穴位埋线联合高蛋白饮食治疗脾虚湿阻型单纯性肥胖的疗效  

The Curative Effect of Catgut Implantation at Acupoint Combined with High Protein Diet in the Treatment of Simple Obesity of Spleen-deficiency Dampness Type

作　　者：鄢雪 杨剑桥 于薇[1] YAN Xue;YANG Jianqiao;YU Wei(Center of Treatment and Prevention,Jilin Hospital of Integrated Traditional Chinese and Western Medicine of Jilin Province,Jilin,Jilin,132000,China)

机构地区：[1]吉林省吉林中西医结合医院治未病中心,吉林吉林132000

出　　处：《中外医疗》2025年第1期144-148,共5页China & Foreign Medical Treatment

基　　金：2024年吉林省中医药管理局科技项目(2024174)。

摘　　要：目的探究高蛋白饮食联合穴位埋线共同治疗对单纯肥胖患者的临床疗效。方法选取2024年1—6月吉林省吉林中西医结合医院收治的120例脾虚湿阻型单纯性肥胖患者为研究对象,根据不同护理方法分为对照组(n=58,普通针刺联合限能量饮食)与观察组(n=62,穴位埋线联合高蛋白饮食),比较两组的治疗效果、体重控制情况、中医证候评分及不良反应。结果观察组治疗总有效率为93.55%(58/62),高于对照组的81.03%(47/58),差异有统计学意义(χ^(2)=4.291,P<0.05)。治疗后,观察组患者的体重、体重指数以及腰围下降幅度均优于对照组,差异均有统计学意义(P均<0.05)。治疗后,观察组中医证候积分中的体倦乏力、脘腹胀满、便溏腹泻、食少纳呆评分均低于对照组,差异均有统计学意义(P均<0.05)。两组患者治疗中不良反应总发生率比较,差异无统计学意义(P>0.05)。结论对于脾虚湿阻型单纯性肥胖患者采用穴位埋线联合高蛋白饮食治疗效果较好,可有效控制患者体重指标,改善其中医证候积分,且治疗安全性较高。Objective To explore the clinical efficacy of high protein diet combined with catgut implantation at acu-point in the treatment of simple obese patients.Methods From January to June 2024,120 patients with simple obesity of spleen-deficiency dampness type admitted to Jilin Hospital of Integrated Traditional Chinese and Western Medi-cine in Jilin Province were selected as the research objects.According to different nursing methods,they were divided into control group(n=58,ordinary acupuncture combined with limited energy diet)and observation group(n=62,cura-tive effect of catgut implantation at acupoint combined with high protein diet).The therapeutic effect,weight control,traditional Chinese medicine(TCM)syndrome score and adverse reactions of the two groups were compared.Results The total effective rate of the observation group was 93.55%(58/62),which was higher than 81.03%(47/58)of the con-trol group,and the difference was statistically significant(χ^(2)=4.291,P<0.05).After treatment,the decreases in body weight,body mass index and waist circumference of the patients in the observation group were all more significant than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the scores of symptoms such as physical fatigue,abdominal distension,loose stools and diarrhea,and poor appetite in the TCM syndrome score of the observation group were all lower than those in the control group,and the difference were statistically significant(all P<0.05).When comparing the total incidence of adverse reactions during the treatment be-tween the two groups,there was no statistically significant difference(P>0.05).Conclusion For patients with simple obesity of spleen-deficiency dampness,catgut implantation at acupoint combined with high protein diet has a good therapeutic effect,effectively controls the body weight index of patients,improves their traditional Chinese medicine syndrome scores,and has high treatment safety.

关 键 词：穴位埋线 高蛋白饮食 脾虚湿阻 单纯性肥胖 

分 类 号：R246.1[医药卫生—针灸推拿学]