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目的:评价针刺配合立普妥治疗脾虚食滞型原发性高脂血症的临床疗效。方法:将60例脾虚食滞型原发性高脂血症患者随机分为针药组30例和西药组30例。针药组取百会、中脘及双侧足三里、三阴交、阴陵泉、丰隆穴,每日治疗2次,每次40min,并配合口服立普妥20mg,每日1次,共治疗6周。西药组仅口服立普妥。观察患者治疗前后血清中甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)含量并评定疗效。结果:两组治疗后血清中TC、TG较治疗前均明显改善(P<0.05),针药组血清LDL-C、HDL-C较治疗前明显改善(P<0.05),针药组治疗后血清中TC、TG、LDLC、HDL-C较西药组治疗后明显改善(P<0.05)。针药组的总有效率为93.3%(28/30),明显高于西药组的73.3%(22/30,P<0.05)。结论:针刺配合立普妥治疗原发性高脂血症有一定疗效,优于单纯口服西药立普妥。
Objective: To evaluate the clinical efficacy of acupuncture plus Lipitor in treating primary hyperlipidemia of the spleen deficiency type. Methods: Sixty patients with primary hyperlipidemia due to spleen deficiency and type of food were randomly divided into acupuncture group (30 cases) and western medicine group (30 cases). Acupuncture group take Baihui, Zhongli and bilateral Zusanli, Sanyinjiao, Yin Lingquan, Fenglong points, daily treatment 2 times, each time 40min, and with oral Lipitor 20mg, 1 times a day, a total of treatment 6 weeks. Western medicine group only oral Lipitor. The levels of triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) in the patients before and after treatment were observed and evaluated. Results: Serum TC and TG in both groups were significantly improved after treatment (P <0.05). Serum LDL-C and HDL-C in acupuncture group were significantly improved compared with those before treatment (P <0.05) Serum TC, TG, LDLC, HDL-C than the western medicine group significantly improved after treatment (P <0.05). The total effective rate of acupuncture group was 93.3% (28/30), significantly higher than that of western medicine group (73.3%, 22/30, P <0.05). Conclusion: Acupuncture combined with Lipitor in the treatment of primary hyperlipidemia has a certain curative effect, which is superior to the simple oral administration of Lipitor.