Abstract:

Objective　This study aims to explore the application effects of stellate ganglion catgut embedding in the treatment of simple obesity patients. Methods　This is a prospective study. A total of 80 patients with simple obesity admitted to Shaanxi Provincial Hospital of Traditional Chinese Medicine from January 2023 to June 2024 were selected and randomly divided into two groups using a random number table. The control group consisted of 18 males and 22 females, with an average age of (31.32±4.60) years, a body mass index (BMI) of (30.87±2.63) kg/m², receiving conventional diet, exercise, and Western medication. The study group included 20 males and 20 females, with an average age of (32.03±5.12) years, a BMI of (31.02±3.04) kg/m², receiving stellate ganglion catgut embedding in addition to the control group's treatment. Both groups were treated for 4 weeks. Clinical efficacy was assessed, and changes in weight control effects (BMI, waist circumference), blood lipid levels (triglycerides, total cholesterol), serum leptin levels, and body fat percentage were compared between the two groups. Statistical analysis was performed using t tests, χ² tests, and rank-sum tests. Results　The total effective rate in the study group was 95.5% (37/40), higher than the control group's 75.0% (30/40), with a statistically significant difference (χ²=4.501, P=0.034). After treatment, the study group had a BMI of (27.23±2.19) kg/m², waist circumference of (92.26±3.50) cm, triglycerides of (1.75±0.40) mmol/L, total cholesterol of (5.54±1.09) mmol/L, serum leptin of (12.03±2.24) µg/L, and body fat percentage of (27.51±2.31)%, all lower than the control group's (28.62±2.03) kg/m², (94.54±3.88) cm, (2.03±0.3) mmol/L, (6.13±1.16) mmol/L, (15.34±2.13) µg/L, and (29.62±2.05)%, with statistically significant differences (t=2.944, 2.760, 3.250, 2.344, 6.773, and 4.321, all P<0.05). Conclusion　The application of stellate ganglion catgut embedding in patients with simple obesity demonstrates clear clinical efficacy, improves weight control effects, and helps regulate patients' blood lipid and serum leptin levels, reducing body fat percentage.

Key words: Simple obesity,  , Stellate ganglion embedding,  , Weight,  , Leptin,  , Blood lipids

摘要：

目的　探讨星状神经节埋线在单纯性肥胖患者治疗中的应用效果。方法　本研究为前瞻性研究。选取2023年1月至2024年6月陕西省中医医院收治的单纯性肥胖患者共80例，根据随机数字表法分为两组，每组40例。对照组男18例，女22例，年龄（31.32±4.60）岁，体重指数（30.87±2.63）kg/m2，予以常规饮食+运动+西药治疗。研究组男20例，女20例，年龄（32.03±5.12）岁，体重指数（31.02±3.04）kg/m2，在对照组基础上加用星状神经节埋线治疗。两组均持续治疗4周。评估两组临床疗效，对比两组治疗前后体重控制效果（体重指数、腰围）、血脂水平（甘油三酯、总胆固醇）、血清瘦素水平及体脂率变化。统计学分析采用t检验、χ2检验、秩和检验。结果　研究组治疗总有效率为95.5%（37/40），高于对照组的75.0%（30/40），差异有统计学意义（χ2=4.501，P=0.034）。治疗后，研究组体重指数、腰围、甘油三酯、总胆固醇、血清瘦素和体脂率分别为（27.23±2.19）kg/m2、（92.26±3.50）cm、（1.75±0.40）mmol/L、（5.54±1.09）mmol/L、（12.03±2.24）µg/L和（27.51±2.31）%，均低于对照组的（28.62±2.03）kg/m2、（94.54±3.88）cm、（2.03±0.3）mmol/L、（6.13±1.16）mmol/L、（15.34±2.13）µg/L和（29.62±2.05）%，差异均有统计学意义（t=2.944、2.760、3.250、2.344、6.773和4.321，均P<0.05）。结论　星状神经节埋线联合应用于单纯性肥胖患者，临床疗效确切，能够改善体重控制效果，并可调节患者血脂及血清瘦素水平，降低体脂率。

关键词: 单纯性肥胖, 星状神经节埋线, 体重, 瘦素, 血脂