赖氏通元针法治疗脾虚湿阻型单纯性肥胖的临床研究

发布时间：2018-05-17 05:03

本文选题：赖氏通元针法 + 针刺　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的：本研究通过观察通元针法治疗脾虚湿阻型单纯性肥胖的临床疗效,探讨针刺治疗单纯性肥胖的可能作用机理,为针刺疗法治疗肥胖病提供创新的临床思路和严谨的科研资料,使单纯性肥胖的取穴及治疗过程更科学和规范,探索更有效、更简易、更安全、更持久、更适合患者的治疗方法,缓解病人的痛苦。方法：本研究筛选出符合纳入标准的60名患者,随机分配到治疗组及对照组。治疗组采用赖氏通元针法治疗,对照组采用常规针刺治疗。两组均一周治疗2次,每次治疗间隔2-3日,4周为一疗程。本研究临床观察1个疗程,观察结束后1个月随访一次,以观察疗效的持续性。治疗前后,测量受试者体重、身高、腰围、臀围等物理指标进行评价,计算BMI数值,并结合治疗后上述指标的变化进行疗效评定。采用SPSS20.0统计软件对数据加以分析。成果：治疗组(通元针法组)和对照组(常规针刺组)各有30例,治疗过程中病例无脱落。统计结果显示,两组在性别、年龄和病程方面无统计学意义,均具有可比性。通元针法组和常规针刺组在治疗后,体重、BMI、腰臀比和中医证候明显改善,与治疗前对比具有显著差异。对比两组治疗后的结果,两组在降低体重和BMI方面没有显著差异。而在改善腰臀比和中医证候方面,则治疗组疗效优于对照组。随访时,治疗组和对照组治疗结束后体重仍有显著下降,BMI有明显改善,提示两组均有显著的远期疗效,但两组远期疗效对比没有显著差异。根据疗效评定标准,疗程结束后,治疗组临床痊愈14例,显效7例,有效8例,无效1例,总有效率96.67%；对照组临床痊愈10例,显效9例,有效7例,无效4例,总有效率86.67%。两组疗效整体比较经致和检验,差异无统计学意义,可以认为两组疗效没有明显差异。但是通元针法对比常规针刺法在愈显率和总有效率更加突出,提示通元针法在治疗脾虚湿阻型单纯性肥胖上有优于常规针刺的趋势。结论：通元针法可以明显降低患者体重、BMI、腰臀比和中医证候积分,改善脾虚湿阻型单纯性肥胖。而且在腰臀比和中医证候的改善方面,治疗组明显比对照组疗效突出。虽然两组的整体疗效对比没有显著差异,但是通元针法组的愈显率和总有效率更高,提示通元针法在治疗脾虚湿阻型单纯性肥胖上有优于常规针刺的趋势。赖氏通元针法是以“治本”为法则的创新性针灸处方体系,是整体观指导下针灸治疗全身疾病的优势方法,具有轻灵、无痛、疗效迅速的特点,法活机圆,配伍精契,是一种更有效、更简易、更安全、更持久的针刺治疗单纯性肥胖方法,可以明显缓解病人的痛苦。
[Abstract]:Objective: to observe the clinical effect of Tongyuan acupuncture in treating simple obesity with spleen deficiency and dampness obstruction, and to explore the possible mechanism of acupuncture in treating simple obesity. To provide innovative clinical thinking and rigorous scientific research data for acupuncture therapy in the treatment of obesity, so as to make the collection and treatment of simple obesity more scientific and standardized, and to explore more effective, simple, safe and lasting. More suitable for the treatment of patients, ease the pain of patients. Methods: 60 patients who met the inclusion criteria were randomly assigned to the treatment group and the control group. The treatment group was treated with Lai's Tongyuan acupuncture method, and the control group was treated with routine acupuncture. The two groups were treated twice a week with 2-3 days and 4 weeks as a course of treatment. In this study, a course of clinical observation, 1 month follow-up after observation, to observe the persistence of curative effect. Before and after treatment, the physical indexes such as weight, height, waist circumference and hip circumference were measured, and BMI values were calculated. The data were analyzed by SPSS20.0 software. Results: there were 30 cases in treatment group (Tongyuan acupuncture group) and 30 cases in control group (routine acupuncture group). The statistical results showed that there was no significant difference in sex, age and course of disease between the two groups. After treatment, BMI, WHR and TCM syndromes in Tongyuan acupuncture group and routine acupuncture group were significantly improved, and there was significant difference between before treatment and before treatment. There was no significant difference in weight loss and BMI between the two groups after treatment. In improving waist-hip ratio and TCM syndrome, the curative effect of the treatment group was better than that of the control group. At the end of follow-up, the weight loss and BMI of the treatment group and control group were significantly improved, indicating that there was a significant long-term effect in both groups, but there was no significant difference in the long-term effect between the two groups. According to the evaluation criteria, 14 cases were cured, 7 cases were effective, 8 cases were effective, 1 case was ineffective, the total effective rate was 96.677.In the control group, 10 cases were cured, 9 cases were effective, 7 cases were effective, 4 cases were ineffective, and the total effective rate was 86.67%. There was no significant difference between the two groups. But compared with conventional acupuncture, Tongyuan acupuncture has more obvious effect rate and total effective rate, suggesting that Tongyuan acupuncture has a better tendency than conventional acupuncture in treating spleen deficiency dampness and dampness obstruction type simple obesity. Conclusion: Tongyuan acupuncture method can significantly reduce the weight of patients with BMI, WHR and TCM syndrome score, and improve the spleen deficiency and dampness resistance of simple obesity. Moreover, the treatment group was more effective than the control group in improving waist-hip ratio and TCM syndrome. Although there was no significant difference between the two groups in the overall curative effect, the effective rate and the total effective rate of the Tongyuan acupuncture group were higher than those of the traditional acupuncture group, which suggested that the Tongyuan acupuncture method was superior to the conventional acupuncture method in the treatment of simple obesity with spleen deficiency and dampness obstruction. Lai's Tongyuan acupuncture is an innovative acupuncture and moxibustion prescription system based on the principle of "treating the root cause". It is an advantage method of acupuncture and moxibustion in the treatment of systemic diseases under the guidance of the holistic view. It has the characteristics of light, painless and rapid curative effect. It is a more effective, simple, safe and lasting acupuncture therapy for simple obesity, which can significantly alleviate the pain of patients.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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