电针夹脊穴配合穴位埋线治疗中心型肥胖伴高脂血症的临床研究  

Clinical Study of Electro-Needling Jiaji Points Combined with Catgut Embedding in Treatment of Central Obesity with Hyperlipidemia

作　　者：郭佳坤 朱晓晨[2] 翟真[1] 李嘉怡 李金懋 龚立冬 牛慧杰 GUO Jiakun;ZHU Xiaochen;ZHAI Zhen;LI Jiayi;LI Jinmao;GONG Lidong;NIU Huijie(Yuquan Hospital of Tsinghua University,Integrated Hospital of Traditional Chinese and Western Medicine of Tsinghua University,Beijing 100049,China;Dong Fang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Yangzhuang Community Health Service Station,Beijing 100043,China)

机构地区：[1]清华大学玉泉医院清华大学中西医结合医院,北京100049 [2]北京中医药大学东方医院,北京100078 [3]杨庄社区卫生服务站,北京100043

出　　处：《针灸临床杂志》2025年第4期54-58,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：北京市卫生科技发展专项基金,编号:2019-3-217。

摘　　要：目的:观察中心性肥胖伴高脂血症患者采用电针夹脊穴配合穴位埋线治疗的临床疗效。方法:选取2021年1月—2022年10月清华大学玉泉医院129例中心型肥胖伴高脂血症患者,随机分为对照组(64例)与研究组(65例),对照组采用饮食干预配合常规调脂药物治疗,研究组在对照组基础上采用电针夹脊穴配合穴位埋线治疗,两组均连续治疗3个月。观察两组临床疗效、不良反应,对比两组治疗前、治疗3个月时肥胖指标(体质量指数、腰围、臀围和大腿围)和血脂水平。结果:与对照组85.94%(55/64)比较,研究组治疗总有效率96.92%(63/65)更高,差异具有统计学意义(P<0.05);两组不良反应比较,差异无统计学意义(P>0.05);治疗3个月,两组体质量指数、TC、TG和LDL-C水平低于治疗前,腰围、臀围和大腿围小于治疗前,HDL-C水平高于治疗前,且研究组变化幅度大于对照组,差异具有统计学意义(P<0.05)。结论:电针夹脊穴配合穴位埋线治疗中心型肥胖伴高脂血症患者效果显著,可明显减轻患者肥胖症状,降低血脂水平,且不会增加不良反应。Objective:To explore the clinical effect of electro-needling Jiaji points combined with acupoints catgut embedding on central obesity with hyperlipidemia.Methods:129 patients with central obesity and hyperlipidemia were randomly divided into the control group(n=64) and the study group(n=65).The control group was treated with diet intervention and routine lipid-regulating medication;on which basis,the study group was also treated with electro-needling Jiaji points and acupoints catgut embedding.Both groups were treated continuously for 3 months.The clinical efficacy and adverse reactions were observed in the two groups.The obesity indexes(BMI,waist circumference,hip circumference and thigh circumference) and blood lipid levels were compared before and after the treatment in the two groups.Results:The total effective rate of the study group was 96.92%(63/65),which was higher than 85.94%(55/64) of the control group(P<0.05).There was no statistical difference in adverse reactions between the two groups(P>0.05).The levels of BMI,TC,TG and LDL-C were lower,the waist circumference,hip circumference and thigh circumference were less,and the level of HDL-C was higher after three months of the treatment than those before the treatment,and the improvements of the study group were more significant than those of the control group(P<0.05).Conclusion:Electro-needling Jiaji points combined with acupoints catgut embedding is effective in treating central obesity and hyperlipidemia,which can obviously alleviate obesity symptoms and reduce blood lipid levels without increasing adverse reactions.

关 键 词：中心型肥胖 高脂血症 电针 夹脊穴 穴位埋线 

分 类 号：R246.1[医药卫生—针灸推拿学]