针灸临床杂志2025，Vol.41Issue(9)：32-37,6.DOI:10.19917/j.cnki.1005-0779.025172
温针灸治疗单纯性肥胖并发血脂异常(脾虚湿阻型)临床研究
Clinical Study of Needle-Warming Moxibustion in Treatment of Simple Obesity Complicated with Dyslipidemia(Spleen Deficiency and Dampness Obstruction Type)
摘要
Abstract
Objective:To compare the difference in clinical efficacy between needle-warming moxibustion and conventional acupuncture in treatment of simple obesity complicated with dyslipidemia of Spleen deficiency and dampness obstruction type.Methods:A total of 74 patients were randomly divided into the treatment group and the control group,with 37 patients in each group.The control group was treated with needling Zhongwan(RN12),Tianshu(ST25),Shuifen(RN9),Daheng(SP15),Qihai(RN6),Quchi(LI11),Yinlingquan(SP9),Fenglong(ST40),Zusanli(ST36),Sanyinjiao(SP6),Taibai(SP3),and Pishu(BL20),once daily.Five sessions constituted one treatment course,with a 2-day interval between courses,for a total of 8 courses.The treatment group received needle-warming moxibustion at RN12,ST25,ST40,and ST36 in addition to the same acupuncture treatment as the control group.Obesity-related indicators,including body weight(BW),body mass index(BMI),body fat percentage(F％),waist circumference(WC),and hip circumference(HC),lipid profile indicators,such as serum total cholesterol(TC),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),and high-density lipoprotein cholesterol(HDL-C),TCM symptoms scores for Spleen deficiency and dampness obstruction,as well as quality of life indicator impact of Weight on Quality of Life-Lite(IWQOL-Lite)score were observed before and after the treatment and during the follow-up in the two groups.Results:Both groups showed significant reductions in obesity-related indicators(BW,BMI,F％,WC,and HC),blood lipid levels(TC,TG,and LDL-C),TCM symptoms scores for Spleen deficiency and dampness obstruction,and IWQOL-Lite scores after the treatment and during the follow-up(P＜0.05).Although HDL-C levels increased to varying degrees in both groups,the differences were not statistically significant(P＞0.05).Compared to the control group,the treatment group showed significantly greater improvements in obesity indicators,lipid profiles,and TCM symptoms scores after the treatment and during the follow-up(P＜0.05).However,there was no statistically significant difference between the two groups in terms of life quality improvement(P＞0.05).The total effective rate was 91.7％(33/36)in the treatment group,which was significantly higher than 82.9％(29/35)in the control group(P＜0.05).Conclusion:Both conventional acupuncture and needle-warming moxibustion are safe and effective treatments for simple obesity complicated with dyslipidemia of Spleen deficiency and dampness obstruction type.They can both reduce body weight and lipid levels,as well as alleviate clinical symptoms of Spleen deficiency and dampness obstruction.Moreover,needle-warming moxibustion is significantly more effective than conventional acupuncture.关键词
单纯性肥胖/血脂异常/脾虚湿阻型/温针灸Key words
Simple obesity/Dyslipidemia/Spleen deficiency and dampness obstruction type/Needle-warming moxibustion分类
医药卫生引用本文复制引用
王小兰,张敏,哈丽娟,王昕昕,闫冰,刘晓娜..温针灸治疗单纯性肥胖并发血脂异常(脾虚湿阻型)临床研究[J].针灸临床杂志,2025,41(9):32-37,6.基金项目
国家自然科学基金青年项目,编号:81804172 （）
吉林省科技发展计划,编号:20220203119SF. （）
