调理三焦法穴位埋线联合腹部推拿对单纯性肥胖患者腰围及脂质代谢的影响

Impacts of acupoint thread embedding with the regulating Sanjiao method combined with abdominal massage on waist circumference and lipid metabolism in patients with simple obesity

关键词:  单纯性肥胖  腹部推拿  穴位埋线  脂质代谢

Key words:  simple obesity  abdominal massage  acupoint thread embedding  lipid metabolism

摘要:

[目的] 探讨调理三焦法穴位埋线+腹部推拿对单纯性肥胖患者治疗的效果。[方法] 选择2022年6月—2023年6月武汉亚心总医院院收治的单纯肥胖症患者随机分为对照组和中医组。对照组采用奥利司他治疗，中医组接受腹部推拿与调理三焦法穴位埋线治疗。比较两组总有效率、形态学指标、中医证候、血脂水平、生化指标及不良反应。[结果] 中医组总有效率（93.44%）较对照组（80.33%）显著提高（P<0.05）。中医组体质量、腰围、腰臀比（WHR）、体质量指数（BMI）显著低于对照组（P<0.05）。中医组高密度胆固醇（HDL-C）、脂联素（ADP）含量显著高于对照组（P<0.05），中医证候积分、低密度胆固醇（LDL-C）、总胆固醇（TC）、三酰甘油（TG）、神经肽Y（NPY）含量显著低于对照组（P<0.05）。两组不良反应率比较，差异无统计学意义（P>0.05）。[结论] 对肥胖症患者采用上述中医疗法，可有效调节患者脂质代谢，改善形态学指标，效果较为理想，临床应用价值较高。

Abstract:

[Objective] To explore the therapeutic effect of acupoint thread embedding with the regulating Sanjiao method and abdominal massage on patients with simple obesity. [Methods] From June 2022 to June 2023，patients with simple obesity who visited Wuhan ASIA General Hospital were randomly separated into a control group and a Chinese medicine group. The control group received treatment with Orlistat，while the Chinese medicine group received abdominal massage and acupoint embedding therapy with the regulating sanjiao method. The total effective rate，morphological indicators，traditional Chinese medicine syndromes，blood lipid levels，biochemical indicators，and untoward reactions were compared. [Results] The total effective rate of the Chinese medicine group（93.44%） was higher than that of the control group（80.33%，P<0.05）. The body mass，waist circumference（WC），waist-hip ratio（WHR），and body mass index（BMI） of the Chinese medicine group were lower than those of the control group（P<0.05）. The contents of high-density cholesterol（HDL-C） and adiponectin（ADP） in the Chinese medicine group were higher than those in the control group（P<0.05），the traditional Chinese medicine syndrome score，contents of low-density cholesterol（LDL-C），total cholesterol（TC），triglycerides（TG），and neuropeptide Y（NPY） were lower than those in the control group（P<0.05）. untoward reactions were not different between the two groups（P>0.05）. [Conclusion] The above traditional Chinese medicine therapy can effectively regulate lipid metabolism and improve morphological indicators in obese patients，with ideal results and high clinical application value.