首页|"天枢-带脉"电针法结合行为控制治疗代谢相关脂肪性肝病的疗效观察

"天枢-带脉"电针法结合行为控制治疗代谢相关脂肪性肝病的疗效观察

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目的 对"天枢-带脉"电针法结合行为控制治疗代谢相关脂肪性肝病(NAFLD)的疗效观察和讨论.方法 选取 80 例NAFLD患者,随机分为治疗组("天枢-带脉"电针法结合行为控制)与对照组(行为控制),各 40 例.比较两组患者临床疗效,治疗前后体质量指数(BMI)及肝功能指标[谷草转氨酶(AST)、谷丙转氨酶(ALT)],治疗前后血脂指标[低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)、总胆固醇(TC)].结果 治疗组患者的治疗总有效率 90.0%高于对照组的 60.0%,差异具有统计学意义(P<0.05).治疗组治疗前BMI、ALT、AST分别为(26.30±1.32)kg/m2、(69.42±14.89)U/L、(56.31±13.25)U/L,治疗后分别为(24.25±1.16)kg/m2、(43.50±9.89)U/L、(41.05±11.87)U/L;对照组治疗前BMI、ALT、AST分别为(26.42±1.45)kg/m2、(68.99±15.37)U/L、(55.89±11.08)U/L,治疗后分别为(24.85±1.13)kg/m2、(56.24±13.05)U/L、(47.89±10.67)U/L.治疗后,两组患者的BMI、ALT、AST水平均较治疗前下降,治疗组的BMI、ALT、AST水平下降程度较对照组显著(P<0.05).治疗组治疗前TC、TG、HDL-C、LDL-C分别为(6.23±0.49)、(3.29±0.47)、(0.87±0.49)、(3.57±0.59)mmol/L,治疗后分别为(4.58±0.56)、(1.05±0.61)、(1.49±0.35)、(2.49±0.48)mmol/L;对照组治疗前TC、TG、HDL-C、LDL-C分别为(6.40±0.54)、(3.41±0.83)、(0.86±0.36)、(3.58±0.62)mmol/L,治疗后分别为(5.07±0.25)、(1.31±0.58)、(1.01±0.38)、(2.95±0.41)mmol/L.治疗后,两组患者的TG、TC和LDL-C 水平均较治疗前下降,治疗组的HDL-C显著较治疗前升高(P<0.05);而对照组治疗后HDL-C较治疗前差异不显著(P>0.05);治疗后,治疗组患者TC、LDL-C水平低于对照组,HDL-C水平高于对照组,差异有统计学意义(P<0.05);两组治疗后TG水平差异不显著(P>0.05).结论 "天枢-带脉"电针法结合行为控制治疗NAFLD的临床疗效显著,患者可获得病情逆转,同时肝功能及血脂显著受益.
Observation of the efficacy of"Tianshu-Belt Vessel"electroacupuncture combined with behavioral control in the treatment of non-alcoholic fatty liver disease
Objective To observe and discuss the efficacy of"Tianshu-Belt Vessel"electroacupuncture combined with behavioral control in the treatment of non-alcoholic fatty liver disease(NAFLD).Methods A total of 80 patients with NAFLD were selected and randomly divided into a treatment group("Tianshu-Belt Vessel"electroacupuncture combined with behavioral control)and a control group(behavioral control),each with 40 cases.Patients in both groups were compared in terms of clinical efficacy,body mass index(BMI)and liver function indexes[aspartate transaminase(AST),alanine aminotrasferase(ALT)]before and after treatment,and blood lipid indexes[low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C),triglyceride(TG),total cholesterol(TC)]before and after treatment.Results The treatment group had higher total effective rate of 90.0%than 60.0%in the control group,and the difference was statistically significant(P<0.05).In the treatment group,BMI,ALT and AST before treatment were(26.30±1.32)kg/m2,(69.42±14.89)U/L and(56.31±13.25)U/L;after treatment,they were(24.25±1.16)kg/m2,(43.50±9.89)U/L and(41.05±11.87)U/L.In the control group,BMI,ALT and AST before treatment were(26.42±1.45)kg/m2,(68.99±15.37)U/L and(55.89±11.08)U/L;after treatment,they were(24.85±1.13)kg/m2,(56.24±13.05)U/L and(47.89±10.67)U/L.After treatment,the levels of BMI,ALT and AST in both groups decreased compared with those before treatment,and the levels of BMI,ALT and AST in the treatment group decreased significantly compared with those in the control group(P<0.05).In the treatment group,TC,TG,HDL-C and LDL-C before treatment were(6.23±0.49),(3.29±0.47),(0.87±0.49)and(3.57±0.59)mmol/L;after treatment,they were(4.58±0.56),(1.05±0.61),(1.49±0.35)and(2.49±0.48)mmol/L.In the control group,TC,TG,HDL-C and LDL-C before treatment were(6.40±0.54),(3.41±0.83),(0.86±0.36)and(3.58±0.62)mmol/L;after treatment,they were(5.07±0.25),(1.31±0.58),(1.01±0.38)and(2.95±0.41)mmol/L.After treatment,the levels of TG,TC and LDL-C in both groups decreased compared with those before treatment,and the treatment group had significantly higher HDL-C compared with that before treatment(P<0.05).There was no significant difference in HDL-C in the control group before and after treatment(P>0.05).After treatment,the levels of TC and LDL-C in the treatment group were lower than those in the control group,and the level of HDL-C was higher than that in the control group.The difference was statistically significant(P<0.05).There was no significant difference in TG levels between the two groups after treatment(P>0.05).Conclusion The clinical effect of"Tianshu-Belt Vessel"electroacupuncture combined with behavior control therapy is significant on patients with NAFLD,and can achieve disease reversal,while significantly benefiting liver function and blood lipids.

Non-alcoholic fatty liver diseaseElectroacupunctureTianshu-Belt VesselBehavioral control

李德恒、郭瑞

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571700 海南西部中心医院肝病科

100091 中国中医科学院西苑医院治未病中心

代谢相关脂肪性肝病 电针 天枢-带脉穴 行为控制

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(9)
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