平衡火罐联合耳穴压豆疗法对脾虚湿阻型单纯性肥胖的疗效观察研究

Clinical Observation of the Efficacy of Balanced Cupping Combined with Auricular Acupressure for Simple Obesity with the Spleen-Deficiency and Dampness-Obstruction Pattern

摘要: 目的：探讨平衡火罐联合耳穴压豆疗法对脾虚湿阻型单纯性肥胖患者的护理效果，为中医护理临床实践提供参考。方法：选取2024年11月至2025年12月我院中医护理门诊及治未病中心收治的60例脾虚湿阻型单纯性肥胖患者，采用随机对照研究设计，将其分为对照组和试验组，每组30例。对照组接受饮食与运动干预，试验组在对照组基础上接受平衡火罐联合耳穴压豆疗法，两组均连续干预12周。比较两组干预前后的临床总有效率、体质量、体质量指数(BMI)、腰围、臀围、甘油三酯、总胆固醇、低密度脂蛋白胆固醇及中医证候积分。结果：干预12周后，试验组总有效率为83.3%，高于对照组(P = 0.046)。试验组体质量和BMI分别为(69.52 ± 6.36) kg和(25.13 ± 1.23) kg/m²，均低于对照组(P = 0.034、P = 0.011)；试验组腰围和臀围分别为(85.52 ± 8.36) cm和(96.13 ± 6.23) cm，均低于对照组(P = 0.024、P = 0.012)。试验组甘油三酯、总胆固醇和低密度脂蛋白胆固醇分别为(1.52 ± 1.02)、(4.67 ± 0.69)和(3.47 ± 0.59) mmol/L，均低于对照组(P = 0.044、P = 0.002、P = 0.013)。试验组中医证候积分为(20.60 ± 1.89)分，低于对照组(P < 0.001)。结论：平衡火罐联合耳穴压豆疗法可改善脾虚湿阻型单纯性肥胖患者的肥胖相关指标、血脂指标及中医证候，具有一定的临床应用价值。

Abstract: Objective: To evaluate the nursing efficacy of balanced cupping combined with auricular acupressure in patients with simple obesity of the spleen-deficiency and dampness-obstruction pattern and to provide a reference for clinical practice in traditional Chinese medicine (TCM) nursing. Methods: Sixty patients with simple obesity of the spleen-deficiency and dampness-obstruction pattern who were treated at the TCM Nursing Outpatient Department and Preventive Treatment Center of Jiangjin District Hospital of Traditional Chinese Medicine, Chongqing, between November 2024 and December 2025 were enrolled. Using a randomized controlled design, the participants were assigned to a control group or an experimental group, with 30 patients in each group. The control group received dietary and exercise interventions, whereas the experimental group additionally received balanced cupping combined with auricular acupressure. Both groups were treated for 12 weeks. The overall response rate, body weight, body mass index (BMI), waist circumference, hip circumference, triglycerides (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and TCM syndrome scores were compared before and after the intervention. Results: After 12 weeks of intervention, the overall response rate was higher in the experimental group than in the control group (83.3%; P = 0.046). Body weight (69.52 ± 6.36 kg; P = 0.034), BMI (25.13 ± 1.23 kg/m²; P = 0.011), waist circumference (85.52 ± 8.36 cm; P = 0.024), and hip circumference (96.13 ± 6.23 cm; P = 0.012) were lower in the experimental group than in the control group. The experimental group also had lower TG (1.52 ± 1.02 mmol/L; P = 0.044), TC (4.67 ± 0.69 mmol/L; P = 0.002), LDL-C (3.47 ± 0.59 mmol/L; P = 0.013), and TCM syndrome scores (20.60 ± 1.89; P < 0.001) than the control group. Conclusion: Balanced cupping combined with auricular acupressure may improve obesity-related indices, lipid profiles, and TCM syndrome manifestations in patients with simple obesity of the spleen-deficiency and dampness-obstruction pattern, indicating potential value for clinical application.