基于“五脏别通”理论的穴位埋线治疗不同证型肥胖型高脂血症临床研究

Clinical Study of Acupoint Catgut Embedment for Obesity Hyperlipemia of Different Syndrome Types Based on Theory of“Five Viscera Communication”

目的:观察基于“五脏别通”理论的穴位埋线治疗不同证型肥胖型高脂血症患者的疗效。方法:选取100例肥胖型高脂血症患者,按中医证型分为痰浊阻遏组、脾肾阳虚组、气滞血瘀组、肝肾阴虚组、阴虚阳亢组,每组20例。5组均采用“五脏别通”理论的穴位埋线。均连续治疗6周。比较5组临床疗效,比较5组治疗前后中医证候积分、体质量指数(BMI)、脂肪率(F%)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)。结果:治疗后,5组中医证候积分均较治疗前下降(P<0.05)。治疗后,5组BMI、F%均较治疗前下降(P<0.05)。组间F%比较,差异有统计学意义(P<0.05),痰浊阻遏组、气滞血瘀组F%均低于肝肾阴虚组,差异有统计学意义(P<0.05)。治疗后,5组TC、TG水平均较治疗前下降,HDL-C水平均较治疗前上升,差异均有统计学意义(P<0.05)。治疗后,组间TC比较,差异有统计学意义(P<0.05),痰浊阻遏组改善程度优于其他4组(P<0.05)。痰浊阻遏组临床疗效总有效率为95.0%,脾肾阳虚组为80.0%,气滞血瘀组为85.0%,肝肾阴虚组为90.0%,阴虚阳亢组为85.0%,差异无统计学意义(P>0.05),两两组间比较,差异均无统计学意义(P>0.05)。结论:基于“五脏别通”理论指导下的穴位埋线治疗不同中医证型肥胖型高脂血症均有确切疗效,且对痰浊阻遏证患者在改善TC方面优于其他证型。

Objective:To observe the curative effect of acupoint catgut embedment on obesity hyperlipemia of different syndrome types based on theory of“Five Viscera Communication”.Methods:A total of 100 patients with obesity hyperlipemia were selected and divided into the phlegm turbidity obstruction group,the spleen-kidney yang deficiency group,the qi stagnation and blood stasis group,the liver-kidney yin deficiency group,and the yin deficiency with yang hyperactivity group according to the traditional Chinese medicine syndrome types,with 20 cases in each group.The five groups were treated with acupoint catgut embedment based on theory of“Five Viscera Communication”for six weeks.The clinical effects,and the traditional Chinese medicine(TCM)syndrome scores,body mass index(BMI),body fat percentage(F%)and the levels of total cholesterol(TC),triglycerides(TG)and high density lipoprotein cholesterol(HDL-C)were compared before and after treatment between the two groups.Results:After treatment,the TCM syndrome scores in the five groups were decreased when compared with those before treatment(P<0.05).After treatment,the BMI and F%in the five groups were decreased when compared with those before treatment(P<0.05).There was significant difference being found in the comparison of F%between the five groups(P<0.05),and the F%in the phlegm turbidity obstruction group and the qi stagnation and blood stasis group was respectively lower than that in the liver-kidney yin deficiency group,the difference being significant(P<0.05).After treatment,the levels of TC and TG in the two groups were decreased when compared with those before treatment(P<0.05),and the HDL-C levels were increased when compared with those before treatment,differences being significant(P<0.05).After treatment,there was significant difference being found in the comparison of TC level between the five groups(P<0.05),and the improvement degree in the phlegm turbidity obstruction group was better than that in the other four groups(P<0.05).The total clinical effective rate was 95.0%in the phlegm turbidity obstruction group,80.0%in the spleen-kidney yang deficiency group,85.0%in the qi stagnation and blood stasis group,90.0%in the liver-kidney yin deficiency group,and 85.0%in the yin deficiency with yang hyperactivity group,there being no significance in the difference(P>0.05)and in the differences between two groups.Conclusion:Acupoint catgut embedment has a definite curative effect on obesity hyperlipemia of different TCM syndrome types under the guidance of theory of“Five Viscera Communication”,and in addition,it is superior to other syndrome types in improving TC of patients with syndrome of phlegm turbidity obstruction.