耳穴压籽结合针刺治疗脾虚湿阻型代谢综合征的临床观察

发布时间：2018-03-03 14:18

  本文选题：代谢综合征　切入点：针刺疗法　出处：《黑龙江省中医药科学院》2016年硕士论文　论文类型：学位论文

【摘要】：目的本课题观察耳穴压籽结合针刺治疗脾虚湿阻型代谢综合征的临床疗效,以及对其血脂、血糖、血压的影响,为治疗代谢综合征提供有效的治疗方法。方法选取脾虚湿阻型代谢综合征患者60例为研究对象。随机分为治疗组(耳穴压籽结合针刺组)与对照组(针刺组),每组30例。针刺1次/日,周一到周六治疗,周日休息,耳穴压籽隔日一次。每14天为一个疗程。共治疗两个疗程。疗效指标观察包括体重、体重指数(BMI)、腰围、血压、空腹血糖、血脂。结果应用统计学方法进行分析。结果1、两组均可有效改善脾虚湿阻型代谢综合征患者的临床症状,两组间愈显率比较具有显著差异(P0.01),提示治疗组疗效优于对照组。2、两组体重较治疗前对比均有降低,但无统计学意义(P0.05),治疗组体重指数较治疗前对比降低(P0.05),对照组较治疗前对比无差异(P0.05),治疗后两组间对比无差异(P0.05)。3、两组腰围较治疗前对比明显减小(P0.01)。治疗后体重、体重指数和腰围两组间比较无明显差异(P0.05)。4、两组治疗后血压均较治疗前对比明显好转(P0.05)。5、两组血糖和甘油三酯较治疗前对比均有明显降低(P0.01)。治疗组高密度脂蛋白较治疗前对比有改善(P0.05)。治疗组对空腹血糖、甘油三酯和高密度脂蛋的影响优于对照组(P0.05)。结论1、耳穴压籽结合针刺和普通针刺对脾虚湿阻型代谢综合征疗效明确,均可有效改善患者体重、体重指数、腰围。2、耳穴压籽结合针刺和普通针刺均可有效改善脾虚湿阻型代谢综合征患者血压、血脂、空腹血糖。两组血压、血脂、空腹血糖对比对比,耳穴压籽结合针刺优于普通针刺。
[Abstract]:Objective to observe the clinical effect of auricular acupoint pressing seed combined with acupuncture on the metabolic syndrome of spleen deficiency and dampness obstruction, and the effects on blood lipid, blood glucose and blood pressure. In order to provide an effective treatment method for metabolic syndrome, 60 cases of metabolic syndrome with spleen deficiency and dampness obstruction were randomly divided into treatment group (auricular acupoint pressing seed combined with acupuncture group) and control group (acupuncture group, every one). Group A (n = 30). Acupuncture once a day. Monday to Saturday treatment, Sunday rest, ear acupoint seed pressing every other day. Every 14 days as a course of treatment. Two courses of treatment. The therapeutic effects include body weight, body mass index (BMI), waist circumference, blood pressure, fasting blood glucose. Results 1. Both groups could effectively improve the clinical symptoms of the metabolic syndrome of spleen deficiency and dampness resistance. There was significant difference between the two groups (P 0.01), indicating that the curative effect of the treatment group was better than that of the control group, and the body weight of the two groups was lower than that of the control group. However, there was no significant difference between the two groups. The body mass index of the treatment group was lower than that of the pre-treatment group, the control group had no difference compared with the control group before and after treatment, and there was no difference between the two groups after treatment. The waist circumference of the two groups was significantly lower than that of the pre-treatment group. There was no significant difference in body mass index (BMI) and waist circumference between the two groups (P 0.05. 4). The blood pressure of the two groups was significantly improved after treatment than that before treatment. The blood glucose and triglyceride levels in the two groups were significantly lower than those before treatment. Before treatment, there was improvement of P0.050.The treatment group had better effect on fasting blood glucose. The effects of triglyceride and high-density fat egg were better than that of control group (P 0.050.Conclusion 1) the effect of Auricular Point pressing seed combined with Acupuncture and General Acupuncture on spleen deficiency and dampness blocking Metabolic Syndrome can effectively improve the body weight and body mass index of the patients. The blood pressure, blood lipids and fasting blood glucose in patients with syndrome of dampness obstruction due to spleen deficiency can be effectively improved by Auricular acupoint seed pressing combined with Acupuncture and General Acupuncture. The comparison of blood pressure, blood lipid and fasting blood glucose between the two groups is better than that of common acupuncture.
【学位授予单位】：黑龙江省中医药科学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1
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本文编号：1561390