穴位埋线治疗痰湿型肥胖伴糖耐量异常的临床研究

发布时间：2018-05-31 08:49

本文选题：肥胖 + 痰湿　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：目的:通过观察对比穴位埋线法和电针法治疗痰湿型肥胖伴糖耐量异常患者的不同临床疗效,探讨穴位埋线法对患者减肥指数和糖代谢的影响,客观性评价穴位埋线法在临床应用的安全有效性,为在以后的临床治疗工作中提供更为可靠的依据。方法:采用随机数字表法将在安徽省针灸医院招募的60例痰湿型肥胖伴糖耐量异常患者分为两组,穴位埋线治疗组和电针治疗组各30例,对两组患者在治疗一个疗程后和两个疗程后的体重、腰围、体重指数、空腹血糖、OGTT服糖后2小时血糖及临床疗效进行客观性比较分析。结果:治疗结束后显示,穴位埋线法治疗痰湿型肥胖伴糖耐量异常是有效的,在减肥疗效中,穴位埋线组的显效数和有效数各为5例和22例,总有效率为90%,高于电针组83.33%;在降糖疗效中,穴位埋线组显效4例,有效20例,无效6例,电针组显效5例,有效18例,无效7例;埋线组的总有效率为80%,略高于电针组76.67%。在各项指标上比较,埋线组在两个疗程后改善体重、腰围、体重指数和2h PG方面优于电针组,通过数据统计比较差异明显(P0.05),但在降低空腹血糖疗效上两组没有明显差异(P0.05)。结论:总体来说,穴位埋线和电针两种治疗方法治疗痰湿型肥胖伴糖耐量异常都有疗效,均可以减重、减脂和降低血糖。两者虽然在空腹血糖方面差异不明显,但穴位埋线疗法的整体综合评价疗效优于电针疗法,具有塑身、降糖、缩小腰臀围的优势,值得临床推广应用。
[Abstract]:Objective: to observe and compare the different clinical effects of acupoint catgut embedding and electroacupuncture in the treatment of phlegm dampness obesity with impaired glucose tolerance, and to explore the effect of acupoint catgut embedding on the weight loss index and glucose metabolism of the patients. Objective evaluation of acupoint embedding method in clinical application of safety and effectiveness, for the future clinical treatment to provide a more reliable basis. Methods: 60 cases of phlegm dampness obesity with impaired glucose tolerance were randomly divided into two groups: acupoint catgut embedding group and electroacupuncture treatment group (30 cases each). The body weight, waist circumference, body mass index (BMI), fasting blood glucose (FBG), blood glucose (OGTT) and clinical efficacy were compared between the two groups after one course of treatment and two courses of treatment. Results: at the end of the treatment, the acupoint embedding method was effective in treating phlegm dampness type obesity with abnormal glucose tolerance. In the effect of weight loss, the effective number and effective number of acupoint embedding group were 5 cases and 22 cases, respectively. The total effective rate was 90, which was higher than that in the electroacupuncture group (83.33), in the hypoglycemic effect, the acupoint embedding group had remarkable effect in 4 cases, effective in 20 cases, ineffective in 6 cases, electroacupuncture group in 5 cases, effective in 18 cases, ineffective in 7 cases, and the total effective rate in the embedding group was 80%, slightly higher than that in the electroacupuncture group (76.67%). Compared with each index, the improvement of body weight, waist circumference, body mass index and 2h PG in the embedding group was better than that in the electroacupuncture group after two courses of treatment. The statistical difference was significant (P 0.05), but there was no significant difference in the effect of reducing fasting blood glucose between the two groups. Conclusion: in general, both acupoint catgut embedding and electroacupuncture are effective in treating phlegm dampness obesity with abnormal glucose tolerance, both of which can reduce weight, fat and blood sugar. Although there is no significant difference in fasting blood glucose between the two groups, the comprehensive evaluation of acupoint catgut embedding therapy is superior to electroacupuncture therapy. It has the advantages of shaping body, lowering sugar and reducing waist-hip circumference, so it is worth popularizing and applying in clinic.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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