首页|陆氏健脾和胃针刺法治疗代谢综合征的随机对照研究

陆氏健脾和胃针刺法治疗代谢综合征的随机对照研究

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目的:观察陆氏健脾和胃针刺法治疗代谢综合征(MetS)的临床疗效.方法:选取2020年3月至2022年3月于上海市第七人民医院就诊的MetS患者90例作为研究对象,按照随机数字表法分为观察组和对照组,每组45例.对照组采用健康宣教及常规药物治疗,观察组在此基础上加用陆氏健脾和胃针刺法.比较2组患者治疗前后体质量、腰围、体质量指数(BMI)、血脂、血糖、血压的变化.结果:意向性治疗(ITT)分析结果显示,2组患者各时间点体质量、腰围及BMI均较治疗前显著降低(P<0.05),且观察组各时间点体质量、腰围及BMI显著低于对照组(P<0.05);2组患者治疗后血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)均较治疗前下降(P<0.05),高密度脂蛋白胆固醇(HDL-C)明显上升(P<0.05),治疗后观察组TC、TG、HDL-C变化幅度较对照组更显著(P<0.05);2组患者治疗后空腹血糖(FBG)、糖化血红蛋白(HbA1 c)及胰岛素抵抗指数(HOMA-IR)均比治疗前降低(P<0.05),治疗后观察组FPG、HbA1 c及HOMA-IR值均比对照组降低明显(P<0.05).2组患者治疗前后血压指标无明显变化(P>0.05),针刺期待值与临床疗效无明显相关性(P>0.05).结论:陆氏健脾和胃法针刺法能有效降低MetS患者的体质量、腰围、BMI,改善血脂、血糖水平,并且具有良好的远期疗效.
Randomized Controlled Study on the Treatment of Metabolic Syndrome with Lu's Spleen-invigorating and Stomach-harmonizing Acupuncture Method
Objective:To observe the clinical efficacy of Lu's spleen-invigorating and stomach-harmonizing acupuncture method in the treatment of metabolic syndrome(MetS).Methods:Ninety MetS patients who visited the Seventh People's Hospital of Shanghai from March 2020 to March 2022 were enrolled and randomly divided into an observation group and a control group according to a random number table,with 45 patients in each group.The control group received health education and conventional drug treatment,while the observation group additionally received Lu's spleen-invigorating and stomach-harmonizing acupuncture method.Changes in weight,waist circumference,body mass index(BMI),blood lipids,blood glucose,and blood pressure were compared before and after treatment in both groups.Results:Intent-to-treat(ITT)analysis showed that weight,waist circumference,and BMI significantly decreased at each time point in both groups compared to those before treatment(P<0.05).The weight,waist circumference,and BMI in the observation group were lower than those in the control group at each time point(P<0.05).After treatment,both groups showed significant decreases in serum total cholesterol(TC)and low-density lipoprotein cholesterol(LDL-C)(P<0.05),and sig-nificant increases in high-density lipoprotein cholesterol(HDL-C)compared to those before treatment(P<0.05).The changes in TC,triglycerides(TG),and HDL-C were more significant in the observation group than in the control group(P<0.05).Fasting blood glucose(FBG),glycated hemoglobin(HbAlc),and homeostasis model assessment of insulin resistance(HOMA-IR)de-creased significantly in both groups after treatment(P<0.05),with greater reductions in the observation group than in the control group(P<0.05).There were no significant changes in blood pressure indicators before and after treatment in either group(P>0.05),and the expectation of acupuncture efficacy was not significantly correlated with clinical outcomes(P>0.05).Conclusion:Lu's spleen-invigorating and stomach-harmonizing acupuncture method can effectively reduce weight,waist circumference,and BMI in MetS patients,improve blood lipid and blood glucose levels,and has good long-term efficacy.

AcupunctureMetabolic syndromeLu's acupuncture and moxibustionSchool inheritanceRandomized controlled trialMeridian and collateralsSyndrome differentiationInvigorating the spleen and harmonizing the stomachLong termEfficacy

黄丽、王秋月、张小晋、范轶斌、丁鲁、金珠、吴焕淦

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上海中医药大学附属第七人民医院,上海,200137

上海市针灸经络研究所,上海,200030

针刺 代谢综合征 陆氏针灸 流派传承 随机对照试验 经络 辨证 健脾和胃 远期 疗效

国家重点基础研究发展计划"973计划"项目国家中医药领军人才"岐黄学者"上海市卫生健康委员会面上项目上海市浦东新区卫生健康委员会优秀青年医学人才培养项目

2015CB554501202040002PWRq2023-47

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(14)
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