电针丰隆穴调节血脂优化参数的研究

Study on optimization parameters of electroacupuncture at Fenglong (ST 40) for adjusting blood lipids

目的:研究电针丰隆穴调节血脂的参数(频率、强度、留针时间、治疗频次)主次地位及各水平的优劣,筛选出电针丰隆穴调节血脂的优化参数方案。方法:选取54例符合纳入标准的高脂血症患者,用抓阄方法随机分27组,采用正交试验设计法L27(313),研究电针频率、留针时间、治疗频次、强度的最佳组合。10次为一疗程,疗程间休息1周,共治疗2疗程。结果:(1)电针丰隆穴调节血脂各因素(参数)的主次顺序为:频率、留针时间、治疗间隔、强度。(2)电针丰隆穴调节血脂各项的优化参数方案分别为,甘油三酯:频率AM50Hz、留针20分钟、强度1mA、每周2次;总胆固醇:频率AM100Hz、留针30分钟、强度1mA、隔日1次;低密度脂蛋白:频率AM100Hz、留针30分钟、强度为病人舒适耐受、隔日1次。结论:电针丰隆穴调节血脂可根据患者情况选择电针参数。

Objective To study the effects of different parameters （frequency, intensity, needle-retained time and treatment interval） of electroacupuncture at Fenglong （ST 40） for adjusting blood lipids, so as to find out the optimization parameter. Methods Fifty-four cases meeting the criteria for hyperlipoidemia were randomly divided into 27 groups with orthogonal design L27 （3^13 ）. According to the orthogonal design program they were treated with electroacupuncture at Fenglong （ST 40）. Ten sessions constituted one course with a one week＇s interval between two course. The treatment was given for 2 courses. Results （1） The parameters of EA at Fenglong （ST 40） for regulating blood lipids in primary and secondary orders are： frequency, needle-retained time, interval of treatment, intensity. （2） The parameters of EA at Fenglong （ST 40） for various programs in regulating various blood lipids are： for TG, frequency AM 50 Hz, needle-retained time 20 min, intensity 1 mA, twice each week; for TC, frequency AM 100 Hz, needle-retained time 30 min, intensity 1 mA, once every other day; for LDL-C, frequency Am 100 Hz, needle-retained time 30 min, intensity tolerable and comfortable, once every other day.