自拟降脂减肥方联合穴位埋线对脾虚湿瘀型肥胖患者的治疗效果

Clinical effect of self-designed Jiangzhi Slimming formula combined with acupoint catgut embedding on simple obesity patients with spleen deficiency and dampness stasis

目的评价自拟降脂减肥方中药口服联合穴位埋线对脾虚湿瘀型肥胖患者的临床治疗效果。方法选取江苏省扬州市中医院养生保健科2020年1月至2022年6月脾虚湿瘀型肥胖患者100例为研究对象,依据随机数表法予以分组。对照组50例接受自拟降脂减肥方中药口服配合南征“一则八法”中饮食运动法干预,观察组50例遵循内外同治法,在对照组干预基础上联合腹部穴位埋线。分别在治疗前、治疗3个月后测定两组患者的体重指数(BMI)、腹围、腰围、血脂(三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇)、空腹血糖、空腹胰岛素,统计总有效率并对以上观察指标进行比较。结果观察组的总有效率高于对照组,治疗后的BMI、腹围、腰围、血脂、空腹血糖、空腹胰岛素优于对照组,差异均有统计学意义(P<0.05)。结论在脾虚湿瘀型肥胖患者临床治疗中自拟降脂减肥方联合穴位埋线疗效确切,可有效降低体重、调节血糖与血脂,具有重要的推广应用价值。

Objective To evaluate the clinical effect of s elf-designed Jiangzhi Slimming prescription combined with acupoint catgut embedding on obese patients with spleen deficiency and dampness stasis.Methods A total of 100 obese patients with spleen deficiency and dampness-stasis type from January 2020 to June 2022 in the health care department of Yangzhou Hospital of Traditional Chinese Medicine of Jiangsu Province were selected as research objects and randomly grouped according to the numerical method.A total of 50 cases in the control group received oral administration of traditional Chinese medicine designed to reduce fat and lose weight combined with diet and exercise method in Nanzheng"One and eight methods",50 cases in the observation group followed internal and external treatment,combined with abdominal acupoint embedding on the basis of the intervention of the control group.Body mass index(BMI),abdominal circumference,waist circumference,blood lipids(triglycerides,high density lipoprotein cholesterol,low density lipoprotein cholesterol),fasting blood glucose,fasting insulin of the two groups were measured before and 3 months after treatment,respectively.The total effective rate was calculated and the above observation indicators were compared.Results The total effective rate of the observation group was higher than that of the control group,and the BMI,abdominal circumference,waist circumference,blood lipids,fasting blood glucose,fasting insulin after treatment were better than those of the control group,with statistically significant differences(P<0.05).Conclusion In the clinical treatment of obese patients with spleen deficiency and dampness-stasis type,the self-designed prescription for reducing fat combined with acupoint catch-embedding has a definite effect,which can effectively lose weight,regulate blood sugar and blood fat,an d has important promotion and application value.