健脾降脂方针刺治疗单纯性肥胖症126例临床研究

Treatment of 126 cases of simple obesity with acupuncture recipe with actions of fortifying spleen and reducing lipid

目的研究健脾降脂方针刺对脾虚湿盛所致肥胖病患者的临床疗效及对患者空腹血脂的影响。方法采用随机对照原则,分为治疗组62例、对照组64例。治疗组采用健脾降脂方(内庭、公孙、足三里、中脘、丰隆)加减针刺治疗,对照组采用"脐周八穴"(双侧滑肉门、天枢、外陵及水分、阴交)针刺治疗。10 d为1个疗程,治疗3个疗程。观察其疗效及治疗前后患者体重、体重指数(BMI)、腰围、臀围、空腹血脂的变化情况。结果①2组自身比较治疗前后患者的体重、BMI、腰围、臀围均具有统计学差异(P<0.05);治疗组治疗前后血清总胆固醇(TC)、甘油三酯(TG)具有统计学差异(P<0.05)。②2组临床总有效率具有统计学差异(P<0.05)。③组间比较治疗后2组的体重、臀围具有统计学差异(P<0.05),BMI具有显著统计学差异(P<0.01);TC、TG具有统计学差异(P<0.05)。结论健脾降脂方针刺治疗脾虚湿盛所致肥胖较"脐周八穴"具有更好的疗效,主要体现在减少体重、BMI、臀围,以及TC、TG的降低方面。

Objective To study the curative effect of acupuncture recipe with the actions of fortifying spleen and reducing lipid on obesity patients induced by spleen deficiency and exuberant dampness,and its influence on patients＇ fasting blood fat.MethodsAccording to the principles of randomized controlled trials,all patients were divided into treatment group（n=62） and control group（n=20）.Treatment group was treated with modified acupuncture recipe,which included Neiting（S44）,Gongsun（SP4）,Zusanli（ST36）,Zhongwan（CV12） and Fenglong（S40）.Control group was treated with acupuncture in eight points around umbilicus,which included bilateral Huaroumen（ST24）,Tianshu（S25）,Wailing（ST26）,Shuifen（RN9） and Yinjiao（RN7）.A therapeutic course was 10 days and all groups were treated for 3 therapeutic courses.The curative effect and changes of patients＇ weight,body mass index（BMI）,waistline,hipline and fasting blood fat were observed before and after treatment.Results ①Patients＇ weight,BMI,waistline and hipline had statistical differences in two groups before and after treatment（P0.05）.The levels of serum total cholesterol（TC） and triglyceride（TG） had statistical differences in treatment group before and after treatment（P0.05）.②The total clinical effective rate had statistical difference between two groups（P0.05）.③ The patients＇ weight and hipline（P0.05）,BMI（P0.01） and TC and TG（P0.05） had statistical differences between two groups after treatment.ConclusionThe curative effect of acupuncture recipe with the actions of fortifying spleen and reducing lipid is better than that of acupuncture in eight points around umbilicus in obesity patients induced by spleen deficiency and exuberant dampness,and the former can decrease patients＇ weight,BMI,hipline and levels of TC and TG.