中西医结合肝病杂志2026，Vol.36Issue(8)：962-966,5.DOI:10.3969/j.issn.1005-0264.2026.008.004
腹部取穴埋线法改善不同证型非酒精性脂肪性肝病患者腹部脂肪的疗效观察
Observation on the efficacy of abdominal acupoint catgut embedding in reducing abdominal fat in patients with different TCM syndromes of non-alcoholic fatty liver disease
摘要
Abstract
Objective:To observe the regulatory effect of abdominal acupoint catgut embedding therapy on abdominal fat in patients with non-alcoholic fatty liver disease(NAFLD)of different TCM syndromes,and to provide a basis for clinical individualized treatment.Methods:A total of 150 NAFLD patients diagnosed in our hospital were selected and randomly divided into a control group(30 cases)and a catgut embedding group(120 cases).The catgut embedding group was further subdivided into four subgroups according to TCM syndromes,with 30 cases in each subgroup:Liver Depression and Spleen Deficiency type,Dampness-Turbidity Retention type,Dampness-Heat Accumulation type,and Phlegm-Stasis Interbinding type.The control group received routine health guidance,while the catgut embedding group was given abdominal acupoint catgut embedding therapy for 12 weeks on the basis of the same health guidance.Changes in abdominal fat indicators(body weight,BMI,waist circumference,waist-to-hip ratio,body fat ratio),abdominal subcutaneous fat thickness,liver-kidney echo ratio,liver function indexes(ALT,AST,GGT),and blood lipid indexes(TG,TC,LDL)were observed,and the safety of the therapy was evaluated.Results:After treatment,the body weight,BMI,waist circumference,waist-to-hip ratio,body fat ratio,abdominal subcutaneous fat thickness,liver-kidney echo ratio,as well as the levels of ALT,GGT,and TG in the catgut embedding group were significantly improved compared with those before treatment(P＜0.05),and the differences were statistically significant when compared with the control group(P＜0.05).Among the four syndrome subgroups in the catgut embedding group,the therapeutic effects in the Liver Depression and Spleen Deficiency type and Dampness-Turbidity Retention type were more significant.No serious adverse reactions occurred in all patients.Conclusion:Abdominal acupoint catgut embedding therapy can improve abdominal fat accumulation in NAFLD patients,with particularly significant curative effects in patients with Liver Depression and Spleen Deficiency type and Dampness-Turbidity Retention type.It also has good safety.关键词
非酒精性脂肪性肝病/腹部穴位埋线/腹部脂肪/辨证分型/疗效观察Key words
NAFLD/abdominal acupoint catgutembedding therapy/abdominal fat/syndrome differentiation typing/therapeutic effect observation分类
医药卫生引用本文复制引用
杨晨,梅琪,沙红芳,崔剑巍..腹部取穴埋线法改善不同证型非酒精性脂肪性肝病患者腹部脂肪的疗效观察[J].中西医结合肝病杂志,2026,36(8):962-966,5.基金项目
上海市十四五中医特色专科建设项目(孵化项目)(No.ZYTSZK2-19) （孵化项目）
