电针联合揿针治疗胃肠腑热型肥胖并发高脂血症患者疗效分析

Effect of Electro-Acupuncture Combined with Embedding Acupuncture for Obesity Complicated with Hyperlipidemia of Stomach-Intestine Excessive Heat Type

目的:探讨电针联合揿针治疗胃肠腑热型肥胖并发高脂血症的临床疗效,并分析影响疗效的因素。方法:纳入149例并发高脂血症胃肠腑热型患者,采用电针联合揿针治疗,隔日治疗一次,疗程3个月。观察治疗前后患者各项肥胖指标:体质量(W)、肥胖度(A)、体质指数(body mass index,BMI)及体质百分率(F%),脂质指标:总胆固醇(total cholesterol,TC)、甘油三酯(triglycerides,TG)、低密度脂蛋白(low-density lipoprotein,LDL-C)、高密度脂蛋白(highdensity lipoprotein,HDL-C)的变化,分析患者的疗效与不同因素间关系。结果:患者治疗后痊愈10例,显效89例,有效45例,无效5例,总有效率为96.6%;患者治疗后各项肥胖指标及脂质指标较治疗前均明显改善(均P<0.01);且患者年龄越小疗效越好、肥胖度越轻疗效越好、病程越短疗效越好(均P<0.01),患者疗效与其年龄大小、肥胖程度、病程长短呈一定相关关系。不同病因诱因的患者中,致病因素为过食少动者,疗效最佳,总有效率96.6%,但不同病因诱因组间疗效无明显差异。结论:电针联合揿针治疗胃肠腑热型肥胖并发高脂血症疗效好,具有减肥降脂双重作用,且电针联合揿针疗法针对年龄小、病程短、肥胖度轻的胃肠腑热型肥胖并发高脂血症患者疗效更佳。

Objective： To explore the efficacy of electro- acupuncture combined with embedding acupuncture in the treatment of obesity complicated with hyperlipidemia patients of stomach- intestine excessive heat type and analyze the factors influencing therapeutic effects. Methods： A total of 149 patients accorded with the diagnostic criteria were accepted electro- acupuncture combined with embedding acupuncture,alternate- day- treated for 3 months. Obesity indices： body mass（ W）,obesity degree（ A）,body mass index（ BMI）,body fat percentage（ F%） and blood lipid indices： total cholesterol（ TC）,triglyceride（ TG）,low density lipoprotein（ LDL- C） and high density lipoprotein（ HDL- C） were observed before and after treatment. Moreover,the relationship between the overall effect and the various factors was analyzed. Results： After treatment,among the patients,10 cases were cured,89 cases markedly effective,45 cases effective,5 cases ineffective. The total effective rate was 96. 6%. The obesity indices of W,A,BMI and F% and the blood lipid levels of TC,TG,LDL- C and HDL- C were obviously improved than those before treatment（ both P 〈 0. 01） and the younger patients had the better efficacy. The lighter weight,the better efficacy. The shorter course,the better efficacy（ all P 〈 0. 01）. The curative effect had a relative relation with the age,course and weight of the patients. Among different inducement factors,the effect rate of the excessive ingestion and insufficient exercise group was higher than the others,96. 6%. No relationship was found between the factors and the effect. Conclusion： The efficacy of electro- acupuncture combined with embedding acupuncture in the treatment of obesity complicated with hyperlipidemia patients of stomach- intestine excessive heat type was definite. The therapy not only can reduce the weight of patients but also can lower the lipid indexes. Moreover,the effect was better in the younger group,lighter weight group and the shorter disease course group.