针灸结合健脾温肾法对脾肾阳虚证单纯性肥胖的临床疗效研究

Clinical Effect of Acupuncture Combined with Traditional Chinese Medicine of the Methods of Jianpi Wenshen on Simple Obesity with Pishen Yangxu Symptom

目的:探讨针灸结合健脾温肾法对脾肾阳虚证单纯性肥胖患者的治疗效果。方法:选取郑州大学附属洛阳中心医院2017年5月至2019年5月期间收治的120例脾肾阳虚证肥胖患者,按照治疗方式的不同分为对照组(健脾温肾法治疗)与观察组(针灸+健脾温肾法治疗),各60例。观察两组患者治疗前后的体质量、体质量指数(BMI)、腰臀比(WHR)、血脂水平及中医证候积分等指标的变化,并对其临床疗效进行比较。结果:观察组患者治疗总有效率为93.33%,高于对照组的71.66%,差异具有统计学意义(P<0.05)。治疗后两组患者的体质量、BMI以及WHR均有不同程度下降,且观察组患者的体质量、BMI以及WHR均低于对照组,差异具有统计学意义(P<0.05)。治疗后观察组患者的总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)均有不同程度下降,高密度脂蛋白胆固醇(HDL-C)有不同程度升高,且观察组的TC、TG、LDL-C低于对照组,HDL-C高于对照组,差异具有统计学意义(P<0.05)。治疗后两组患者的中医证候积分均有不同程度下降,且观察组患者的中医证候积分低于对照组,差异具有统计学意义(P<0.05)。结论:针灸结合健脾温肾法在脾肾阳虚证单纯性肥胖治疗中具有较好疗效,能降低体质量、BMI、WHR,改善血脂及中医证候积分。

Objective To explore the therapeutic effect of acupuncture combined with traditional Chinese medicine(TCM)of the methods of Jianpi Wenshen on simple obesity with Pishen Yangxu symptom.Methods A total of 120 obese patients with Pishen Yangxu symptom admitted to Luoyang Central Hospital Affiliated to Zhengzhou University from May 2017 to May 2019 were selected and divided into control group(the methods of Jianpi Wenshen treatment)and observation group(acupuncture plus the methods of Jianpi Wenshen treatment)according to different treatment methods,with 60 cases in each group.The changes of body mass,body mass index(BMI),waist-hip ratio(WHR),blood lipid level and TCM syndrome score were observed before and after treatment in the two groups,and the clinical efficacy was compared.Results The total effective rate of the observation group was 93.33%,higher than 71.66%of the control group,the difference was statistically significant(P<0.05).After treatment,body mass,BMI and WHR of patients in the two groups decreased to varying degrees,and body mass,BMI and WHR of patients in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,total cholesterol(TC),triglyceride(TG)and low-density lipoprotein cholesterol(LDL-C)in the observation group were decreased to varying degrees,while high-density lipoprotein cholesterol(HDL-C)increased to varying degrees.TC,TG and LDL-C in the observation group were lower than those in the control group,HDL-C was higher than that in the control group.The differences were statistically significant(P<0.05).After treatment,the TCM syndrome score of the two groups decreased to varying degrees,and the TCM syndrome score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with the methods of Jianpi Wenshen treatment has a good effect in the treatment of simple obesity with Pishen Yangxu symptom.It can reduce body mass,BMI and WHR,and improve blood lipid and TCM syndrome score.