针刺加叩刺治疗肥胖并发高脂血症肝郁脾虚型患者疗效观察

Clinical Observation on Obesity and Hyperlipidemia of Liver Qi Stagnation and Spleen Deficiency Type in Patients Treated by Combined Therapy of Acupuncture and Tapping

目的:比较针刺加叩刺与单纯针刺治疗肥胖并发高脂血症肝郁脾虚型患者的疗效差异。方法:将288例患者随机分为针叩组和针刺组,每组144例。针刺组采用针刺期门、太冲、章门、太白、足三里、膈俞、肝俞、脾俞等穴;针叩组在针刺组治疗基础上,采用梅花针叩刺各穴。两组均隔日治疗1次,持续治疗3个月。比较治疗前后两组患者肥胖及脂质指标:体质量(W)、体脂百分率(F%)、体质指数(BMI)、肥胖度(A%)、甘油三脂(TG)、血浆胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)以及低密度脂蛋白胆固醇(LDL-C),并比较两组疗效。结果:针叩组综合疗效总有效率为93.75%(135/144),优于针刺组的85.42%(123/144,P<0.01);两组患者治疗后肥胖指标W、A%、BMI、F%,脂质指标TC、TG、LDL-C,均较治疗前明显下降(均P<0.01),HDL-C较治疗前明显上升(P<0.01);治疗后针叩组TC、TG的改善程度优于针刺组(均P<0.01)。结论:针刺加叩刺治疗肥胖并发高脂血症肝郁脾虚型患者具有良好的减肥调脂作用,且在改善TC、TG水平方面优于单纯针刺疗法。

Objective： To explore the efficacy and mechanism of the combined therapy of acupuncture and tapping in the treatment of obesity and hyperlipdemia of liver Qi stagnation and spleen deficiency type in patients.Methods： 288 patients were randomized into a combined therapy of acupuncture and tapping group（ combined therapy group） and an acupuncture group,with 144 cases in each group. In the acupuncture group,acupuncture was applied to Qimen（ LR14）,Taichong（ LR3）,Zhangmen（ LR13）,Taibai（ SP3）,Zusanli（ ST36）,Geshu（ BL17）,Ganshu（ BL18）,Pishu（ BL20）,etc. In the combined therapy group,on the basis of acupuncture treatment,the tapping method with plum blossom needle was used at each acupoint. The treatment was given once every two days,continuously for 3 months in two groups. The indices were observed,including the obesity indices,such as body mass,body mass index（ BMI）,body fat percentage（ F%） and obesity degree（ A%）,the body lipid levels such as triglyceride（ TG）,total cholesterol（ TC）,high density lipoprotein（ LDL- C） as well as low density lipoprotein（ HDL- C）. The consequence was compared between two groups. Results： After treatment in two groups,the obesity indices of W,A%,BMI,F% and the blood lipid levels of TC,TG,LDL- C were obviously decreased compared with those before treatment（ both P〈0. 01）,and the HDL- C levels were apparently increased than those before treatment（ both P〈0. 01）. After treatment,the improvements of TC and TG in the combined therapy of acupuncture and tapping group were superior to those in the acupuncture group（ both P〈0. 01）. The difference was not statistically significant in the aspect of improving every obesity index between two groups（ both P 〉0. 05）. The total effective rate of the combined therapy of acupuncture and tapping group was93. 75%（ 135 /144）,which was better than 85. 42%（ 123 /144） of the acupuncture group（ P〈0. 01）. Conclusion： The combined therapy of acupuncture and tapping has an effect on both weight loss and lipid loss,especially TC and TG levels in the treatment of obesity combined with hyperlipdemia,and is more significant than the acupuncture only.