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温针灸联合耳针治疗女性脾肾阳虚证肥胖与高脂血症的临床观察

[Clinical observation on obesity and hyperlipidemia of yang deficiency of spleen and kidney syn- drome in female patients treated with warm acupuncture combined with auricular acupuncture].

作者信息

Pang Tingtinga, Liu Zhicheng, Xu Bin

出版信息

Zhongguo Zhen Jiu. 2015 Jun;35(6):529-33.

Abstract

OBJECTIVE

To compare the differences of clinical effects in female patients with obesity and hyperlipidemia of yang deficiency of spleen and kidney syndrome between warm acupuncture combined with auricular acupuncture and simple warm acupuncture.

METHODS

One hundred and thirty patients were randomly divided into an observation group and a control group, 65 cases in each one. In the control group, acupuncture was used at Pishu (BL 20), Zhongwan(CV 12), Shenshu(BL 23), Zhongji(CV 3), Guanyuan(CV 4), Mingmen(GV 4), Taibai(SP 3), Fenglong(ST 40), etc.; warm acupuncture was applied at Pishu(BL 20), Zhongwan(CV 12), Shenshu(BL 23) and Zhongji(CV 3); the treatment was required once every two days and for 3 months continuously. In the observation group, based on the treatment in the control group, thumbtack intradermal needles were embedded at auricular points, including pi(CO13), shen(CO10), pangguang(CO9), sanjiao(CO17), neifenmi(CO18), neishengzhiqi(TF2), etc. Obesity indices [body mass(W), obesity degree(A), body mass index(BMI), body fat percentage(F%)] blood lipid indices [serum total cholesterol(TC), triglyceride(TG), low density lipoprotein(LDL-C), high density lipoprotein(HDL-C)] and clinical efficacy were observed before and after treatment in the two groups. Results After treatment in the two groups, the obesity indices of W, A, BMI, F% and the blood lipid levels of TC, TG, LDL-C were obviously decreased compared with those before treatment (all P<0. 01) and the HDL-C levels were apparently increased than those before treatment (both P<0. 01). After treatment, the improvement of TC and HDL-C in the observation group was superior to that in the control group (both P<0. 01). The difference was not statistically significant in the aspect of improving every obesity index between two groups (all P>. 05). The comprehensive total effective rate of the observation group was 95.4% (62/65), which was better than 84. 6% (55/65) of the control group (P<0. 001).

CONCLUSION

Warm acupuncture combined with auricular acupuncture and simple warm acupuncture can both benignly adjust abnormal lipid metabolism of obesity patients with hyperlipidemia, and warm acupuncture combined with auricular acupuncture are superior to simple warm acupuncture treatment on antiobesity action and improving the TC and HDL-C levels.

摘要

目的

比较温针灸联合耳针与单纯温针灸治疗脾肾阳气虚型肥胖伴高脂血症女性患者的临床疗效差异。

方法

将130例患者随机分为观察组和对照组,每组65例。对照组针刺脾俞(BL20)、中脘(CV12)、肾俞(BL23)、中极(CV3)、关元(CV4)、命门(GV4)、太白(SP3)、丰隆(ST40)等穴位;对脾俞(BL20)、中脘(CV12)、肾俞(BL23)和中极(CV3)行温针灸;治疗要求每两天进行1次,连续治疗3个月。观察组在对照组治疗基础上,于耳穴脾(CO13)、肾(CO10)、膀胱(CO9)、三焦(CO17)、内分泌(CO18)、内生殖器(TF2)等穴位埋揿针。观察两组治疗前后的肥胖指标[体重(W)、肥胖度(A)、体重指数(BMI)、体脂百分比(F%)]、血脂指标[血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)]及临床疗效。结果:两组治疗后,W、A、BMI、F%等肥胖指标及TC、TG、LDL-C血脂水平较治疗前均明显降低(均P<0.01),HDL-C水平较治疗前明显升高(均P<0.01)。治疗后,观察组TC及HDL-C的改善情况优于对照组(均P<0.01)。两组在改善各项肥胖指标方面差异无统计学意义(均P>0.05)。观察组综合总有效率为95.4%(62/65),优于对照组的84.6%(55/65)(P<0.001)。

结论

温针灸联合耳针与单纯温针灸均能良性调节肥胖伴高脂血症患者异常的脂质代谢,且温针灸联合耳针在减肥及改善TC和HDL-C水平方面优于单纯温针灸治疗。

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