针灸对单纯性肥胖症伴血尿酸增高影响的临床研究

发布时间：2018-08-02 21:25

【摘要】：目的:对单纯性肥胖症伴血尿酸增高患者进行干预治疗并作治疗4周疗效观察,探讨针灸对单纯性肥胖症伴血尿酸增高患者体质量、体重指数、腹围、腰臀比和血尿酸的近期影响。方法:将符合条件的40例观察对象随机分为治疗组(针灸组)和对照组(饮食控制与运动组),每组20例。针灸组:在针刺治疗的基础上予饮食控制及适当运动。取穴均选取双侧公孙、支沟、大横、天枢、合谷、丰隆。治疗组患者治疗均留针30min,每日1次,每周6次,休息1天,共治疗4周。治疗组和对照组均在营养科医师指导下进行饮食控制,制定具体饮食处方及运动疗法。所有观察对象均记录患者治疗前、治疗4周后的体质量、体重指数、腹围、腰臀比并进行统计学分析,同时记录患者治疗前、治疗4周后血尿酸值并进行统计学分析。结果:1.治疗组治疗前后比较,治疗组体质量、体重指数降低(p0.01),差异有统计学意义,腹围、腰臀比(p0.05),无统计学意义。对照组体质量、体重指数降低(p0.05),差异有统计学意义,腹围、腰臀比(p0.05),无统计学意义。两组血尿酸值降低(p0.01)。2.组间比较:治疗后比较治疗组较对照组体质量、体重指数降低(p0.05),血尿酸值下降明显(p0.01),差异有统计学意义,腹围、腰臀比(p0.05),无统计学意义。结论:本研究证实针灸能有效减轻单纯性肥胖症伴血尿酸增高患者的体质量、减少体重指数及降低血尿酸值,有较好的近期疗效,优于单纯饮食运动控制,实现健康减肥、降低血尿酸。
[Abstract]:Objective: to observe the therapeutic effect of acupuncture and moxibustion on body mass, body mass index and abdominal circumference of patients with simple obesity with elevated serum uric acid for 4 weeks. Recent effects of waist-to-hip ratio and serum uric acid. Methods: 40 subjects were randomly divided into treatment group (acupuncture group) and control group (diet control and exercise group) with 20 cases in each group. Acupuncture group: on the basis of acupuncture treatment, diet control and proper exercise. The acupoints were selected from both sides of Gongsun, Zhigou, Dayeng, Tianshu, Hegu, Fenglong. The patients in the treatment group were treated with acupuncture for 30 mins, once a day, 6 times a week, rest for 1 day, for 4 weeks. Both the treatment group and the control group were given diet control under the guidance of dietetics doctors, and specific diet prescriptions and exercise therapy were formulated. All the subjects recorded the body mass, body mass index, abdominal circumference, waist-hip ratio before and after treatment for 4 weeks, and recorded the blood uric acid value before and after treatment for 4 weeks. The result is 1: 1. Treatment group before and after treatment, the treatment group body mass, body mass index decreased (p0.01), the difference was statistically significant, abdominal circumference, waist to hip ratio (p0.05), there was no statistical significance. In the control group, the body mass and body mass index decreased (p0.05), but the abdominal circumference and waist-to-hip ratio (p0.05) were not statistically significant. The serum uric acid value of the two groups decreased (p0.01). Comparison between groups: compared with the control group after treatment, the body mass, body mass index, blood uric acid value of the treatment group decreased significantly (p0.01), the difference was statistically significant, abdominal circumference, waist-to-hip ratio (p0.05), there was no statistical significance. Conclusion: this study proved that acupuncture and moxibustion can effectively reduce the body mass, body mass index and blood uric acid value of patients with simple obesity with elevated serum uric acid. It has a good short-term effect and is superior to simple diet and exercise control to achieve healthy weight loss. Reduce serum uric acid.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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