穴位埋线联合推拿手法治疗女性腹型肥胖脾虚湿盛证临床研究

Clinical study on acupoint catgut embedding combined with abdominal massage in treatment of female abdominal obesity with spleen deficiency and Dampness Retention syndrome

目的评价穴位埋线结合推拿手法治疗女性腹型肥胖脾虚湿盛证的疗效。方法将符合入选标准的300例女性腹型肥胖患者采用随机数字表法按2︰1比例分为观察组200例,对照组100例。对照组采用推拿手法治疗,观察组在对照组基础上联合穴位埋线。比较治疗前后体重、腰围、腰臀比、BMI及FPG、TC、TG变化,评价临床疗效。结果治疗后,观察组体重、腰围、腰臀比及BMI均低于对照组(t值分别为10.869、6.058、2.941、21.267,P<0.01或P<0.05);血清FPG、TC、TG水平均低于对照组(t值分别为21.147、18.325、19.931,P值均<0.01)。观察组总有效率为91.5%(183/200)、对照组为65.0%(65/100),2组比较差异有统计学意义(χ^2=32.671,P<0.001)。结论穴位埋线联合推拿手法可改善女性腹型肥胖患者肥胖指标及血脂水平,疗效优于单纯腹部推拿。

ObjectiveTo evaluate the efficacy of acupoint catgut embedding combined with abdominal massage in the treatment of female abdominal obesity with spleen deficiency and dampness. MethodsA total of 300 female abdominal obesity patients who met the inclusion criteria were divided into observation group (200 cases) and control group (100 cases) according to the ratio of 2:1 by random number table. The control group was treated with abdominal massage, while the observation group was treated with acupoint catgut embedding on the basis of the control group. The changes of body weight, waist circumference, waist-hip ratio, BMI, FPG, TC and TG levels before and after treatment were compared between the two groups, and the clinical efficacy was evaluated. ResultsAfter treatment, the body weight, waist circumference, waist-hip ratio and BMI of the observation group were significantly lower than those of the control group (t values were 10.869, 6.058, 2.941, 21.267, P<0.01 or P<0.05), and the serum levels of FPG, TC and TG were significantly lower than those of the control group (t values were 21.147, 18.325, 19.931, P<0.01). The total effective rate was 91.5% (183/200) in the observation group and 65.0% (65/100) in the control group. There was significant difference between the two groups (χ2=32.671, P<0.001). ConclusionsAcupoint catgut embedding combined with abdominal massage can improve the obesity index and blood lipid level of women with abdominal obesity, and the curative effect is better than that of abdominal massage alone.