穴位埋线对青年痰湿质超重和肥胖的疗效观察

马玉霞; 赵利华; 黄新格; 黄瑜; 黄鼎坚

doi:10.13703/j.0255-2930.20240610-k0004

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穴位埋线对青年痰湿质超重和肥胖的疗效观察

临床研究 | 更新时间：2025-06-13

- 穴位埋线对青年痰湿质超重和肥胖的疗效观察
- Clinical observation on acupoint thread-embedding for overweight and obesity in young adults with phlegm-dampness constitution
- 中国针灸 2025年45卷第6期页码：735-741
- 作者机构：
  
  广西中医药大学研究生院，南宁 530001
  广西中医药大学第一附属医院针灸科，南宁 530023
  广西中医药大学第一附属医院仁爱分院
- 作者简介：
  
  ✉赵利华，教授。E-mail：zhaolh67@163.com
- 基金信息：
  
  国家自然科学基金资助项目(82160933);广西壮族自治区自然科学基金项目(2022GXNSFAA035577);广西壮族自治区中医药管理局项目(GZZC2020052);广西中医药大学“桂派中医药传承创新团队”资助项目(2022V005)
- DOI：10.13703/j.0255-2930.20240610-k0004
  中图分类号：
- 收稿：2024-06-10，
  
  网络首发：2025-03-31，
  
  纸质出版：2025-06-12
- 稿件说明：
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马玉霞, 赵利华, 黄新格, 等. 穴位埋线对青年痰湿质超重和肥胖的疗效观察[J]. 中国针灸, 2025,45(6):735-741.

MA Yuxia, ZHAO Lihua, HUANG Xin'ge, et al. Clinical observation on acupoint thread-embedding for overweight and obesity in young adults with phlegm-dampness constitution[J]. Chinese Acupuncture & Moxibustion, 2025, 45(6): 735-741.
马玉霞, 赵利华, 黄新格, 等. 穴位埋线对青年痰湿质超重和肥胖的疗效观察[J]. 中国针灸, 2025,45(6):735-741. DOI： 10.13703/j.0255-2930.20240610-k0004.

MA Yuxia, ZHAO Lihua, HUANG Xin'ge, et al. Clinical observation on acupoint thread-embedding for overweight and obesity in young adults with phlegm-dampness constitution[J]. Chinese Acupuncture & Moxibustion, 2025, 45(6): 735-741. DOI： 10.13703/j.0255-2930.20240610-k0004.

摘要

目的：

观察穴位埋线治疗青年痰湿质超重和肥胖患者的临床疗效。

方法：

将66例青年痰湿质超重和肥胖患者随机分为观察组（33例，2例脱落、1例中止）和对照组（33例，3例脱落）。对照组予健康教育指导；观察组在对照组的基础上予穴位埋线治疗，穴取双侧天枢、大横、带脉、水道、滑肉门、丰隆和双侧肺俞、膈俞、胃脘下俞、脾俞、肾俞、大肠俞，两组穴位交替使用，每周1次。两组均治疗8周。分别于治疗前及治疗4、8周测量两组患者体质量、体脂率、腰围、臀围，并计算体质量指数（BMI）；观察两组患者治疗前后痰湿质评分及心率变异性（HRV）相关指标[总功率（TP）、低频功率（LF）、高频功率（HF）、LF/HF、正常窦性RR间期总体标准差（SDNN）、正常相邻窦性RR间期差值均方根（RMSSD）、正常相邻RR间期差值>50 ms百分比（PNN50）]，并比较两组患者临床疗效及体质改善率。治疗结束后6个月，随访临床疗效为有效的患者体质量，比较两组患者体质量回升率。

结果：

治疗4周，两组患者体质量、BMI、体脂率、腰围、臀围较治疗前降低（

0.05）；治疗8周，观察组患者体质量、BMI、体脂率、腰围、臀围较治疗前及治疗4周降低（

0.05），对照组患者体质量较治疗前降低（

0.05）。治疗8周，观察组患者体质量、BMI、腰围、臀围及痰湿质评分低于对照组（

0.05）。观察组患者体质量、BMI、体脂率、腰围、臀围的治疗前与治疗4周差值、治疗4周与治疗8周差值高于对照组（

0.05）。治疗后，观察组患者TP、LF、HF、SDNN、RMSSD高于对照组（

0.05）。治疗后观察组总有效率为90.0%（27/30），高于对照组的46.7%（14/30，

0.05）；痰湿质改善率为90.0%（27/30），高于对照组的50.0%（15/30，

0.05）。治疗结束后6个月，观察组体质量回升率为37.0%（10/27），低于对照组的71.4%（10/14，

0.05）。

结论：

穴位埋线能够有效改善青年痰湿质超重和肥胖患者的体质量、BMI、腰围、臀围及痰湿体质，调节自主神经紊乱，提高迷走神经活性，且具有一定远期疗效。

Abstract

Objective

To observe the clinical efficacy of acupoint thread-embedding for overweight and obese young adults with phlegm-dampness constitution.

Methods

A total of 66 young adults with overweight and obesity of phlegm-dampness constitution were randomly divided into an observation group (33 cases

2 cases dropped out

1 case was discontinued) and a control group (33 cases

3 cases dropped out). Health education guidance was adopted in the control group. On the basis of the intervention in the control group

acupoint thread-embedding was applied in the observation group

two groups of acupoints were used alternately

i.e. bilateral Tianshu (ST25)

Daheng (SP15)

Daimai (GB26)

Shuidao (ST28)

Huaroumen (ST24)

Fenglong (ST40) and bilateral Feishu (BL13)

Geshu (BL17)

Weiwanxiashu (EX-B3)

Pishu (BL20)

Shenshu (BL23)

Dachangshu (BL25)

once a week. Treatment of 8 weeks was required in the two groups. Before treatment

after 4 weeks and 8 weeks of treatment

the body weight

body fat rate

waist circumference and hip circumference were measured

and the body mass index (BMI) was calculated in the two groups; before and after treatment

the phlegm-dampness constitution score and the heart rate variability (HRV) related indexes (total power [TP]

low frequency [LF]

high frequency [HF]

LF/HF

standard deviation of the normal to normal inter beat intervals [SDNN]

root mean square of the successive differences [RMSSD]

percentage of normal RR intervals with duration [PNN50]) were observed

and the clinical efficacy and constitution improvement rate were compared in the two groups. Six months after the treatment completion

the body weight of patients with effective clinical efficacy was observed

and the body weight rebound rate was compared in the two groups.

Results

After 4 weeks of treatment

the

body weight

BMI

body fat rate

waist circumference and hip circumference were decreased compared with those before treatment in the two groups (

0.05); after 8 weeks of treatment

the body weight

BMI

body fat rate

waist circumference and hip circumference were decreased compared with those before treatment and after 4 weeks of treatment in the observation group (

0.05)

and the body weight was decreased compared with that before treatment in the control group (

0.05). After 8 weeks of treatment

the body weight

BMI

waist circumference

hip circumference and phlegm-dampness constitution score in the observation group were lower than those in the control group (

0.05). The differences in the body weight

BMI

body fat rate

waist circumference and hip circumference between before treatment and after 4 weeks of treatment

as well as after 4 weeks of treatment and after 8 weeks of treatment in the observation group were higher than those in the control group (

0.05). After treatment

the TP

SDNN and RMSSD in the observation group were higher than those in the control group (

0.05). After treatment

the total effective rate was 90.0% (27/30) in the observation group

which was higher than 46.7% (14/30) in the control group (

0.05); the improvement rate of phlegm-dampness constitution was 90.0% (27/30) in the observation group

which was higher than 50.0% (15/30) in the control group (

0.05). Six months after treatment completion

the weight rebound rate was 37.0% (10/27) in the observation group

which was lower than 71.4% (10/14) in the control group (

0.05).

Conclusion

Acupoint thread-embedding can effectively reduce the body weight

BMI

waist circumference

hip circumference and improve the phlegm-dampness constitution in overweight and obese young adults with phlegm-dampness constitution

regulate autonomic nerve disorders and improve vagus nerve activity

and has a certain long-term effect.

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