【作者】 庄晨；

【导师】 郭海英；

【作者基本信息】 南京中医药大学 ， 中医康复学， 2013， 博士

【摘要】 目的：本研究旨在观察脐疗结合食疗对台湾地区高脂血症患者的康复疗效,并探讨其可能的作用机制,为高脂血症的家庭化、社区化康复提供可以借鉴的方法和思路。方法：将59例符合纳入标准的高脂血症患者随机分为治疗组和对照组,治疗组用脐疗加泽泻降脂茶,对照组应用单纯的饮食控制治疗。12周后,观察治疗前后两组中医症状积分、中医症候总疗效、血脂变化。结果：经统计分析,两组间总疗效比较提示在中医证候总疗效与血脂疗效比较有显着性差异(P<0.05),治疗组总体疗效优于对照组。两组治疗前后各组内在中医症状积分,血脂指标TC、TG、LDL-C降低方面均有显着性差异,提示两组均有一定疗效。通过两组间治疗后中医症状积分比较P<0.01,提示治疗组在改善中医症状积分方面优于对照组；血脂指标的比较,治疗后两组间TC的比较P<0.01,有非常显着性差异,提示在降低TC方面治疗组明显优于对照组；两组间TG、LDL-C的比较均为P<0.05,提示在降低TG、LDL-C方面治疗组优于对照组。而对HDL-C的比较显示,两组均有升高趋势,但治疗组组内比较有统计学意义,对照组组内比较无统计学意义,组间比较无统计学意义(P>0.05),提示治疗组在升高HDL-C上优势不明显。结论：脐疗结合中医食疗方对痰湿偏盛的高脂血症病的证候改善有一定疗效；对高脂血症的TC、TG、HDL-C、LDL-C血脂指标改善有一定的疗效,具有降低TC、TG、LDL-C的作用,有一定升高HDL-C的趋势,说明该方法有较好的调脂降脂效应；此疗法为非药物疗法,且无创伤,无明显不良反应,安全有效；该研究也为其它类型高脂血症的临床康复治疗提供了参考。本疗法简便,操作性强,便于推广,有利于高脂血症及相关老年病的中医家庭化、社区化康复的开展。更多还原

【Abstract】 Objective:This project is aimed to observe the clinical efficacy of navel therapy in combination with dietetic therapy on hyperlipidemia patients in Taiwan and to further explore its possible mechanism, trying to provide applicable measures for its family and community rehabilitation.Method:59cases of hyperlipidemia chosen by the inclusion criteria were randomly divided into the treatment group and the control group. Patients in the treatment group were treated by naval therapy combined with rhizome alismatis lipid-lowering tea, while those in the control group only received basic diet control treatment. TCM symptom scores and blood fat indicators before and after the treatment were observed after12weeks.Results:According to the statistical analysis, the efficacy of TCM symptoms and curative effects of lowering blood flat of laboratory indicators have significant difference (P＜0.05), the overall curative effects of the treatment group is better than the control group. The intra-group comparison in the two groups both illustrates significant difference in Chinese medicine symptom score, drop of lipid target TC, TG and LDL-C, indicating that the two groups both have therapeutic effect. Based on the inter-group comparison, the treatment group is found to be superior in decreasing the symptom score than the control group (P<0.01) and the lipid target TC (P＜0.01); Significant differences are also found in the TG and LDL-C indicators between the two groups (P<0.05), while no significant differences are found in HDL-C (P>0.05), suggesting that the treatment group shows no obvious advantages in increasing HDL-C.Conclusion:Navel therapy combined with dietetic therapy has certain effects on phlegm-damp hyperlipidemia. Statistics shows that this combined therapy has effects in serum lipid indexes of TC,TG, HDL-C,LDL-C in hyperlipidemia, with lower TC, TG, LDL-C and higher HDL-C, suggesting that this research methods have good effect in regulating the lipid. This therapy is a non-drug therapy with no trauma, showing no significant adverse reactions, so that it is safe and effective. It proves a satisfied rehabilitation on phlegm-damp hyperlipidemia, also providing reference to clinical treatment of other types of hyperlipidemia. This therapy is simple and convenient, easy to be extended and applied, which could largely promote the development of the family and community-based rehabilitation.更多还原