摘要
目的:明确针灸拔罐综合疗法治疗脾虚湿阻型单纯性肥胖的临床疗效及安全性,以探讨临床治疗单纯性肥胖的有效方案并为其提供较可靠的证据。方法:将60例符合纳入标准的单纯性肥胖受试者按随机数字表法分为试验组和对照组各30例,试验组采取针灸拔罐+饮食运动综合干预疗法,对照组采取单纯饮食运动干预疗法,4周为1个疗程,连续观察3个疗程,以临床有效率、体质指数(BMI)、腰围、体质量下降率、腰围下降率作为疗效评价指标,以血、尿常规,肝、肾功能及不良反应表作为安全性性评价指标,明确针灸拔罐综合疗法治疗脾虚湿阻型单纯性肥胖的临床疗效及安全性。结果:总纳入病例60例,脱落3例,最终纳入分析有效病例57例,试验28例,对照组29例,总体疗效组间比较,试验组总有效率96.43%,对照组总有效率68.97%,试验组总体疗效较对照组为优,差异有统计学意义。2组治疗前后体质量、BMI组内比较均呈显著下降,但组间比较差异无统计学意义;2组治疗前后组内腰围比较均呈下降趋势,组间比较差异无统计学意义。腰围差值比较,试验组改善程度均优于对照组,差异有统计学意义。2组治疗后体质量下降率组间比较,在疗程1、2结束时差异无统计学意义,在疗程3结束时差异有统计学意义。2组治疗后腰围下降率组间比较,在疗程1结束时差异无统计学意义,在疗程2、3结束时差异有统计学意义。结论:针灸拔罐综合疗法在改善脾虚湿阻型单纯性肥胖的体质量和腰围上疗效明确、安全,值得临床推广。
Objective:By observing the clinical efficacy and safety of acupuncture and cupping therapy in the treatment of simple obesity of spleen deficiency and dampness obstruction,to explore effective treatment methods and provide reliable clinical basis for clinical treatment of simple obesity.Method 60 simple obesity patients were randomly divided into the trial group and the control group with 30 cases each.The trial group was treated with acupuncture and cupping comprehensive diet-exercise intervention,while the control group was treated with simple diet-exercise intervention,4 weeks as a course,three courses of continuous observation,with clinical efficiency,BMI,waist circumference,weight loss rate,waist circumference reduction rate as the efficacy evaluation index,blood and urine routine,liver and kidney function and adverse reaction table as the safety evaluation index,as to clarify the clinical efficacy and safety of acupuncture and cupping therapy.Results 57 effective cases were included in the final analysis,28 cases in the trial and 29 cases in the control group.The total effective rate of the trial group was 96.43%,while the control group was 68.97%.The total therapeutic effect of the experimental group was better than that of the control group.Before and after treatment,the body weight and BMI in the two groups showed a downward trend,with a significant difference;but there was no statistical difference between the two groups.Before and after treatment,the waistline in the two groups showed a downward trend,with a significant difference,but there was no significant difference between the two groups.Compared with the waist circumference difference,the improvement degree of the experimental group was better than that of the control group,and the difference was significant.There was no significant difference in the rate of weight loss between the two groups at the end of treatment course 1 and 2,and there was significant difference at the end of treatment course 3.There was no significant difference between the two groups at the end of treatment 1,and there was significant difference at the end of treatment 2 and 3.Conclusion:Acupuncture and cupping comprehensive therapy for simple obesity of spleen deficiency and dampness resistance type has reliable clinical effect,and it is safe.It is worthy of clinical application.
作者
范肃
张振宇
潘珺俊
曹崇艳
魏军
王清霖
FAN Su;ZHANG Zhen-yu;PAN Jun-jun;CAO Chong-yan;WEI Jun;WANG Qing-lin(Wangjing Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100102,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2020年第1期88-90,93,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
中国中医科学院望京医院院级课题(WJYY2018-18)-针灸拔罐综合疗法治疗脾虚湿阻型单纯性肥胖的临床研究
关键词
单纯性肥胖
脾虚湿阻型
针灸
拔罐
Simple obesity
Spleen deficiency and dampness obstruction type
Acupuncture
Cupping
