刮痧联合运动疗法治疗痰湿瘀阻型非酒精性脂肪性肝病的疗效观察OA

Objective To explore the clinical efficacy of scraping therapy combined with exercise therapy in treating non-alcoholic fatty liver disease(NAFLD)of phlegm-dampness and blood stasis obstruction type.Methods A total of 72 patients with NAFLD admitted to The First Affiliated Hospital of Henan University of Chinese Medicine from August 2022 to August 2024 were randomly divided into a control group and an observation group.The control group was treated with conventional Western medicine and exercise therapy,while the observation group was treated with scraping therapy in addition to the treatment of the control group.The clinical efficacy,physical examination,biochemical indicators,and improvement of traditional Chinese medicine(TCM)syndrome scores before and after treatment were compared.Results The overall clinical effective rate of the observation group was 96.97%,which was higher than 91.67%of the control group,but the difference was not statistically significant(P>0.05).Body mass index(BMI),waist circumference and hip circumference in both groups decreased after treatment compared with those before treatment(P<0.05),only BMI showed a statistically significant intergroup difference after treatment(P<0.05).After treatment,alanine aminotransferase(ALT),aspartate aminotransferase(AST),triglyceride(TG),total cholesterol(TC),controlled attenuation parameter(CAP)and TCM syndrome scores were lower than baseline levels in both groups(P<0.05),with statistically significant differences between the two groups(P<0.05).No significant difference in low-density lipoprotein cholesterol(LDL-C)was observed before and after treatment in the control group(P>0.05),whereas the change of LDL-C was statistically significant in the observation group(P<0.05).There were no statistically significant intragroup and intergroup differences in high-density lipoprotein cholesterol(HDL-C)before and after treatment between the two groups(P>0.05).Conclusion Scraping therapy combined with exercise therapy could improve the clinical efficacy of patients with NAFLD,reduce BMI,waist circumference,and hip circumference,promote the recovery of lipid and liver function indicators,reduce TCM syndrome scores,and facilitate the early recovery of patients.