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.
Abstract
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.
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