热敏灸治疗脾肾亏虚型单纯性肥胖病30例临床观察

发布时间：2018-03-16 13:22

本文选题：单纯性肥胖病　切入点：热敏灸　出处：《中医杂志》2017年17期 　论文类型：期刊论文

【摘要】：目的观察热敏灸治疗脾肾亏虚型单纯性肥胖病的临床疗效。方法 90例脾肾亏虚型单纯性肥胖病患者随机分为针刺组、热敏灸组及综合组,每组30例。热敏灸组用自制热敏灸艾条,在患者腰骶部及下腹部探寻热敏化腧穴,每次选择2~3个热敏化腧穴施灸,每周治疗5次,每次施灸45 min。针刺组选择中脘、水分、气海、关元、命门、腰阳关及双侧天枢、大横、带脉、脾俞、胃俞、水道等穴位,每次选7~10个穴针刺,用平补平泻手法,留针30 min,留针期间每10 min行针1次,每周治疗5次。综合组给予针刺加热敏灸,方法同上。各组均1个月为1个疗程,治疗3个疗程。记录患者治疗前后体重、腰围、身高,计算体重指数(BMI)、脂肪百分率及腰围身高比,并判定临床疗效。结果各组治疗后体重、BMI、脂肪百分率、腰围身高比均较本组治疗前明显下降(P0.05);治疗后综合组体重、BMI、脂肪百分率、腰围身高比低于针刺组和热敏灸组(P0.05),而针刺组与热敏灸组比较差异无统计学意义(P0.05)。针刺组临床疗效总有效率为73.3%,热敏灸组为76.7%,综合组为86.7%,综合组临床疗效优于针刺组及热敏灸组(P0.05)。结论热敏灸治疗脾肾亏虚型单纯性肥胖病有效,并且与针刺结合疗效更佳。
[Abstract]:Objective to observe the clinical effect of heat sensitive moxibustion on simple obesity with deficiency of spleen and kidney. Methods 90 cases of simple obesity with deficiency of spleen and kidney were randomly divided into acupuncture group, heat sensitive moxibustion group and comprehensive group. 30 cases in each group were treated with self-made heat sensitive moxibustion bar in each group. The patients' lumbosacral region and lower abdomen were selected to explore heat-sensitive acupoints, and 2 ~ 3 heat-sensitive acupoints were selected to be treated 5 times a week for 45 minutes. The acupuncture group was treated with Zhongwan, water, air and sea, and the acupuncture group was treated with moxibustion for 45 minutes. Guan Yuan, Mingmen, Yaoyangguan and bilateral Tianshu, big transverse, belt pulse, spleen Yu, stomach Yu, waterway and other acupoints, each time choose 7 ~ 10 points acupuncture, with flat tonifying and reducing technique, keep needle 30 minutes, during every 10 min needle, Treatment 5 times a week. The comprehensive group was given acupuncture and heating sensitive moxibustion. Methods: each group was treated for 1 month for 3 courses. The weight, waist circumference and height of the patients were recorded before and after treatment. The body mass index (BMI), fat percentage and waist height ratio were calculated, and the clinical efficacy was evaluated. Results after treatment, the body weight, fat percentage and waist circumference height ratio in each group were significantly lower than those before treatment (P 0.05). The ratio of waist circumference to height was lower than that of acupuncture group and heat sensitive moxibustion group, but there was no significant difference between acupuncture group and heat sensitive moxibustion group. The total effective rate of acupuncture group was 73.3%, that of heat sensitive moxibustion group was 76.7%, and that of heat sensitive moxibustion group was 86.7%. Conclusion Thermosensitive moxibustion is effective in treating simple obesity with deficiency of spleen and kidney. And combined with acupuncture is better.
【作者单位】：江西省中医院;
【基金】：江西省卫生厅中医药科研基金(2012A111)
【分类号】：R246.1

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