肥三针埋线治疗单纯性肥胖症的临床疗效观察

发布时间：2018-10-09 09:41

【摘要】：目的：本课题用简单随机的对照临床研究,实行对单纯性肥胖症患者的临床随机对照研究。观察以靳三针为指导,对患有此疾病的患者施以同穴组上埋线与电针两种不同的方法来进行治疗。对比它们的效果,来探讨穴位埋线、电针针刺治疗单纯性肥胖症两种疗法的效果,为治疗单纯性肥胖症提供一定研究依据。方法：从广州中医药大学第一附属医院的针灸科门诊以及招募的志愿者中选择切合观察条件包含岁数还有其他等各种标准要求的患者,一共六十位。年龄从22到65岁,其中男性有9例,女性有51例。将符合标准的受试对象随机分配至治疗组与对照组,每组30例,疗程为2个月。两组患者在治疗前的一般资料检查如年龄、病程、性别以及各项观察指标之间的比较,差异都没有显著的意义(P0.05),具有可比性。治疗组用穴位埋线疗法,而对照组用单纯电针疗法,两组的选取的穴位均为肥三针(中脘、。双带脉、。双足三里)。治疗前后测量并记录患者体重、腰围、臀围、肩胛角下皮褶厚度、臂三头肌皮褶厚度。算出体质量指数(BMI)与体脂百分率(F%)。临床研究结束后。采用SPSS。19.0进行统计分析。计数资料采用chi-square test来进行假设推断分析。两组之间以及两组本身在疗程完结之后与疗程之前的对比。根据不同的数据而选用独立样本t检验或是配对样本t检验。治疗后等级资料采用Relative to an identified distribution unit分析,以统计出它们各自的治疗效果。成果：(1)60例患者做完全部的治疗与疗效评定。结果治疗组的临床治愈2例(6.7%)。显效12例(40.0%)。有效11例(36.7%)。无效5例(16.7%)。总有效率是83.3%；对照组的临床治愈1例(3.3%)。显效4例(13.3%)。有效19例(63.3%)。无效6例(20.0%)。总有效率是80%；两组疗效结果经Ridit分析,两组比较P0.05,表明埋线治疗单纯性肥胖症在疗效上优于单纯电针针刺治疗。(2)两组患者治疗后体重、BMI、WHR、F%均与治疗前相比较有明显差异(P0.05)。结果表明了埋线治疗组与电针对照组在治疗单纯性肥胖症上均有明显的疗效。(3)治疗组与对照组治疗后的体重、BMI、WMR、F%相比较,两组病例的体重、。BMI、WHR、F%均无明显差异。表明了埋线与电针方法在对于治疗此病上对体重、。BMI、WHR、F%的疗效相近。治疗组与对照组治疗前后的体重、BMI、WHR、F%的差值相比较,治疗组治疗前后体重、BMI、F%差值比对照组差值要大,WHR差值比较则无明显差异,说明埋线组比电针组在改善体重、BMI、F%观察指标上更优,两组在改善WHR方面无明显差异。结论：本课题研究证明了穴位埋线与电针疗法在治疗单纯性肥胖症中的疗效确切,均能有效的降低患者的体重与腰臀围值。但穴位埋线在治疗本病中较电针方便经济,且疗效显著,安全可靠,是一种值得进一步推广的治疗方法。
[Abstract]:Objective: to carry out a randomized controlled clinical study of simple obesity patients. Under the guidance of Jin's three needles, the patients with this disease were treated with two different methods of embedding thread and electroacupuncture in the same acupoint group. By comparing their effects, this paper discusses the effect of acupoint catgut embedding and electroacupuncture in the treatment of simple obesity, which provides some research basis for the treatment of simple obesity. Methods: sixty patients were selected from the Department of Acupuncture and moxibustion Clinic and the volunteers recruited from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. The age range is 22 to 65 years, including 9 males and 51 females. Subjects who met the criteria were randomly assigned to the treatment group and the control group with 30 cases in each group for 2 months. The general data of the two groups before treatment such as age, course of disease, sex and the comparison between the observation indicators, there is no significant difference (P0.05), comparable. The treatment group was treated with catgut embedding at acupoints, while the control group was treated with simple electroacupuncture. A double band. Two feet three miles) Body weight, waist circumference, hip circumference, subscapular skinfold thickness and triceps brachii skinfold thickness were measured and recorded before and after treatment. Body mass index (BMI) and body fat percentage (F%) were calculated. After the clinical study. SPSS.19.0 was used for statistical analysis. Chi-square test was used for hypothetical inference analysis. The comparison between the two groups and between the two groups after the end of the course and before the course of treatment. Independent sample t test or paired sample t test are selected according to different data. After treatment, Relative to an identified distribution unit analysis was used to analyze their respective therapeutic effects. Results: (1) 60 patients were treated and evaluated. Results in the treatment group, 2 cases (6.7%) were cured. There were 12 cases (40.0%) with remarkable effect. 11 cases (36.7%) were effective. 5 cases (16.7%) were ineffective. The total effective rate was 83.3% in the control group and 1 case (3.3%) in the control group. There were 4 cases (13.3%) with remarkable effect. 19 cases (63.3%) were effective. Invalid 6 cases (20.0%). The total effective rate was 80. The results of Ridit analysis showed that the treatment of simple obesity by embedding thread was better than that by electroacupuncture alone. (2) there was significant difference between the two groups in body weight and BMI-WHRF% after treatment (P0.05). The results showed that the treatment group and the electroacupuncture control group had obvious curative effect in the treatment of simple obesity. (3) there was no significant difference between the two groups in the weight of BMIP WMRF% after treatment. The results showed that the therapeutic effect of embedding thread and electroacupuncture on body weight, BMIA and WHRF% was similar. There was no significant difference between the treatment group and the control group in the difference of body weight BMI-WHRF% before and after treatment. The difference between the treatment group and the control group was larger than that in the control group, which indicated that the buried wire group was better than the electroacupuncture group in improving the body weight and the BMIF% observation index, and the difference between the treatment group and the control group was higher than that in the control group, which indicated that the treatment group was better than the electroacupuncture group in improving the body weight and BMIF%. There was no significant difference in improving WHR between the two groups. Conclusion: this study proved that acupoint embedding and electroacupuncture therapy are effective in the treatment of simple obesity and can effectively reduce the weight and waist hip circumference of patients. But acupoint embedding is more convenient and economical than electroacupuncture in the treatment of this disease, and the curative effect is remarkable, safe and reliable, which is a treatment method worth further popularizing.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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