电针结合饮食控制治疗单纯性肥胖的临床研究

发布时间：2018-07-25 19:42

【摘要】：研究目的探讨电针结合饮食控制治疗单纯性肥胖的临床疗效。通过对单纯性肥胖的患者采用电针结合饮食控制治疗的临床观察,对比电针结合饮食控制与单纯电针、单纯饮食控制治疗单纯性肥胖的疗效,寻找治疗肥胖的最佳方法,提高痊愈率,减少后遗症。研究方法90例单纯性肥胖的患者被随机分为三组,其中30例为接受电针结合饮食控制的治疗,另30例为接受单纯的电针治疗,另30例为接受单纯的饮食控制治疗。经过3个治疗阶段后,评估每一位患者的最终肥胖指数(体重、腰围、臀围、大腿围、小腿围、上臂围、体重指数、体内脂肪比例、内脏脂肪含量)。所有的统计数据均经过SPSS19.0统计软件分析。研究结果经过电针结合饮食控制治疗、单纯电针治疗、单纯饮食控制治疗后,三组患者的体重、腰围、臀围、大腿围、小腿围、上臂围、体重指数、体内脂肪比例、内脏脂肪含量均下降。其中电针结合饮食控制组治疗后患者的体重、腰围、臀围、体重指数、FAT及VFA均下降,前后比较各项指标具有显著性差异(P0.01)。电针组治疗后患者的体重、腰围、臀围、体重指数、FAT及VFA下降,这些指标前后比较差异有显著性(P0.05),大腿围、小腿围、上臂围前后比较各项指标差异无显著性(P0.05)。饮食控制组治疗后患者的体重、腰围、臀围、大腿围、小腿围、上臂围、体重指数、FAT及VFA均下降,但前后比较各项指标差异无显著性(P0.05)。治疗组与对照组1治疗后比较,体重、腰围、臀围、大腿围、小腿围、上臂围、体重指数、FAT及VFA方面,两者比较无统计学意义(P0.05)。但仍说明电针结合饮食控制组减肥疗效在降低某些项肥胖指标方面优于电针组。治疗组与对照组2治疗后比较,体重、腰围、臀围、体重指数、FAT及VFA方面,两者具有显著性差异(P0.01)：大腿围、小腿围、上臂围方面下降值两者差异比较无统计学意义(P0.05)。说明电针结合饮食控制组在降低某些肥胖指标方面明显优于饮食控制组。对照组1与对照组2治疗后比较,体重、腰围、臀围、体重指数、FAT及VFA下降值比较具有显著性差异(P0.05)：大腿围、小腿围、上臂围方面下降值两者差异比较无统计学意义(P0.05)。说明电针组减肥疗效在降低某些肥胖指标方面优于饮食控制组。但是减肥疗效没有电针结合饮食控组显著。三组疗效比较,电针结合饮食控制组总体有效率为93.4%；单纯电针组总体有效率为76.7%；单纯饮食控制组总体有效率为66.7%。这表明电针饮食控制组治疗效果显著。电针结合饮食控制组总有效率高于电针组及饮食控制组,三组总有效率比较x2=19.019、P=0.004、P0.01,具有统计学意义。结论电针结合饮食控制、单纯电针、单纯饮食控制都是治疗单纯性肥胖的有效方法,但电针结合饮食控制的减肥疗效在降低体重、腰围、臀围、体重指数、FAT及VFA方面明显优于单纯电针及饮食控制。
[Abstract]:Objective to investigate the clinical effect of electroacupuncture combined with diet control in the treatment of simple obesity. Through the clinical observation of patients with simple obesity treated by electroacupuncture combined with diet control, the effect of electroacupuncture combined with diet control and simple diet control on simple obesity was compared, and the best method of treating obesity was found. Improve the recovery rate and reduce sequelae. Methods 90 patients with simple obesity were randomly divided into three groups: 30 patients were treated with electroacupuncture combined with diet control, the other 30 patients received simple electroacupuncture therapy and 30 patients received simple diet control therapy. After three stages of treatment, the final obesity index (body weight, waist circumference, hip circumference, thigh circumference, calf circumference, upper arm circumference, body mass index, body fat ratio, visceral fat content) was evaluated in each patient. All statistical data were analyzed by SPSS19.0 statistical software. Results the body weight, waist circumference, hip circumference, thigh circumference, shank circumference, upper arm circumference, body mass index, body fat ratio of the three groups after electroacupuncture combined with diet control therapy, simple electroacupuncture therapy and simple diet control therapy, The content of visceral fat decreased. The body weight, waist circumference, hip circumference, body mass index (BMI), fat and VFA of patients in electroacupuncture combined with diet control group were all decreased after treatment, and there was significant difference between before and after treatment (P0.01). The body weight, waist circumference, hip circumference, body mass index (BMI) and VFA decreased in the electroacupuncture group after treatment. There were significant differences in these indexes before and after treatment (P0.05). There was no significant difference in the thigh circumference, calf circumference and upper arm circumference between the two groups (P0.05). The body weight, waist circumference, hip circumference, thigh circumference, calf circumference, upper arm circumference, body mass index (BMI) and body mass index (VFA) of patients in diet control group decreased after treatment, but there was no significant difference between before and after treatment (P0.05). The body weight, waist circumference, hip circumference, thigh circumference, leg circumference, upper arm circumference, body mass index (BMI) and VFA were not significantly different between the treatment group and the control group after treatment (P0.05). But it still shows that the effect of electroacupuncture combined with diet control group is better than that of electroacupuncture group in reducing some obesity indexes. There were significant differences in body weight, waist circumference, hip circumference, body mass index (fat) and VFA between the treatment group and the control group (P0.01): there was no significant difference between the two groups in thigh circumference, shank circumference and upper arm circumference (P0.05). The results showed that the electroacupuncture combined with diet control group was superior to the diet control group in reducing some obesity indexes. Control group 1 compared with control group 2 after treatment, weight, waist circumference, hip circumference, body mass index, fat and VFA decreased values have significant difference (P0.05): thigh circumference, shank circumference, upper arm circumference decreased values have no statistical significance (P0.05). The results showed that the effect of electroacupuncture on reducing some obesity indexes was better than that of diet control group. But the effect of weight loss was not significant in electroacupuncture combined with diet control group. The total effective rate of electroacupuncture combined with diet control group was 93.44.The total effective rate of simple electroacupuncture group was 76.70.The total effective rate of simple diet control group was 66.7. This indicated that the effect of electroacupuncture diet control group was remarkable. The total effective rate of electroacupuncture combined with diet control group was higher than that of electroacupuncture group and diet control group. Conclusion Electro-acupuncture combined with diet control, simple electroacupuncture and simple diet control are effective methods for the treatment of simple obesity, but the effect of electroacupuncture combined with diet control can reduce body weight, waist circumference and hip circumference. Body mass index (BMI), fat and VFA were superior to electroacupuncture and diet control.
【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】：R246.1

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