穴位埋线治疗湿热蕴结证非酒精性脂肪肝的临床研究OA
Clinical research on the treatment of non-alcoholic fatty liver disease with damp-heat accumulation syndrome by acupoint embedding therapy
目的 探讨穴位埋线治疗湿热蕴结证非酒精性脂肪肝的临床效果.方法 选取2021年4月至2024年5月上海健康医学院附属浦东公利医院及深圳市龙华区人民医院收治的70例非酒精性脂肪肝患者作为研究对象,按照随机数字表法分为假埋线组(35例)与埋线组(35例),假埋线组采用限能饮食治疗,埋线组采用限能饮食联合穴位埋线治疗.比较两组的肝功能、血脂、中医证候积分、疗效等.结果 治疗后,埋线组的中医证候积分低于假埋线组,差异有统计学意义(P<0.05).埋线组的总有效率高于假埋线组,差异有统计学意义(P<0.05).治疗后,埋线组谷草转氨酶、谷丙转氨酶、γ-谷氨酰转肽酶、碱性磷酸酶、总胆固醇、甘油三酯、低密度脂蛋白低于假埋线组,高密度脂蛋白高于假埋线组,差异有统计学意义(P<0.05).结论 穴位埋线治疗湿热蕴结证非酒精性脂肪肝的治疗效果可靠,有助于改善患者预后.
Objective To explore the clinical efficacy of acupoint embedding therapy in treating non-alcoholic fatty liver disease caused by damp-heat accumulation.Methods Seventy patients with non-alcoholic fatty liver disease who were ad-mitted to Pudong Gongli Hospital,Shanghai University of Medicine & Health Sciences and People's Hospital of Longhua from April 2021 to May 2024 were selected as the research subjects.They were divided into the sham-implantation group(35 cases)and the implantation group(35 cases)according to the random number table method.The sham-implantation group received energy restriction diet therapy,while the implantation group received energy restriction diet combined with acupoint implantation therapy.The liver function,blood lipids,traditional China Medicine syndrome score,and therapeutic effect of the two groups were compared.Results After the treatment,the traditional China Medicine syndrome scores of the implantion group were lower than those of the sham-implantation group,and the differences were statistically significant(P<0.05).The total effective rate of the implantation group was higher than that of the sham-implantation group,and the difference was statistically significant(P<0.05).After the treatment,the levels of aspartate aminotransferase,alanine aminotransferase,γ-glutamyl transpeptidase,alkaline phosphatase,total cholesterol,triglycerides,and low-density lipoprotein in the implantation group were lower than those in the sham-implantation group,while the level of high-density lipoprotein was higher than that in the sham-implantation group and the differences were statistically significant(P<0.05).Conclusion The treatment of non-alcoholic fatty liver disease with acupoint embedding therapy for the damp-heat accumu-lation syndrome has reliable therapeutic effects and is beneficial for improving the prognosis of patients.
李正鑫;陈逸云;谢帆慈
上海健康医学院附属浦东公利医院中医科,上海 200135上海健康医学院附属浦东公利医院中医科,上海 200135深圳市龙华区人民医院大浪街道区域社康中心,广东 深圳 518110
医药卫生
穴位埋线湿热蕴结证非酒精性脂肪肝血脂
Acupoint embedding therapySyndrome of accumulation damp-heatNon-alcoholic fatty liver diseaseBlood lipid
《中国当代医药》 2026 (14)
80-84,5
上海市浦东新区卫生系统优秀青年医学人才培养计划(PWRq2023-48).
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