化痰祛湿方联合揿针干预腹型肥胖的临床疗效

Clinical Efficacy of Huatan Qushi Formula(化痰祛湿方)Combined with Press Acupuncture on Abdominal Obesity

目的:从“体-病”结合角度探讨化痰祛湿方联合揿针干预腹型肥胖的疗效。方法:2021年3月至2021年7月,选取腹型肥胖受试者112例,按随机数字表法分为对照组、中药组、揿针组、联合组,对其给予12周持续干预,观测受试者干预前后的腰围、体质量、体质量指数(BMI)、甘油三脂、总胆固醇、高密度脂蛋白、低密度脂蛋白及体质量表、压力知觉量表、贝克抑郁量表等指标,建立数据库进行统计分析。结果:①干预后,联合组、中药组、揿针组的腰围、体质量、BMI均显著小于干预前(P<0.05);②联合组在主要疗效指标、次要疗效指标及情绪指标方面的改善均较为显著(P<0.05);③中药组在主要疗效指标、情绪指标方面的改善较为显著(P<0.05);④揿针组仅在主要疗效指标方面改善较为显著(P<0.05);⑤体质分析结果显示,腹型肥胖受试者中痰湿质占比为56.04%,最为多见。结论:化痰祛湿方联合揿针干预腹型肥胖具有较好的临床疗效,在腰围的改善方面效果尤为突出,由此可见“体-病”结合的干预更为有效。

Objective:To explore the efficacy of Huatan Qushi Formula(化痰祛湿方)combined with press acupuncture on abdominal obesity from the perspective of“body-disease”.Methods:From March 2021 to July 2021,112 patients with abdominal obesity were randomly divided into control group,Chinese medicinal group,press acupuncture group and combination group,and were treated for 12 weeks.Waist circumference,body weight,body mass index(BMI),triglyceride,total cholesterol,high density lipoprotein,low density lipoprotein,body mass scale,perceived stress scale before and after intervention were observed to establish a database for the statistical analysis.Results:1)In combination group,Chinese medicinal group and acupuncture group,waist circumference,body weight and BMI were significantly lower after intervention than before intervention(P<0.05).2)The improvement of primary outcome indexes,secondary outcome indexes and emotional indexes in combination group was significant(P<0.05);3)In Chinese medicinal group,the primary outcome indexes and emotional indexes were more significant(P<0.05);4)The primary outcome indexes in the press acupuncture group were significantly improved(P<0.05);5)Analysis of body constitution showed that phlegm dampness type accounted for 56.04%in patients with abdominal and obesity was the most common.Conclusion:Huatan Qushi Formula combined with press acupuncture is of good clinical effect in the intervention of abdominal obesity,especially in the improvement of waist circumference.Hence,it could be concluded that the combination of“body-disease”is more effective for intervention.