Observation on the effect of self-blood acupoint injection on hyperlipidemia with phlegm-stasis obstruction syndrome and its impact on hemorheology
观察自血穴位注射对痰瘀阻滞型高脂血症的的效果及血流变学的影响

摘要

目的 探讨在痰瘀阻滞型高脂血症患者治疗中实施自血穴位注射疗法的效果及对血流变学的影响。方法 随机抽选70例病例，均为本院于2024年1月到12月收治的痰瘀阻滞型高脂血症患者，将其以随机数字表法分为2组，各35例。其中接受常规对症治疗的一组为对照组，另一组为观察组，即同时接受自血穴位注射治疗。评估对比治疗效果。结果 经过8周治疗后，观察组比对照组的有效率更高，各为94.29%和77.14%（P＜0.05）；观察组较对照组的TC、TG、LDL-C水平均较治疗前降低，HDL-C水平升高，且观察组的各指标改善水平更明显（P＜0.05）；观察组较对照组的全血高切粘度、全血低切粘度、血浆粘度和纤维蛋白原降低幅度更显著（P＜0.0）。结论 将自血穴位注射疗法引入痰瘀阻滞型高脂血症患者中，可有效改善患者的症状和血脂水平，并对血流变学状态改变，发挥“痰淤并治”的作用，疗效显著。

Abstract

Objective To explore the effect of self blood acupoint injection therapy and its impact on hemorheology in the treatment of patients with phlegm stasis blocking hyperlipidemia.
Methods 70 cases were randomly selected, all of whom were patients with phlegm stasis blocking hyperlipidemia admitted to our hospital from January to December 2024. They were divided into two groups using a random number table method, with 35 cases in each group. The group receiving routine symptomatic treatment was the control group, while the other group was the observation group, which received self blood acupoint injection treatment at the same time. Evaluate and compare the therapeutic effects.
Results After 8 weeks of treatment, the observation group had a higher effective rate than the control group, with 94.29% and 77.14% respectively (P<0.05); The levels of TC, TG, and LDL-C in the observation group decreased compared to the control group before treatment, while the level of HDL-C increased, and the improvement levels of various indicators in the observation group were more significant (P<0.05); The observation group showed a more significant decrease in whole blood high shear viscosity, whole blood low shear viscosity, plasma viscosity, and fibrinogen compared to the control group (P<0.0).
Conclusion   Introducing self blood acupoint injection therapy into patients with phlegm stasis blocking hyperlipidemia can effectively improve their symptoms and blood lipid levels, and change their hemorheological status, exerting the effect of "treating phlegm stasis together" and achieving significant therapeutic effects.