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目的:探讨腹部循经拔罐对中心性肥胖患者体重、腰围及糖脂代谢的影响。方法:采用便利抽样法，选取2019年3—8月在宁波市中医院传统中医门诊就诊的76例患者为研究对象，按照简单随机数字表法分为对照组和观察组，各38例。对照组采用基于中医理论基础的生活行为方式健康教育指导，观察组在此基础上以神阙穴为中心，绕脐做顺逆时针方向缓慢闪罐，之后在腹部脾经、胃经、胆经、肾经、任脉、带脉走向在腹部从下至上、从上至下走罐，最后在大横穴、腹哀穴、天枢穴、水道穴、中脘、关元、带脉穴位留罐。每周干预1次，4次为1疗程，共12周3个疗程。比较两组患者干预后BMI、腰围、血糖及血脂水平。结果:观察组30例患者、对照组34例患者完成研究。干预12周后观察组患者BMI、腰围、空腹血糖、总胆固醇和LDL水平低于对照组，差异均有统计学意义（n P<0.05）。n 结论:腹部循经拔罐能有效改善中心性肥胖患者的腰围、体重、BMI及糖脂代谢水平，方法简单安全，值得进一步推广。“,”Objective:To explore effects of abdominal cupping along meridians on body weight, waist circumference and glucose and lipid metabolism in patients with central obesity.Methods:Using the convenient sampling method, a total of 76 patients who were treated in Traditional Chinese Medicine Treatment Clinic of Ningbo Hospital of Traditional Chinese Medicine from March to August 2019 were selected as the research objects. According to the simple random number table method, they were divided into the control group and the observation group, with 38 cases in each group. The control group was guided by health education of lifestyle and behavior based on traditional Chinese medicine theory. On this basis, the observation group took Shenque point as the center and performed flash cupping slowly in a clockwise and counterclockwise direction around the navel. Then cupping moving was performed on the abdomen following abdominal spleen meridian, stomach meridian, gallbladder meridian, kidney meridian, ren meridian and belt meridian from bottom to top and from top to bottom. Finally, cups were keptin Daheng acupoint, Fuai acupoint, Tianshu acupoint, Shuidao acupoint, Zhongwan, Guanyuan and belt meridian acupoint. Intervention was performed once a week, with 4 times as a course of treatment, and 3 courses of treatment were carried out for 12 weeks. The weight, body mass index (BMI) , waist circumference, blood glucose and blood lipid levels of patients of two groups after intervention were compared.Results:A total of 30 patients in the observation group and 34 patients in the control group completed the study. After 12 weeks of intervention, the weight, BMI, waist circumference, fasting blood glucose, total cholesterol and low-density lipoprotein (LDL) levels of the observation group were lower than those of the control group, and the differences were statistically significant (n P<0.05) .n Conclusions:Abdominal cupping along meridians can effectively improve waist circumference, body weight, BMI and glucose and lipid metabolism in patients with central obesity. The method is simple and safe, which is worthy of further promotion.