摘要
目的探讨温针灸联合经筋手法松解术治疗单纯性肥胖的临床效果。方法回顾性分析2023年1月-2025年7月我院收治的90例单纯性肥胖患者的病历资料,根据治疗方法的不同分为常规治疗组(n=52)和中医治疗组(n=38),常规治疗组接受常规饮食控制和运动锻炼治疗方案,中医治疗组在此基础上加用温针灸联合经筋手法松解术治疗,两组均治疗2个月。比较两组临床疗效、体重体脂相关指标、生化及代谢指标、中医证候积分、不良事件发生情况。结果中医治疗组临床疗效高于常规治疗组(P<0.05)。中医治疗组治疗后身体质量指数、体脂率、腰围低于常规治疗组(均P<0.05)。中医治疗组治疗后总胆固醇、甘油三酯、低密度脂蛋白胆固醇、空腹血糖、糖化血红蛋白低于常规治疗组;高密度脂蛋白胆固醇高于常规治疗组(均P<0.05)。中医治疗组治疗后中医证候积分低于常规治疗组(P<0.05)。两组不良事件发生情况比较,无显著差异(P>0.05)。结论温针灸联合经筋手法松解术可有效降低单纯性肥胖患者的体重体脂,调节脂代谢和糖代谢,且具有安全性。
Objective To explore the clinical effect of warm acupuncture and moxibustion combined with manual release of tendons and muscles in the treatment of simple obesity.Methods A retrospective analysis was conducted on the medical records of 90 patients with simple obesity admitted to our hospital from January 2023 to July 2025.According to different treatment methods,they were divided into the conventional treatment group(n=52)and the Traditional Chinese Medicine treatment group(n=38).The conventional treatment group received the conventional diet control and exercise treatment plan.The Traditional Chinese Medicine treatment group was further treated with warm acupuncture and moxibustion combined with manual release of meridians and tendons.Both groups were treated for two months.The clinical efficacy,indicators related to body weight and body fat,biochemical and metabolic indicators,TCM syndrome scores,and the occurrence of adverse events were compared between the two groups.Results The clinical efficacy of the Traditional Chinese Medicine treatment group was higher than that of the conventional treatment group(P<0.05).After treatment,the body mass index,body fat percentage and waist circumference of the Traditional Chinese Medicine treatment group were lower than those of the conventional treatment group(all P<0.05).After treatment,the total cholesterol,triglycerides,low-density lipoprotein cholesterol,fasting blood glucose and glycated hemoglobin in the Traditional Chinese Medicine treatment group were lower than those in the conventional treatment group,the high-density lipoprotein cholesterol level was higher than that of the conventional treatment group(all P<0.05).The TCM syndrome score of the Traditional Chinese Medicine treatment group after treatment was lower than that of the conventional treatment group(P<0.05).There was no significant difference in the occurrence of adverse events between the two groups(P>0.05).Conclusion The combination of warm acupuncture and moxibustion with manual release of tendons and muscles can effectively reduce the body weight and body fat of patients with simple obesity,regulate lipid metabolism and glucose metabolism,and is safe.
作者
黄嘉年
幸程涛
Huang Jianian;Xing Chengtao(Wulian Communitv health seryice center,The Second Affiliated Hospital of The Chinese University of Hong Kong,Shenzhen,Guangdong 518000,China)
出处
《首都食品与医药》
2026年第4期158-161,共4页
Capital Food Medicine
关键词
单纯性肥胖
温针灸
经筋手法松解术
临床疗效
Simple obesity
Warm acupuncture
Meridian tendon manual release technique
Clinical efficacy
