Evaluation Of The Clinical Effect Of Heat-sensitive Moxibust Ion On Non-alcoholic Fatty Liver Disease Based On Fibroscan Technique

ObjectivesIn this study,the Fibroscan technique was used as the main method to evaluate the clinical efficacy of heat-sensitive moxibustion in the treatment of non-alcoholic fatty liver disease(NAFLD),to explore the effects of thermal moxibustion on the CAP value,LSM value,and blood lipid of NAFLD patients,and to provide a clinical basis for the use of heat-sensitive moxibustion in the treatment of NAFLD.Methods60 NAFLD patients who met the inclusion criteria were randomly divided into treatment group and control group,with 30 patients in each group.Treatment plan:the treatment group was given health education,and the liver area,ganshu or sanyinjiao points were alternately treated with heat-sensitive moxibustion,30min each time,3 times a week,for a total of 12 weeks.The control group received only health education.Observation time and indicators:the changes of body weight,abdominal circumference,BMI,CAP,LSM,and blood lipid(TG,TC,LDL-C)in the two groups were observed before and after treatment,respectively.Statistical method:all data were analyzed using SPSS25.0.Result60 patients were enrolled in the study.One patient withdrew from the trial and 4 patients fell off.In the end,56 patients were included in the trial,and 28 patients in the control group and the experimental group.There was no significant difference between the two groups in age,gender and TCM syndrome type(P>0.05),and the two groups were comparable.The body weight,BMI and abdominal circumference of the treatment group all decreased after treatment(P<0.05).After treatment,the body weight,abdominal circumference and BMI of the control group were not significantly changed(P>0.05).And the above three indexes of the treatment group were significantly lower than those of the control group after treatment(all P<0.05).After treatment,CAP value and LSM value of the treatment group decreased significantly compared with that before treatment(P<0.01).There was no significant difference between CAP value and LSM value in the control group after treatment and before treatment(P>0.05).And the above two indexes of the treatment group were significantly lower than those of the control group after treatment(all P<0.01).TC and TG of the treatment group were all decreased after treatment(P<0.01),but LDL-C of the treatment group showed no significant difference after treatment.In the control group,TC,TG and LDL-C all showed no significant changes(P>0.05).TG level of the treatment group was significantly lower than that of the control group after treatment(P<0.05),but TC and ldl-c showed no significant difference compared with that of the control group after treatment(P<0.05).The total effective rate of the treatment group was 82.1%;The control group was 17.9%effective.ConclusionHeat-sensitive moxibustion combined with health education has a good effect on NAFLD,and can significantly reduce the CAP and delay the progression of hepatitis fibrosis.In addition,heat-sensitive moxibustion can lower the blood lipid level of NAFLD patients and achieve a certain weight loss effect.It is a safe and effective method for the prevention and treatment of NAFLD.