刮痧结合拔罐疗法治疗单纯性肥胖症的临床疗效观察

发布时间：2018-03-15 18:17

本文选题：单纯性肥胖　切入点：刮痧　出处：《南京中医药大学》2016年博士论文　论文类型：学位论文

【摘要】：[背景]肥胖是由于机体热量摄入大于消耗,导致脂肪在体内积聚过多或分布异常,与身体疾病、代谢障碍等原因无关。肥胖不仅从外形上影响美感,还会引起多种并发症。随着社会的发展,肥胖患者有急剧增加的趋势。因此,单纯性肥胖症的预防和治疗至关重要。现代医学对于肥胖的治疗方法以饮食疗法、运动疗法、行为修正疗法为主。相较于上述疗法,中医疗法更容易得到患者的认可和接受。关于中医治疗肥胖的研究报道有很多,有单一疗法,也有多种疗法联合治疗。其中,刮痧疗法简单无副作用,且不会带来严重的痛感,被认为是一种男女老少都适用的肥胖治疗方法。临床多采用刮痧结合拔罐治疗单纯性肥胖,为观察刮痧结合拔罐疗法与单一刮痧疗法对于单纯性肥胖的疗效比较,因此开展了本研究。[目的]本研究的目的是观察刮痧结合拔罐疗法对单纯性肥胖症的临床疗效与安全性,并与单一刮痧疗法进行比较,为临床应用提供依据,为进一步规范化研究奠定基础。[方法]将符合入组标准的60名单纯性肥胖症女性随机分为治疗组和对照组。治疗组接受每周1次刮痧结合拔罐疗法,对照组接受单独刮痧疗法。12周干预后检查干预前后的身体构成变化,血液变化,身体满意度变化。收集数据使用SPSS18.0统计软件进行统计分析,以P0.05为差异有统计学意义。计量资料符合正态分布,两组组间比较采用T检验,各组治疗前后比较用配对T检验。两组干预周期不同时间点之间观察指标的比较使用重复测量设计资料的方差分析方法。[结果]1身体构成变化(1)刮痧结合拔罐疗法可降低单纯性肥胖患者的体重、体脂肪量、BMI、体脂肪率、肥胖度、腰围、臀围、腹部皮下脂肪厚度和WHR,增加患者肌肉量和BMR(P.05)。(2)单纯刮痧疗法也可降低单纯性肥胖患者的体重、体脂肪量、BMI、体脂肪率、肥胖度、腰围、臀围、腹部皮下脂肪厚度和WHR,|增加患者肌肉量和BMR(P0.05)。(3)在降低患者腹部皮下脂肪厚度方面,刮痧结合拔罐疗法优于单纯刮痧疗法(P0.05)。(4)刮痧结合拔罐疗法治疗单纯性肥胖的总有效率为83.3%,单纯刮痧疗法的总有效率为80.3%,两组治疗方法的疗效差异无统计学意义(P0.05),即两组疗效相当。2血液变化刮痧结合拔罐疗法可降低血中总胆固醇和甘油三酯(P0.05)。单一刮痧疗法可降低甘油三酯(P0.05)。3身体满意度变化刮痧结合拔罐疗法及单一刮痧疗法对增加BCS指数,降低BET指数,提高自我身体满意度均有效。但是,刮痧结合拔罐疗法比单一刮痧疗法在降低BET分数上更有效(P0.05)。[结论]综上所述,刮痧结合拔罐疗法与单一刮痧疗法均可有效引起单纯性肥胖患者身体组成变化及血脂数值的变化。但在降低腹部脂肪厚度和提高自我满意度方面,刮痧结合拔罐疗法更具优势。
[Abstract]:[background] obesity is caused by the body's calorie intake is greater than consumption, leading to excessive accumulation of fat in the body or the abnormal distribution, and physical diseases, for reasons unrelated to metabolic disorders. Obesity not only from the appearance effect of beauty, but also cause a variety of complications. With the development of society, obesity patients increase rapidly. Therefore, prevention and the treatment is simple obesity. Modern medicine for the treatment of obesity by diet therapy, exercise therapy, behavior modification therapy. Compared with the above therapy, Chinese medicine therapy is more likely to be recognized and accepted by patients. On TCM treatment of obesity has a lot of research reports, a single therapy, there are a variety of therapies. The simple scraping therapy without side effects, and will not cause serious pain, is considered as a treatment for obesity everyone applies. Clinical use scraping combined with Cupping treatment of simple obesity, in order to observe the scraping scraping therapy combined with cupping therapy and single comparison for the therapy of simple obesity, we conduct this research. The purpose of this research was to observe the scraping combined with cupping therapy clinical curative effect and safety of simple obesity, and single therapy and scraping comparison, provide the basis for the clinical application for further research on the standardization of lay the foundation. Methods: meet the inclusion criteria for 60 simple obesity women were randomly divided into treatment group and control group. The treatment group received 1 times a week of scraping combined with cupping therapy group received single.12 weeks before and after the dry scraping therapy prognosis intervention body composition changes, blood change control, body satisfaction changes. Collected data were analyzed using SPSS18.0 statistical software, using P0.05 as the difference was statistically significant. Measurement data with normal distribution, Between the two groups using T test, before and after treatment were compared using the paired T test. The variance between the two groups at different time points to observe the intervention period index were compared using repeated measurement data analysis method. Results]1 body composition changes (1) scraping combined with cupping therapy can reduce obesity in patients with body weight, body fat mass, BMI, body fat rate, degree of obesity, waist circumference, hip circumference, abdominal subcutaneous fat thickness and WHR, increase the patient's muscle mass (P.05) and BMR (2). Simple scraping therapy can also reduce obesity in patients with body weight, body fat mass, BMI, body fat rate, degree of obesity, waist circumference, hip circumference. Abdominal subcutaneous fat thickness and WHR, increase the amount of muscle and | patients with BMR (P0.05). (3) in patients with lower abdominal subcutaneous fat thickness, scraping and cupping therapy is better than simple scraping therapy (P0.05). (4) scraping combined with cupping therapy for treatment of simple obesity of the total effective The rate is 83.3%, only scraping therapy the total effective rate was 80.3%, no significant differences in the efficacy of the two groups of treatment (P0.05), the two group efficacy.2 blood change scraping combined with cupping therapy can reduce blood cholesterol and triglyceride (P0.05). Single scraping therapy reduces the levels of triglyceride (P0.05).3 body satisfaction the change of scraping combined with cupping therapy and single scraping therapy to increase the BCS index, BET index decreased, improve the self body satisfaction are effective. However, scraping combined with cupping therapy than single scraping therapy in reducing the BET scores more effective (P0.05). Conclusion: in summary, scraping combined with cupping therapy and single scraping therapy can effectively cause changes in obesity the patient's body composition and blood lipid numerical changes alone. But in the aspect of reducing abdominal fat thickness and improve the self satisfaction, scraping combined with cupping therapy has more advantages.

【学位授予单位】：南京中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R244

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