基于“脏腑别通”理论的穴位埋线法治疗肥胖型高脂血症疗效观察

Clinical observation on obesity and hyperlipidemia in patients treated by acupoint catgut-embedding therapy based on the theory of "Interconnection of Zang-Fu Viscera"

目的观察"脏腑别通"理论指导下的穴位埋线法对肥胖型高脂血症患者的影响,以及治疗结束后3个月的复发情况。方法选取2016年1月-2018年10月期间经金华市中医医院临床确诊的肥胖型高脂血症患者70例,采用数字盲法随机分为埋线组和对照组,埋线组在"脏腑别通"理论的指导下取穴腕骨、三焦俞、膈俞、带脉、天枢、水道、丰隆,将长为1.5 cm的灭菌2-0号羊肠线埋入相应的穴位中,1周治疗1次,2次为1个疗程;对照组取穴同埋线组,采用毫针刺入相应的穴位,得气后留针30 min,每周5次,10次为1个疗程。分别在3、6个疗程后对2组患者进行临床疗效评比,比较治疗前后的脂肪率(F%)、血清中总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C),计算体重指数(BMI),并观察随访6个疗程治疗结束后3个月的复发率。结果2组间总有效率及复发率比较,埋线组优于对照组(均P<0.05);埋线组BMI、F%、TC、TG均较对照组降低(均P<0.05),HDL-C较对照组升高(均P>0.05),且治疗6个疗程的疗效优于治疗3个疗程(P<0.05)。结论在"脏腑别通"理论的指导下的穴位埋线法能够有效降低肥胖型高脂血症患者体重、F%、BMI及血清TC、TG,上调HDL-C,且复发率低,治疗6个疗程的临床疗效明显优于治疗3个疗程。

Objective To observe the effect of the acupoint catgut-embedding therapy which based on the theory of"interconnection of Zang-Fu viscera"on patients’percentage(F%),body mass index(BMI)and serum total cholestrerol(TC),triglyceride(TG),high densitylipoprotin-cholesterol(HDL-C)of who with obesity and hyperlipidemia,and to observe the total effective rate and observed the recurrence rate after 3 months,meanwhile,to compare with the control group.Methods Seventy patients with obesity and hyperlipidemia were selected who were diagnosed in Jinhua hospital of traditional Chinese medicine from January 2016 to October 2018,and randomly divided into the embedding group and the control group.Embedding group acupoints were selected Wangu,Sanjiaoshu,Geshu,Daimai,Tianshu,Shuidao,Fenglong,and was treated by sterilized No.2-0 catgut embedding once per week,2 times per course.Control group acupoints were selected the same as embedding group,filiform needles were sticked into acupoints 5 times per week,10 times per course.After 3 courses of treatment,F%,BMI,values of serum TC,TG,HDL-C were evaluated and compared.We also compared the total effective rate and observed the recurrence rate after 3 months.Results After treatment,the embedding group’s total effective rate and recurrence rate were obviously better than those of control group(P<0.05).The values of BMI,F%,TC,TG of embedding group were lower than those of control group(P<0.05),which of the HDL-C were higher than control group(P<0.05).Conclusion The acupoint catgut-embedding therapy which based on the theory of"interconnection of Zang-Fu viscera",can effectively reduce the values of weight,BMI,F%,TC,TG,up-regulate HDL-C of patients with obesity and hyperlipidemia,which has better clinical efficacy,and can effectively reduce the recurrence.