针刺干预代谢综合征短期疗效的临床研究

Clinical Observation on Short-term Effect of Acupuncture for Treatment of Metabolic Syndrome

目的评价针刺对代谢综合征(MetS)的干预作用。方法收集2008年5月—2009年6月在天津中医药大学第一附属医院针灸部MetS患者90例,随机分为A组、B组、C组。A组为MetS的常规治疗,B组在A组的基础上加针刺基础穴位(以腹部穴位为主),C组在B组的基础上加按压激发经气留针法。观察两周后腰围、血糖、血脂、血压的变化。结果各组间、组内腰围治疗前及治疗后比较差异无统计学意义(P>0.05);A组与B组、A组与C组、B组与C组治疗前后差值比较差异有统计学意义(P<0.05)。组内治疗前后比较,A组收缩压(SBP)、舒张压(DBP)、三酰甘油(TG)差异有统计学意义(P<0.05),B组SBP、DBP、高密度脂蛋白胆固醇(HDL-C)及空腹血糖(FPG)差异有统计学意义(P<0.05),C组SBP、DBP、TG、HDL-C及FPG差异有统计学意义。3组SBP治疗前后差值组间两两比较,差异有统计学意义,A组与C组TG治疗前后差值比较,差异有统计学意义。结论针刺可以减小患者的腰围、降低血压与空腹血糖、升高HDL-C,配合按压激发经气留针法疗效更显著,同时后者具有降低TG的作用,两者对MetS均有短期治疗作用,配合按压激发经气发疗效更佳。

Objective To discuss treatment response of acupuncture for treatment of metabolic syndrome.Methods Ninety patients（pts） with metabolic syndrome were randomly divided into group A,group B,and group C.All the pts were accepted the routine treatment.The pts in group B were accepted acupuncture treatment at the same time.The pts in group C were accepted acupuncture treatment and needle retaining by overwhelming needle handle.The abdominal circumference,blood lipid,blood glucose,blood pressure were studied.Results There was statistical difference in abdominal circumference and blood pressure pre-and post-treatment in each group（P〈0.05）.There was statistical difference of high density lipoprotein cholesterol（HDL-C）and fasting blood glucose（FPG） in B group and C group pre-and post treatment（P〈0.05）.There was statistical difference of triglyceride（TG）in group C pre-and post treatment.Conclusion Acupuncture could decrease the abdominal circumference and blood glucose.Acupuncture with needle retaining by overwhelming needle handle was better than acupuncture therapy alone.