电针结合有氧运动及饮食干预治疗胃热湿阻型单纯性肥胖的临床观察

发布时间：2018-01-29 09:10

本文关键词： 电针有氧运动饮食干预单纯性肥胖　出处：《湖北中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过电针结合有氧运动及饮食干预对胃热湿阻型单纯性肥胖患者进行疗效观察,经统计分析作出客观的疗效评价,为临床运用提供治疗依据。方法:本研究对象来自2014年4月~2015年10月湖北省中医院针灸科门诊部就诊的患者,并符合胃热湿阻型单纯性肥胖的纳入标准,共64例,按照随机数字表法分为对照组和电针组,治疗期间由于各种原因有3例脱失,最终完成有效统计病例为对照组30例,电针组31例。对照组的治疗方案:?针刺治疗:选取关元、水分、气海、中脘穴与双侧天枢、水道、大横、带脉、足三里、三阴交、丰隆等穴位,患者采仰卧位,穴位常规消毒后,用0.30×40mm一次性无菌针灸针直刺穴位约1寸左右,施平补平泻手法,留针30分钟,每天1次,15次为1个疗程,疗程之间间隔1天,共治疗3个疗程,女性治疗期间避开月经期;○2饮食干预:依据2007年《中国居民膳食指南》,对受试者进行三餐进食量比例与进食种类干预,三餐进食量比例分别为30%,45%,25%,三餐进食种类则是早餐以蛋白质、碳水化合物、维生素为主,午餐以碳水化合物、蛋白质、脂肪、纤维素、维生素为主,晚餐以碳水化合物、维生素、纤维素为主;○3有氧运动:患者治疗期间须每天进行30分钟的有氧运动,主要以快走或慢跑的形式进行。电针组的治疗方案:?电针治疗:在对照组的针刺治疗基础上加用电针,选用G6805-2A电针仪,连接穴位分别为水分-中脘,气海-关元与双侧天枢-水道(同侧纵向连接),共4组,采疏密波脉冲刺激,以患者能耐受的刺激强度为宜,留针30分钟,每天1次,15次为1个疗程,共治疗3个疗程,每个疗程之间患者休息1天,女性治疗期间避开月经期;○2饮食干预与○3有氧运动同对照组。分别观察两组每个疗程治疗前后的患者体重、BMI、F%、腰围、臀围、WHR、上臂围及股围,并用统计学软件分析以上数据作出结论。结果:(1)两组治疗后体重、BMI及体脂率比较:电针组(P0.01)及对照组(P0.05)均能明显有效降低患者的体重、BMI及体脂率,且电针组效果优于对照组。(2)两组治疗后腰围、臀围、腰臀比比较:电针组(P0.01)与对照组(P0.05)均能有效降低患者的腰围、臀围、腰臀比,且电针组在改善腰围、臀围及腰臀比的效果明显优于对照组(P0.01)。(3)两组治疗后上臂围及股围比较:治疗结束后两组患者的上臂围及股围较治疗前无显著差异(P0.05),表明两组治疗方案对降低患者上臂围与股围的效果不明显。(4)两组临床疗效比较:电针组总有效率为87.10%,对照组为70.00%,两组总体疗效差异具有统计学意义,表明电针组总体疗效优于对照组(P0.05)。结论:1.电针结合有氧运动及饮食干预的总体疗效在降低胃热湿阻型单纯性肥胖患者的体重、BMI、体脂率、腰围、臀围及腰臀比方面的效果均明显优于对照组。2.结果表明电针结合有氧运动及饮食干预是具临床效果的减肥方法,其简便易行,值得临床推广运用。
[Abstract]:Objective: to observe the curative effect of electroacupuncture combined with aerobic exercise and diet intervention in patients with simple obesity of stomach heat dampness resistance and make objective evaluation by statistical analysis. Methods: from April 2014 to October 2015, the subjects of this study were patients from the Department of Acupuncture and moxibustion of Hubei Provincial Hospital of traditional Chinese Medicine. 64 cases were divided into control group and electroacupuncture group according to random digital table. 3 cases were lost during treatment because of various reasons. 30 cases in control group and 31 cases in electroacupuncture group. Acupuncture treatment: select Guan Yuan, water, Qihai, Zhongwan point and bilateral Tianshu, waterway, big transverse, belt pulse, Zusanli, Sanyinjiao, Fenglong and other acupoints, patients take supine, point routine disinfection. With 0.30 脳 40mm sterility acupuncture needle straight needling about 1 inch, Shi Ping Buping Xialu manipulation, keep needle 30 minutes, once a day 15 times as a course of treatment, the interval between the course of treatment is 1 day. A total of 3 courses of treatment, women avoid menstrual period during treatment; 02 Diet intervention: according to the Chinese residents' Dietary Guide in 2007, the proportion of three meals intake and the type of food intake were 30% 45% and 25% respectively. Three kinds of meals are breakfast with protein, carbohydrates, vitamins mainly, lunch with carbohydrates, protein, fat, cellulose, vitamin based, dinner with carbohydrates, vitamins. Cellulose; 03 aerobic exercise: patients should do 30 minutes of aerobic exercise every day during treatment, mainly in the form of fast walking or jogging. Electroacupuncture treatment: on the basis of acupuncture treatment in the control group, electroacupuncture was added to the control group. G6805-2A electroacupuncture instrument was used to connect the acupoints for water and Zhongwan, respectively. There were 4 groups (ipsilateral longitudinally connected with each other). The intensity of the stimulation was suitable for the patient to tolerate, the needle was kept for 30 minutes, 15 times a day as a course of treatment. A total of 3 courses of treatment, patients between each course of rest for 1 day, women avoid menstrual period during treatment; 02 diet intervention and 03 aerobic exercise were compared with the control group. The body weight of patients before and after each course of treatment was observed respectively, including BMIF, waist circumference, hip circumference, upper arm circumference and femoral circumference. Statistical software was used to analyze the above data to draw a conclusion. Results: 1) weight after treatment. Comparison of BMI and body fat rate: electroacupuncture group (P0.01) and control group (P0.05) could significantly reduce the body weight and body fat rate. The effect of electroacupuncture group was better than that of control group. 2) after treatment, the waist circumference, hip circumference and waist-to-hip ratio of the electroacupuncture group were better than those of the control group (P 0.01) and the control group (P 0.05) all could effectively reduce the waist circumference and hip circumference of the patients. Waist-to-hip ratio, and electroacupuncture group in improving waist circumference. The effect of hip circumference and waist-to-hip ratio was significantly better than that of control group (P0.01. 01). Comparison of upper arm circumference and femoral circumference after treatment: there was no significant difference in upper arm circumference and femoral circumference between the two groups after treatment. P0.05). The results showed that the curative effect of the two groups on reducing the upper arm circumference and femoral circumference was not obvious.) the total effective rate of the electroacupuncture group was 87.10 and that of the control group was 70.00%. The difference of total curative effect between the two groups was statistically significant. The results showed that the total curative effect of electroacupuncture group was better than that of control group (P 0.05). Conclusion 1. The total curative effect of electroacupuncture combined with aerobic exercise and diet intervention can reduce the body weight and BMI of the patients with simple obesity of the type of stomach heat and dampness resistance. Body fat rate, waist circumference, hip circumference and waist-to-hip ratio were significantly better than the control group. 2. The results showed that electroacupuncture combined with aerobic exercise and diet intervention is a simple and easy way to lose weight. It is worth popularizing in clinic.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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