通腑泻热法针刺治疗单纯性肥胖病的临床研究

发布时间：2018-02-11 15:25

本文关键词： 通腑泻热法单纯性肥胖针刺临床研究　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察通腑泻热法针刺治疗单纯性肥胖病的疗效,探讨针刺减肥的有效方案方法:将符合单纯性肥胖标准的辨证为胃肠实热型患者60例随机分为对照组和治疗组每组30例。治疗组:取穴:中脘、天枢、曲池、内庭、上巨虚、合谷、足三里。操作方法:针刺方法,毫针刺,用泻法,留针30分钟,隔日一次,一个月为一疗程,共观察三个疗程。对照组:给口服二甲双胍0.5g Bid,一月为一疗程,共三个疗程。结果:经过治疗后的数据分析,两组对于此类肥胖皆有明显的疗效,其中治疗组在改善体重指数(BMI)、腰围、腰臀比值以及血脂方面优于对照组(P0.05、P0.001、P0.05)。体脂百分率(F%)在治疗组疗效优于对照组(P=0.002),可有改善。血脂在治疗组的治疗前后比较,甘油三酯与总胆固醇的P=0.004,0.018,P均0.05,具有统计学意义。临床两组总疗效比较;治疗组分别为痊愈9.08%、显效36.33%、有效45.47%、无效9.09%,总有效率是90.89%;对照组分别为痊愈5.00%、显效15.20%、有效54.52%、无效27.34%,总有效率是72.73%,且其差异有显著性意义(P0.05)。各项数据统计结果说明治疗组在改善各观察指标数值方面有显著效果,且总疗效优于对照组。结论:通腑泻热法针刺治疗单纯性肥胖病胃肠实热证具有显著疗效。可有效降低食欲,减少饮食的摄入,并能明显降低血脂水平。
[Abstract]:Objective: to observe the curative effect of acupuncture on treating simple obesity with the method of unblocking Fu and purging heat. To explore the effective scheme of acupuncture for weight loss: 60 patients with gastrointestinal solid heat type were randomly divided into control group and treatment group with 30 cases in each group. The treatment group: taking points: Zhongwan, Tianshu, Quchi, inner atrium, Shangzuxu, Hegu, Zusanli. Operation method: acupuncture, Milliform Acupuncture, diarrhea, retention of Needle 30 minutes, every other day as a course of treatment, a total of three courses of treatment were observed. Control group: oral administration of metformin 0.5g Bidd, January as a course of treatment, Results: after the data analysis, the two groups had significant effect on this kind of obesity, and the treatment group was improving the body mass index (BMI), the waist circumference, and the body mass index (BMI), the waist circumference, the body mass index (BMI) and the waist circumference. The ratio of waist to hip and blood lipid in the treatment group were better than that in the control group in terms of P 0.05, P 0.001, P 0.05, and the percentage of body fat was better than that in the control group, which was better than that in the control group, and could be improved. The blood lipids in the treatment group were compared before and after treatment. Triglyceride and total cholesterol (P 0.004) 0.018 (P = 0.05) were statistically significant. The total curative effect was compared between the two groups. The total effective rate was 90.89 in the treatment group, 5.00 in the control group, 15.20 in the control group, 54.52 in the effective 54.52, and 27.34 in ineffectiveness, the total effective rate was 72.735.The difference between the two groups was significant (P 0.05). The therapeutic group had significant effect in improving the values of the observed indexes. The total curative effect was better than that in the control group. Conclusion: acupuncture with the method of clearing the Fu and reducing heat has a remarkable effect on treating simple obesity with solid heat of stomach and intestines, which can effectively reduce appetite, reduce the intake of diet, and obviously reduce the level of blood lipids.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

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