穴位埋线与温针灸治疗单纯性肥胖症的对照研究

发布时间：2018-06-25 20:08

本文选题：单纯性肥胖症 + 穴位埋线　；参考：《广州中医药大学》2017年硕士论文

【摘要】：背景:肥胖是指由于机体能量摄入量超过消耗量,导致体内脂肪堆积过多和(或)分布异常、体重增加的一种慢性代谢性疾病,是现今社会常见的疾病,已成为全球首要的健康问题。肥胖发病在一些地区已达到流行程度。肥胖症按其病因一般分为原发性及继发性两类。继发性肥胖是某些疾病的临床表现之一,如下丘脑——垂体的肿瘤、创伤、感染和炎症、垂体前叶功能减退症、甲状腺功能减退症、多囊卵巢综合征、胰岛素瘤等。而原发性肥胖病则是指无明显的内分泌和代谢性疾病的病因引起的肥胖。这不但损害患者身心灵健康,还大大降低患者生活质量。因此,肥胖症的防治有着十分重要及广泛的临床意义。目的:探寻穴位埋线对单纯性肥胖的临床疗效,为临床治疗单纯性肥胖病证患者寻找一种操作简单、疗效确切、安全而副作用小、治疗时间短、简便廉价的减肥方法,为临床治疗提供更好的依据。方法:利用SPSS 20.0软件产生随机数字,并制作成随机分配小卡片,置入不透光的信封密封进行随机分组,将合格受试的单纯性肥胖患者60例随机在分为治疗组和对比组各30例。治疗组的30例给予穴位埋线疗法,取穴以任脉、足阳明胃经及足少阳胆经为主要治疗取穴,并结合选取2-4个(脂肪堆积明显处)阿是穴,每一周治疗一次,4次为1疗程,连续治疗一个月。对比组30例给予温针灸疗法,取穴同治疗组,一周治疗3次,12次为一个疗程,连续治疗一个月。两组通过前后治疗观察患者的体重、腰围等数值评定治疗疗效。结果:(1)两组的体重、腰围两项指标在治疗前与治疗后均有明显的疗效,差异都有显示统计学意义(P0.05);治疗组疗效优于对照组。(2)经过为期一个月的治疗结束后,穴位埋线组共30例,临床治愈5例,显效16例,有效7例,无效2例,治愈率为16.7%,显效率为53.3%,有效率为23.3%,总有效率为93.3%。温针灸组共30例,临床治愈2例,显效8例,有效16例,无效4例,治愈率为6.7%,显效率为26.7%,有效率为53.3%,总有效率为86.7%。两组间对比治疗,穴位埋线组明显优于温针灸组(p0.05),差异有统计学意义。结论:治疗后的疗效显示,穴位埋线与温针灸的对比均对于治疗单纯性肥胖症具有确切明显的疗效,两种治疗疗法都有改善肥胖患者外形体重的作用,但穴位埋线疗法优于温针灸治疗,此疗效可能与穴位刺激效应和时间有关,并有良好的双向调节作用,从而促进疾病的康复。
[Abstract]:Background: obesity is a chronic metabolic disease caused by excessive accumulation of energy in the body resulting in excessive accumulation of fat and (or) distribution of fat in the body. It is a common disease in the world today. It has become the primary health problem in the world. Obesity has reached prevalence in some areas. Obesity is according to its cause. It is divided into primary and secondary two categories. Secondary obesity is one of the clinical manifestations of some diseases, such as the thalamus - pituitary tumor, trauma, infection and inflammation, hypohypophysis function hypohypophysis, hypothyroidism, polycystic ovary syndrome, insulinoma and so on. Primary obesity refers to no obvious endocrine and metabolic disease. Obesity is caused by the cause of sexual disease. This not only damages the mental health of the patients, but also greatly reduces the quality of life of the patients. Therefore, the prevention and treatment of obesity has a very important and extensive clinical significance. Effective, safe and small side effects, short treatment time, simple and cheap method of weight loss, to provide a better basis for clinical treatment. Methods: using SPSS 20 software to produce random numbers, and make random distribution of small cards, into the envelopes of opaque envelopes for random grouping, 60 cases of eligible obese patients were randomly selected. The treatment group and the comparison group were divided into 30 cases. 30 cases in the treatment group were given acupoint catgut embedding therapy, taking acupoints with Ren pulse, Foot Yangming stomach meridian and foot Shaoyang gallbladder meridian as the main treatment to take acupoints, combined with 2-4 points (fat accumulation obvious place) AI acupoint, once a week, 4 times for one month, continuous treatment for one month. 30 cases in the contrast group were given warm acupuncture and moxibustion therapy, Acupoint treatment group, 3 times a week, 12 times as a course of treatment, continuous treatment for one month. The two groups through the treatment of patients' weight, waist circumference and other values to evaluate the therapeutic effect. Results: (1) the weight of two groups, two indexes of waist circumference before and after treatment have obvious effect, the difference has statistical significance (P0.05); treatment group The curative effect was superior to the control group. (2) after the end of one month treatment, the acupoint catgut embedding group was 30 cases, clinical cure 5 cases, effective 16 cases, effective 7 cases and 2 cases, the cure rate was 16.7%, the effective rate was 53.3%, the effective rate was 23.3%, the total effective rate was 93.3%. warm acupuncture group 30 cases, clinical cure 2 cases, effective 8 cases, valid 16 cases, invalid 4 cases 6.7%, the effective rate is 26.7%, the effective rate is 53.3%, the total effective rate is 86.7%. two group contrast treatment, the acupoint catgut embedding group is obviously better than the warm acupuncture group (P0.05), the difference has statistical significance. Conclusion: the curative effect after treatment shows that the comparison of acupoint catgut embedding and warm acupuncture has definite curative effect on the treatment of simple obesity and two treatments. The method has the effect of improving the body weight of obese patients, but acupoint catgut embedding therapy is superior to the treatment of warm acupuncture and acupuncture. This effect may be related to the stimulation effect and time of acupoint, and it has a good two-way regulating effect, thus promoting the rehabilitation of the disease.
【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】：2017
【分类号】：R246.1

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