“标本配穴”艾灸治疗腹型肥胖的临床疗效及对脂质蓄积水平的影响

傅成伟; 王丽华; 陈霞; 张艳佶; 张英溶; 黄伟; 王华; 周仲瑜

doi:10.13703/j.0255-2930.20240521-k0002

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“标本配穴”艾灸治疗腹型肥胖的临床疗效及对脂质蓄积水平的影响

临床研究 | 更新时间：2025-05-15

- “标本配穴”艾灸治疗腹型肥胖的临床疗效及对脂质蓄积水平的影响
- Efficacy of "Biaoben acupoint compatibility" moxibustion for abdominal obesity and its effect on lipid accumulation
- 中国针灸 2025年45卷第5期页码：614-619
- 作者机构：
  
  湖北省中医院针灸科，武汉　430061
  湖北中医药大学附属医院针灸科，武汉　430061
  湖北中医药大学针灸骨伤学院
- 作者简介：
  
  ✉周仲瑜，教授、主任医师。E-mail：2209447940@qq.com
- 基金信息：
  
  国家中医药管理局岐黄工程项目(国中医药人教函〔2018〕284号);国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函〔2022〕226号)
- DOI：10.13703/j.0255-2930.20240521-k0002
  中图分类号：
- 收稿：2024-05-21，
  
  网络首发：2025-01-13，
  
  纸质出版：2025-05-12
- 稿件说明：
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傅成伟, 王丽华, 陈霞, 等. “标本配穴”艾灸治疗腹型肥胖的临床疗效及对脂质蓄积水平的影响[J]. 中国针灸, 2025,45(5):614-619.

FU Chengwei, WANG Lihua, CHEN Xia, et al. Efficacy of "Biaoben acupoint compatibility" moxibustion for abdominal obesity and its effect on lipid accumulation[J]. Chinese Acupuncture & Moxibustion, 2025, 45(5): 614-619. DOI: 10.13703/j.0255-2930.20240521-k0002.
傅成伟, 王丽华, 陈霞, 等. “标本配穴”艾灸治疗腹型肥胖的临床疗效及对脂质蓄积水平的影响[J]. 中国针灸, 2025,45(5):614-619. DOI： 10.13703/j.0255-2930.20240521-k0002.

FU Chengwei, WANG Lihua, CHEN Xia, et al. Efficacy of "Biaoben acupoint compatibility" moxibustion for abdominal obesity and its effect on lipid accumulation[J]. Chinese Acupuncture & Moxibustion, 2025, 45(5): 614-619. DOI: 10.13703/j.0255-2930.20240521-k0002. DOI：

摘要

目的：

观察“标本配穴”艾灸治疗腹型肥胖的临床疗效及对血脂、脂质蓄积指数（LAP）和心脏代谢指数（CMI）的影响。

方法：

将150例腹型肥胖患者随机分为试验组（75例，脱落5例）和对照组（75例，脱落6例）。对照组给予生活方式指导，试验组在对照组基础上采用“标本配穴”艾灸，穴取中脘、关元及双侧天枢、足三里，每次20 min，隔日1次，每周3次，共治疗8周。观察两组患者治疗前后腰围、臀围、体质量、体质量指数（BMI），检测两组患者治疗前后总胆固醇（TC）、三酰甘油（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）含量，计算两组患者治疗前后LAP和CMI。

结果：

治疗后，两组患者腰围、体质量、BMI均较治疗前下降（

0.05），试验组上述指标下降幅度大于对照组（

0.05）。治疗后，试验组臀围、TC含量、TG含量、LAP和CMI均较治疗前下降（

0.05），HDL-C含量较治疗前升高（

0.05）；试验组TC含量、TG含量、LAP和CMI下降幅度大于对照组（

0.05），HDL-C含量升高幅度大于对照组（

0.05）。

结论：

“标本配穴”艾灸可以减轻腹型肥胖患者的肥胖程度，调节血脂水平，改善脂质蓄积。

Abstract

Objective

To observe the efficacy of "

Biaoben

acupoint compatibility" moxibustion for abdominal obesity and its effect on blood lipid

lipid accumulation product (LAP) and cardiometabolic index (CMI).

Methods

A total of 150 patients with abdominal obesity were randomly divided into an observation group (75 cases

5 cases dropped out) and a control group (75 cases

6 cases dropped out). The control group received lifestyle guidance. The observation group received "

Biaoben

acupoint compatibility" moxibustion at Zhongwan (CV12)

Guanyuan (CV4) and bilateral Tianshu (ST25)

Zusanli (ST36) on the basis of the control group

20 min each time

once every other day

3 times a week for 8 weeks. Before and after treatment

the waist circumference

hip circumference

weight

body mass index (BMI) were observed

the levels of total cholesterol (TC)

triglycerides (TG)

low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) were measured

and the LAP and CMI were calculated in the two groups.

Results

After treatment

the waist circumference

weight and BMI were decreased compared with those before treatment in both groups (

0.05)

the changes of the above indexes in the observation group were larger than those in the control group (

0.05). After treatment

the hip circumference

TC level

TG level

LAP and CMI in the observation group were decreased compared with those before treatment (

0.05)

the HDL-C level was increased compared with that before treatment (

0.05)；the changes of the TC level

TG level

LAP

CMI and HDL-C level in the observation group were larger than those in the control group (

0.05).

Conclusion

Biaoben

acupoint compatibility" moxibustion can reduce the degree of obesity in patients with abdominal obesity

and improve blood lipid and reduce lipid accumulation.

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