上海针灸杂志2025，Vol.44Issue(2)：202-207,6.DOI:10.13460/j.issn.1005-0957.2025.02.0202
无痛化脓灸治疗痰浊阻滞型老年高脂血症的疗效观察
Therapeutic observation of painless suppurative moxibustion in treating hyperlipidemia due to phlegm turbidity obstruction in older people
摘要
Abstract
Objective To observe the clinical efficacy of painless suppurative moxibustion in treating hyperlipidemia due to phlegm turbidity obstruction in older people and its effects on serum levels of apolipoprotein A1(ApoA1),apolipoprotein B(ApoB),ApoB/ApoA1,and homocysteine(Hcy).Method Ninety aged participants with hyperlipidemia due to phlegm turbidity obstruction were randomized into an observation group and a control group,each consisting of 45 cases.The control group was treated with Rosuvastatin calcium tablets;in addition to that,the observation group was offered the modified painless suppurative moxibustion.The traditional Chinese medicine(TCM)pattern score,blood lipid levels[total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),and high-density lipoprotein cholesterol(HDL-C)],and serum levels of apolipoproteins(ApoA1,ApoB,and ApoB/ApoA1)and Hcy were observed before and after the treatment in both groups.The clinical efficacy was compared between the two groups.Result After the treatment,the TCM pattern score,blood lipid(TC,TG,and LDL-C)levels,and serum levels of apolipoproteins(ApoB and ApoB/ApoA1)and Hcy dropped in both groups(P＜0.05),and the observation group had an increase in the levels of HDL-C and ApoA1(P＜0.05).After the intervention,the observation group was lower than the control group in comparing the TCM pattern score and the levels of TC,TG,LDL-C,ApoB,ApoB/ApoA1,and Hcy(P＜0.05).The total effective rate was 95.3%in the observation group,higher than 81.4%in the control group,and the difference was statistically significant(P＜0.05).During the treatment process,no participants experienced significant discomfort,and their safety indicators were all within the normal range.Conclusion Integrating painless suppurative moxibustion into oral administration of Rosuvastatin calcium tablets can better regulate blood lipid and serum apolipoprotein and Hcy levels,and enhance clinical efficacy with a satisfactory safety rating in treating hyperlipidemia due to phlegm turbidity obstruction in older patients.关键词
灸法/艾炷灸/高脂血症/痰浊阻滞/老年人Key words
Moxibustion/Moxa cone moxibustion/Hyperlipidemia/Phlegm turbidity obstruction/Aged分类
医药卫生引用本文复制引用
何梦佳,郭金依,王君宜,陈国华,苏秀贞..无痛化脓灸治疗痰浊阻滞型老年高脂血症的疗效观察[J].上海针灸杂志,2025,44(2):202-207,6.基金项目
山东省中医药管理局齐鲁医派中医药特色技术推广项目[鲁卫函(2020)132号] （2020）
山东省保健科技协会科学技术项目(SDBJKT20180101) （SDBJKT20180101）
