group and the catgut embedment group(P<0.05).The waistline and hipline in the three groups were reduced when compared with those before treatment,and the waistline and hipline in the combination group were lower than those in the catgut embedment group and the fumigation group(P<0.05).The levels of TG,TC and FBG in the three groups were dwi

关 键 词：单纯性肥胖 脾肾阳虚 穴位埋线 中药熏蒸 体脂率 

分 类 号：R245.9[医药卫生—针灸推拿学]