磁共振IDEAL-IQ序列评价“接力赛”电针法对腹型肥胖女性肝脏脂肪含量的影响

发布时间：2017-12-28 18:42

本文关键词：磁共振IDEAL-IQ序列评价“接力赛”电针法对腹型肥胖女性肝脏脂肪含量的影响　出处：《放射学实践》2017年05期 　论文类型：期刊论文

【摘要】：目的:探讨磁共振IDEAL-IQ序列评价"接力赛"电针法对腹型肥胖女性肝脏脂肪含量影响的价值。方法:20例腹型肥胖女性随机分为对照组和电针治疗组,其中对照组9例,电针治疗组11例,电针治疗组采用"接力赛"电针法进行治疗,每周治疗3次,共治疗3个月。治疗前后,20例受试者均行腹部MRI扫描,采用基于最小二乘法估计和不对称回波迭代分解水和脂肪的脂肪成像(IDEAL-IQ)序列,测量每位受试者的质子密度脂肪分数(PDFF)值,记录治疗前后20例受试者的身高、体重并计算身体质量指数(BMI)。结果:治疗前,对照组与治疗组的BMI差异无统计学意义(P0.05);对照组检查前、后的BMI差异无统计学意义(P0.05);治疗后治疗组的BMI降低,与治疗前差异有统计学意义(P0.05)。治疗组各肝段(Ⅰ、Ⅱ、Ⅲ、ⅣA、ⅣB、Ⅴ、Ⅵ、Ⅶ、Ⅷ)的PDFF值较治疗前均有所下降,且Ⅱ、Ⅲ、ⅣA、ⅣB、Ⅴ、Ⅵ、Ⅶ、Ⅷ段的PDFF值与治疗前相比差异有统计学意义(P值均0.05),各肝段的PDFF值分别下降2.5%、3.1%、2.1%、4.2%、1.8%、2.1%、2.3%、2.2%、3.2%。对照组各肝段治疗后与治疗前相比,PDFF差异均无统计学意义(P值均0.05)。结论:"接力赛"电针法可以有效降低腹型肥胖女性的肝脏脂肪含量,磁共振IDEAL-IQ序列可以评价肝脏各段脂肪含量的变化。
[Abstract]:Objective: To evaluate the value of magnetic resonance IDEAL-IQ (MRI) sequence to evaluate the effect of "relay race" electroacupuncture on the fat content of liver in obese women with abdominal type. Methods: 20 abdominal obesity women were randomly divided into control group and electroacupuncture group, including 9 cases in the control group, 11 cases in the electro acupuncture treatment group, and the electro acupuncture treatment group received the "relay race" electro acupuncture therapy, 3 times a week for a total of 3 months. Before and after the treatment, 20 subjects underwent abdominal MRI scan, using the least squares method to estimate fat imaging and asymmetric echo based on iterative decomposition of water and fat (IDEAL-IQ) sequence, each measurement by proton density fat fraction (PDFF) were recorded before and after the treatment value of 20 subjects of height and weight and calculation body mass index (BMI). Results: before treatment, there was no significant difference in the BMI between the control group and the treatment group (P0.05). There was no significant difference in BMI between the control group before and after the treatment (P0.05), and the BMI in the treatment group decreased after treatment, which was significantly different from that before treatment (P0.05). The treatment group of hepatic segments (I, II, III, IV, A, B, IV, V and VI, VII, VIII) PDFF values than before treatment decreased, and II, III and IV of A, B, IV, V and VI, VII and VIII of the PDFF value than those before the treatment statistical significance (P = 0.05), hepatic segments PDFF value decreased by 2.5%, 3.1%, 2.1%, 4.2%, 1.8%, 2.1%, 2.3%, 2.2%, 3.2% respectively. There was no significant difference in PDFF between the control groups after treatment and before treatment (P value was 0.05). Conclusion: the Electroacupuncture of relay race can effectively reduce the liver fat content in abdominal obesity women, and magnetic resonance IDEAL-IQ sequence can evaluate the changes of liver fat content.
【作者单位】：华中科技大学同济医学院附属同济医院放射科;华中科技大学同济医学院附属普爱医院针灸科;
【基金】：国家自然科学基金资助课题(81571642,81371524)
【分类号】：R246.1;R445.2
【正文快照】： 2014年全球约39%的成年人超重,其中女性达到25.7%,肥胖是多种疾病的危险因素,对于女性来说,腹部肥胖是导致女性激素紊乱、月经不调、排卵障碍、胰岛素抵抗、子宫内膜癌等疾病的重要因素[1,2]。针灸在减肥治疗中应用广泛[3,4],相关研究对腹部脂肪的评估局限在体重、腰围等指标,

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