针灸疗法配合饮食运动治疗单纯性肥胖并发高脂血症的临床研究

Clinical Study on Acupuncture Combined with Diet and Exercise for Simple Obesity Complicated with Hyperlipidemia

目的:观察针灸疗法配合饮食运动治疗单纯性肥胖并发高脂血症患者的临床疗效,并与单纯饮食运动疗法进行疗效对比。方法:将116例单纯性肥胖并发高脂血症患者随机分为针灸组和饮食运动组。饮食运动组采用对患者进行饮食运动宣教及指导的方式,并让患者填写饮食运动日记。针灸组在饮食运动的基础上,根据患者的临床症状及证型,采用针灸疗法辨证施治。检测两组治疗前后的临床有效率、体重(BW)、体质指数(BMI)、体脂百分比(F%)、腰围(WC)和血脂四项(总胆固醇、甘油三酯、高密度脂蛋白、低密度脂蛋白)。结果:针灸组及饮食运动组患者治疗后肥胖相关指标及血脂状况均有不同程度的改善。针灸组总有效率为91.23%(52/57),痊愈率为36.84%(21/57),明显优于饮食运动组的67.92%(36/53)和11.32%(6/53),差异有统计学意义(P<0.01)。针灸组治疗后的BW、BMI、F%、WC及血脂状况较治疗前明显改善,且均优于饮食运动组(P<0.01)。结论:针灸疗法配合饮食运动能够有效治疗单纯性肥胖并发高脂血症患者,疗效优于单纯饮食运动疗法。

Objective：To observe the therapeutic effect of acupuncture combined with diet and exercise for simple obesity complicated with hyperlipidemia,and to compare it with the simple diet exercise therapy.Methods：116 patients with simple obesity complicated with hyperlipidemia were randomly divided into the acupuncture group and the diet-exercise group.The diet-exercise group adopted the way of diet guidance,and the patients were asked to write diary.On the basis of the diet-exercise group,the acupuncture group was applied with corresponding acupuncture treatments according to different clinical symptoms and syndromes.Clinical effective rate,body weight（BW）,body mass index（BMI）,body fat percentage（F%）,waist circumference（WC）,and blood lipid（TC,TG,LDL-C,and HDL-C） were tested before and after treatment in the two groups.Results：In the acupuncture group,obesity related indexes and blood lipid levels were all improved after treatment.The effective rate of the acupuncture group was 91.23%（52/57） and the cure rate was 36.84%（21/57）,which were significantly better than 67.92%（36/53） and 11.32%（6/53） of the diet-exercise group,the difference was statistically significant（P〈0.01）.The BW,BMI,F%,WC,and blood lipid levels in the acupuncture group were significantly improved after treatment,and the effect was better than those in the diet-exercise group（P〈0.01）.Conclusion：Acupuncture combined with diet and exercise was effective for simple obesity complicated with hyperlipidemia,which effect is superior to single diet-exercise therapy.