穴位埋线结合温针灸治疗脾虚湿盛型单纯性肥胖症的临床观察

发布时间：2018-05-18 03:30

本文选题：穴位埋线 + 大横温针灸　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：本研究观察、评价穴位埋线结合大横穴温针灸治疗脾虚湿盛型单纯性肥胖症的临床疗效,为治疗脾虚湿盛型单纯性肥胖症提供一种可供临床选择的治疗方法。方法：采用随机对照研究方法将60例符合纳入排除标准的脾虚湿盛型单纯性肥胖患者随机分为治疗组与对照组,每组各30例患者。治疗组采取穴位埋线结合大横穴温针灸疗法治疗,对照组只进行基础干预,不施加任何治疗。治疗结束后对两组患者治疗前后的体重指数、肥胖度、体重、腰臀比、腰围等指标进行对比分析评价疗效。结果：在研究过程中共脱落病例3例,其中治疗组脱落1例,对照组脱落2例,其余57例均完成全过程。分析结果显示：治疗组与对照组疗效比较,治疗组总有效率(93.10%)明显高于对照组(3.57%),经秩和检验后P0.05,两组疗效有统计学差异；治疗后治疗组与对照组BMI经t检验,P0.05,有统计学差异,且治疗后治疗组BMI均值(28.99)小于治疗后对照组的BMI均值(31.66)和治疗组治疗前BMI的均值(32.18),说明治疗组治疗方法能减小脾虚湿盛型单纯性肥胖患者BMI;治疗后两组间体重经成组t检验,P0.05,有统计学差异,且治疗后治疗组体重均值(75.64)小于对照组治疗后均值(82.34)和治疗组治疗前体重均值(83.95),说明穴位埋线结合大横温针灸能降低患者体重；治疗后两组间肥胖度经成组t检验,P0.01,有统计学差异,且治疗后治疗组肥胖度均值(0.3736)小于对照组治疗后肥胖度均值(0.5005)和治疗组治疗前肥胖度均值(0.5278),说明穴位埋线结合大横温针灸能降低患者肥胖度；治疗后两组间腰围、臀围、腰臀比经成组t检验,P0.05,有统计学差异；说明治疗组治疗方法治脾虚湿盛型单纯性肥胖症有效,能降低患者体重、体重指数、肥胖度、腰臀围及腰臀比的值。结论：1、穴位埋线结合大横穴温针灸治疗脾虚湿盛型单纯性肥胖具有确切的疗效。2、治疗过程中均未出现严重不良反应,该治疗方法治疗脾虚湿盛型单纯性肥胖症安全高效。3、穴位埋线结合大横温针灸的治疗方法治疗脾虚湿盛型单纯性肥胖患者具有疗效确切、安全、操作简单、耗时少等优点,适宜在临床中运用和推广。
[Abstract]:Objective: to evaluate the clinical effect of acupoint catgut embedding combined with heat moxibustion on spleen deficiency and dampness syndrome, and to provide a method for treating simple obesity with spleen deficiency and dampness. Methods: 60 cases of simple obesity with spleen deficiency and dampness were randomly divided into treatment group and control group with 30 patients in each group. The treatment group was treated with acupuncture and moxibustion combined with acupoint embedding and point warming, while the control group was treated only with basic intervention without any treatment. Body mass index, fat degree, weight, waist-to-hip ratio and waist circumference were compared before and after treatment. Results: in the course of the study, there were 3 cases of shedding, including 1 case in the treatment group, 2 cases in the control group, and 57 cases in the other 57 cases. The results showed that the total effective rate of the treatment group was significantly higher than that of the control group (P 0.05, P 0.05), and the BMI of the treatment group and the control group was significantly higher than that of the control group (P 0.05, t test, P 0.05), and the total effective rate of the treatment group was significantly higher than that of the control group (P 0.05). The mean value of BMI in the treatment group (28.99) was lower than that in the control group (31.66) and that in the treatment group before treatment (32.18g), which indicated that the treatment method in the treatment group could reduce the weight of the simple obesity patients with spleen deficiency and dampness, and the weight between the two groups was significantly lower than that in the control group. There was statistical difference in group T test (P 0.05). After treatment, the mean weight of the treatment group was 75.64) less than that of the control group (82.34) and the treatment group before treatment (83.95), which indicated that acupoint embedding combined with large transverse temperature acupuncture could reduce the weight of the patients. After treatment, the fat degree of the two groups was significantly higher than that of the control group (P 0.01). After treatment, the mean value of fat and fat degree in the treatment group was 0.3736) lower than that in the control group (0.5005) and in the treatment group before treatment, the mean value of fat and fat degree was 0.5278g, indicating that acupoint catgut embedding combined with great transverse temperature acupuncture could reduce the fat degree of the patients, and the waist circumference and hip circumference between the two groups after treatment were lower than those in the control group. The results showed that the treatment method of the treatment group was effective in treating simple obesity with spleen deficiency and dampness, and could reduce the body weight, body mass index, fat degree, waist-hip circumference and waist-hip ratio of the patients. Conclusion the treatment of simple obesity caused by spleen deficiency and dampness is effective in the treatment of simple obesity of spleen deficiency and dampness. There is no serious adverse reaction during the treatment. This treatment method is safe and effective in the treatment of simple obesity with spleen deficiency and dampness. It is safe, simple and time-consuming to treat simple obesity with spleen deficiency and dampness. It is suitable for clinical application and popularization.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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