目的 观察穴位埋线配合雷火灸治疗脾肾阳虚型高脂血症的临床疗效.方法 将60例脾肾阳虚型高脂血症患者随机分为治疗组和对照组,每组30例.治疗组采用穴位埋线配合雷火灸治疗,对照组采用口服阿托伐他汀钙片治疗.治疗8周后,观察两组患者治疗前后血清总胆固醇(TC)、总甘油三酯(TG)、血高密度脂蛋白胆固醇(HDL-C)、血低密度脂蛋白胆固醇(LDL-C)及中医证候评分的变化情况,并比较两组临床疗效.结果 两组治疗后各项血脂指标(TC、TG、HDL-C、LDL-C)及中医证候评分与同组治疗前比较,差异均具有统计学意义(P<0.05).治疗组治疗后各项血脂指标及中医证候评分与对照组比较,差异均无统计学意义(P>0.05).治疗组血脂指标总有效率为90.0%,对照组为93.3%,两组比较差异无统计学意义(P>0.05).治疗组中医证候总有效率为83.3%,对照组为63.3%,两组比较差异具有统计学意义(P<0.05).结论 穴位埋线配合雷火灸是一种治疗脾肾阳虚型高脂血症的有效方法.
Objective To observe the clinical efficacy of acupoint thread embedding plus thunder-fire moxibustion in treating hyperlipidemia due to spleen-kidney yang deficiency. Method Sixty patients with hyperlipidemia due to spleen-kidney yang deficiency were randomized into a treatment group and a control group, 30 cases each. The treatment group was intervened by acupoint thread embedding plus thunder-fire moxibustion, while the control group was intervened by oral administration of Atorvastatin calcium tablets. After 8-week treatment, changes in the serum total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and traditional Chinese medicine (TCM) syndrome score were observed in the two groups, and the clinical efficacies were compared. Result The blood lipids indexes (TC, TG, HDL-C and LDL-C) and TCM syndrome score were significantly changed after the treatment in both groups (P<0.05). After the treatment, the blood lipids indexes and TCM syndrome score of the treatment group were insignificantly different from those of the control group (P>0.05). The total effective rate was 90.0% in improving the blood lipids in the treatment group, versus 93.3% in the control group, and the between-group difference was statistically insignificant (P>0.05). The total effective rate was 83.3% in improving the TCM syndrome score in the treatment group versus 63.3% in the control group, and the between-group difference was statistically significant (P<0.05). Conclusion Acupoint thread embedding plus thunder-fire moxibustion is an effective method in treating hyperlipidemia due to spleen-kidney yang deficiency.