穴位埋线治疗脾虚湿阻型单纯性肥胖伴血脂异常临床研究

Clinical Study on Catgut Embedment in Point for Simple Obesity of Spleen Deficiency with Dampness Obstruction Type Concomitant with Dyslipidemia

目的:观察穴位埋线治疗脾虚湿阻型单纯性肥胖伴血脂异常的临床疗效。方法:选取60例单纯性肥胖伴血脂异常患者,按随机数字表法分为穴位埋线组和常规针刺组各30例。穴位埋线组中途脱落1例,最终纳入穴位埋线组29例,常规针刺组30例。穴位埋线组给予穴位埋线疗法治疗,常规针刺组采用常规针刺疗法治疗。比较2组治疗前后体质量指数(BMI)、腰围、臀围、脐周下脂肪厚度,总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平,以及体重对生活品质的影响量表(IWQOL-Lite)评分。结果:治疗后,2组BMI、腰围、臀围、脐周下脂肪厚度均较治疗前减小(P<0.05);穴位埋线组BMI、腰围均小于常规针刺组(P<0.05);2组臀围及脐周下脂肪厚度比较,差异均无统计学意义(P>0.05)。治疗后,2组TC、TG、LDL-C水平均较治疗前降低(P<0.05),穴位埋线组TC、TG、LDL-C水平均低于常规针刺组(P<0.05);2组HDL-C水平均较治疗前升高(P<0.05),组间比较,差异无统计学意义(P>0.05)。治疗后,2组IWQOL-Lite评分均较治疗前降低,穴位埋线组IWQOL-Lite评分低于常规针刺组,差异有统计学意义(P<0.05)。结论:穴位埋线能显著降低脾虚湿阻型单纯性肥胖伴血脂异常患者的BMI和血脂水平,缩小其腰、臀围,减少腹内脂肪,提高生活质量。

Objective:To observe the clinical effect of catgut embedment in point for simple obesity of spleen deficiency with dampness obstruction type concomitant with dyslipidemia.Methods:A total of 60 cases of patients with simple obesity concomitant with dyslipidemia were selected and divided into the group of catgut embedment in point and the routine needling group according to the random number table method,30 cases in each group.One case discontinued the study halfway in the group of catgut embedment in point.Finally,29 cases were enrolled in the group of catgut embedment in point and 30 cases in the routine needling group.The group of catgut embedment in point was given catgut embedment in point,and the routine needling group was given routine needling therapy.Body mass index(BMI),waist circumference,hip circumference,and subcutaneous fat thickness around the umbilicus before and after treatment were compared in the two groups.Levels of total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),and high-density lipoprotein cholesterol(HDL-C),as well as score of the Impact of Weight on Quality of Life-Lite(IWQOL-Lite)Questionnaire were compared in the two groups before and after treatment.Results:After treatment,BMI,waist circumference,hip circumference,and subcutaneous fat thickness around the umbilicus in the two groups were decreased when compared with those before treatment(P<0.05);BMI and waist circumference in the group of catgut embedment in point were smaller than those in the routine needling group(P<0.05);there were no significant differences being found in the comparison of hip circumference and subcutaneous fat thickness around the umbilicus between the two groups(P>0.05).After treatment,levels of TC,TG,and LDL-C in the two groups were decreased when compared with those before treatment(P<0.05),and the three levels in the group of catgut embedment in point were lower than those in the routine needling group(P<0.05);levels of HDL-C in the two groups were increased when compared with those before treatment(P<0.05),there being no significance in the difference between the two groups(P>0.05).After treatment,scores of IWQOL-Lite in the two groups were decreased when compared with those before treatment,and the score in the group of catgut embedment in point was lower than that in the routine needling group,differences being significant(P<0.05).Conclusion:For patients with simple obesity of spleen deficiency with dampness obstruction type concomitant with dyslipidemia,catgut embedment in point can significantly decrease BMI and level of blood lipid,narrow their waist circumference and hip circumference,reduce intraabdominal fat,and improve quality of life.