温针灸结合中药治疗脾肾阳虚型高脂血症临床疗效研究

杜大林　王韵　杜怀斌

【摘要】 目的：分析温针灸结合中药治疗脾肾阳虚型高脂血症的临床疗效。方法：选取2015年6月-2017年10月本院收治的脾肾阳虚型高脂血症患者72例，按照随机数字表法将其分为观察组和对照组，各36例。观察组采用温针灸结合中药治疗，对照组采用常规西药调脂药治疗。治疗8周后观察两组治疗前后中医证候积分、血脂指标以及疗效、安全性。结果：治疗后，观察组总积分、主症积分、次症积分均低于治疗前及对照组，比较差异均有统计学意义（P<0.05）；治疗后，两组降脂疗效比较，差异均无统计学意义（P>0.05）；两组治疗前后AST、Scr比较，差异均无统计学意义（P>0.05）；治疗后对照组肝功能轻度异常1例，其余未见肝肾功能异常病例，比较差异均无统计学意义（P>0.05）。结论：温针灸结合中药治疗脾肾阳虚型高脂血症疗效确切、安全性高，具有一定的临床推广价值。

【关键词】 温针灸结合中药； 脾肾阳虚型高脂血症； 临床疗效研究

【Abstract】 Objective：To analyze the clinical efficacy of warm acupuncture combined with Traditional Chinese Medicine on hyperlipidemia with deficiency of Spleen and Kidney Yang.Method：A total of 72 cases of hyperlipidemia with deficiency of Spleen and Kidney Yang in our hospital were selected.According to the method of random number table，they were divided into observation group and control group，36 cases in each group.The observation group was treated with warm acupuncture combined with Traditional Chinese Medicine，and control group was treated with conventional western medicine.After treatment 8 weeks，the scores of Traditional Chinese Medicine syndrome and blood lipids before and after treatment，efficacy and safety of two groups were observed.Result：After treatment，the total score，main symptom score and secondary symptom score in observation group were lower than those of before treatment and control group，the differences were statistically significant（P<0.05）.After treatment，compared the lipid lowering effect of two groups，the difference was not statistically significant（P>0.05）.Before and after treatment，compared the AST and Scr of two groups，the differences were not statistically significant（P>0.05）.After treatment，there was 1 case of mild liver dysfunction in control group，and no cases of abnormal liver and kidney function，the difference was not statistically significant（P>0.05）.Conclusion：The effect of warm acupuncture combined with Traditional Chinese Medicine on hyperlipidemia with deficiency of Spleen and Kidney Yang is accurate，has high security，and has certain clinical popularization value.

【Key words】 Warming acupuncture combined with traditional Chinese medicine； Hyperlipidemia with deficiency of Spleen and Kidney Yang； Clinical efficacy study

First-authors address：The Third Affiliated Hospital of Chengdu University of Traditional Chinese Medicine，Chengdu 610015，China

doi：10.3969/j.issn.1674-4985.2018.22.018

近年來，随着人们饮食结构、生活方式的改变和生活水平的提高，不健康的生活方式相当普通，高脂血症的发病率越来越高，尤其是经济发达地区和农村富裕地区。血脂水平异常，主要表现为高胆固醇血症、高甘油三酯血症、高密度脂蛋白水平低下，可直接引起一些严重危害人体健康的疾病，如动脉粥样硬化、冠心病、胰腺炎等[1]。改善异常血脂是防治缺血性心血管及脑血管疾病的重要措施[2]。血脂水平的下降会使心血管事件的发生率和死亡率下降，近30年来，开展了一系列的一级预防和二级预防的临床研究[1]。研究……