火针治疗痰湿闭阻型单纯性肥胖症的临床研究
发布时间：2018-11-03 20:33
【摘要】：目的：研究火针对痰湿闭阻型单纯性肥胖症患者体重、腰围、臀围、体质指数、脂肪率、腰臀比值的影响,对比火针治疗痰湿闭阻型单纯性肥胖症与常规针刺治疗痰湿闭阻型单纯性肥胖症的临床疗效,为临床提供更为有效的治疗手段。研究方法：1.2014年6月至2015年12月在黑龙江中医药大学附属第二医院针灸五门诊和病房选取60例痰湿闭阻型单纯性肥胖患者,年龄在25-55周岁之间,采用随机数字表法随机分为治疗组和对照组,治疗组采用火针治疗,对照组采用常规针刺治疗,每组各30人。2.治疗组取穴为天枢、中脘、阴交、外陵、滑肉门、水分、带脉、大横、曲池、足三里,每周二和周五各采用火针治疗一次,一周两次,共治疗8周；对照组取穴为中脘、水分、关元、天枢、曲池、支沟、内庭、丰隆、上巨虚、阴陵泉、内关、足三里,采用常规针刺治疗,每周连续针刺5天,周六、周日休息2天再继续针刺,共治疗8周。3.分别于治疗前和治疗结束后测量与记录患者的身高、体重、腰围、臀围、体质指数(BMI)、脂肪率(F%)、腰臀比值。所得数据均用SPSS 17.0软件进行统计学分析。结果：1.两组患者年龄和治疗前体重、腰围、臀围、体重指数(BMI)、脂肪率(F%)、腰臀比值采用独立样本t检验,两组年龄和治疗前体重、腰围、臀围、体重指数(BMI)、脂肪率(F%)、腰臀比值的差异无统计学意义(P0.05),具有可比性。2.两组患者性别采用χ2检验,两组性别构成差异无统计学意义(P0.05),具有可比性。3.治疗结束后,组内治疗前后比较采用配对t检验,治疗组与对照组治疗前后的体重、腰围、臀围、体重指数(BMI)、脂肪率(F%)、腰臀比值比较具有统计学意义(P0.05)存在着显著差异(P0.05)。4.治疗结束后,组间治疗后比较采用独立样t本检验,统汁结果表明,治疗组与对照组治疗后体重、腰围、体重指数(BMI)、脂肪率(F%)、腰臀比值比较及其差值的比较具有统计学意义(P0.05),存在着显著差异。治疗后臀围值比较没有统计学意义(P0.05),臀围差值比较有统计学意义(P0.05),表明治疗组与对照组在减少臀围方面存在显著差异。5.两组总有效率比较采用χ2检验,治疗组总有效率93.3%,对照组总有效率76.67%。治疗组与对照组比较,差异具有统计学意义(P0.05)。结论综上所述,治疗组(火针治疗组)和对照组(常规针刺组)对于痰湿闭阻型单纯性肥胖均有良好的治疗效果。其中火针治疗组能显著降低痰湿闭阻型单纯性肥胖患者的体重,体质指数,脂肪率,臀围,腰围以及腰臀比,故可以说明火针对于降低痰湿闭阻型单纯性肥胖患者的体重、体质指数、脂肪率、腰围、臀围以及腰臀比的效果较常规针刺组好。火针疗法利用温热刺激,既可开启经络的外门,从而使病邪有出路,又加上其能促进气血运行,达到健脾益气除湿的作用,从而达到治疗痰湿闭阻型单纯性肥胖的目的。
[Abstract]:Objective: to study the effects of fire on body weight, waist circumference, hip circumference, body mass index, fat rate and waist-hip ratio in patients with simple obesity with phlegm-dampness blockage. To compare the clinical effect of fire acupuncture on phlegm dampness blocking type simple obesity and routine acupuncture on phlegm dampness blocking type simple obesity, and to provide a more effective treatment method for clinical treatment. Methods: 1. From June 2014 to December 2015, 60 patients with simple obesity, aged 25-55 years, were selected from the Fifth Clinic of Acupuncture and moxibustion, affiliated to the second Hospital of Heilongjiang University of traditional Chinese Medicine. The treatment group was treated with fire acupuncture and the control group was treated with conventional acupuncture, with 30 persons in each group. In the treatment group, the points were taken as Tianshu, Zhongwan, Yinjiao, Wailing, sliding Meat Gate, Water, Belt, Great Cross, Quchi, Zusanli, each Tuesday and Friday were treated with fire needle once, twice a week, for 8 weeks; In the control group, the points were taken as Zhongwan, Shuihui, Guan Yuan, Tianshu, Quchi, Zhigou, Chambers, Fenglong, Shangjuxu, Yin Lingquan, Neiguan, Zusanli, and were treated with routine acupuncture, acupuncture for 5 days a week, Saturday, Rest on Sunday for 2 days and then continue acupuncture for 8 weeks. 3. 3. Height, weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%) and waist-hip ratio (WHR) were measured and recorded before and after treatment. The data were analyzed by SPSS 17.0 software. Results: 1. Age and body weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%), waist-hip ratio (WHR) were measured by independent sample t test. Age and pre-treatment body weight, waist circumference, hip circumference and body mass index (BMI),) were measured in both groups. Fat rate (F%), waist-hip ratio difference was not statistically significant (P0.05), comparable 2. 5. Two groups of patients with sex 蠂 2 test, the two groups of gender composition difference was not statistically significant (P0.05), comparable. 3. The body weight, waist circumference, hip circumference, body mass index (BMI),) fat ratio (F%) of the treatment group and the control group before and after treatment were compared before and after treatment. There was significant difference in waist-hip ratio (P0.05) (P0.05). After treatment, the results of independent t-test were used after treatment. The results showed that the body weight, waist circumference, body mass index (BMI),) fat rate (F%) of the treatment group and the control group after treatment were higher than those of the control group. The comparison of waist-hip ratio and its difference was statistically significant (P0.05), there were significant differences. After treatment, there was no significant difference in hip circumference between treatment group and control group (P0.05), which indicated that there was significant difference between treatment group and control group in reducing hip circumference. The total effective rate of the two groups was compared by 蠂 2 test. The total effective rate of the treatment group was 93.3g and that of the control group 76.67. The difference between the treatment group and the control group was statistically significant (P0.05). Conclusion to sum up, the treatment group (fire acupuncture group) and the control group (routine acupuncture group) have good therapeutic effect on phlegm dampness blocking type simple obesity. The fire acupuncture treatment group can significantly reduce the body weight, body mass index, fat rate, hip circumference, waist circumference and waist-hip ratio of simple obesity patients with phlegm dampness and dampness blocking type, so it can be concluded that fire is aimed at reducing the weight of simple obesity patients with phlegm dampness and blocking obstruction. Body mass index, fat rate, waist circumference, hip circumference and waist to hip ratio were better than conventional acupuncture group. The fire acupuncture therapy can not only open the external door of meridians and collaterals, but also promote the movement of qi and blood, and achieve the function of invigorating spleen and invigorating qi and dehumidifying, thus achieving the purpose of treating phlegm, dampness and blocking the simple obesity of the type of phlegm and dampness.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1
本文编号：2308957
[Abstract]:Objective: to study the effects of fire on body weight, waist circumference, hip circumference, body mass index, fat rate and waist-hip ratio in patients with simple obesity with phlegm-dampness blockage. To compare the clinical effect of fire acupuncture on phlegm dampness blocking type simple obesity and routine acupuncture on phlegm dampness blocking type simple obesity, and to provide a more effective treatment method for clinical treatment. Methods: 1. From June 2014 to December 2015, 60 patients with simple obesity, aged 25-55 years, were selected from the Fifth Clinic of Acupuncture and moxibustion, affiliated to the second Hospital of Heilongjiang University of traditional Chinese Medicine. The treatment group was treated with fire acupuncture and the control group was treated with conventional acupuncture, with 30 persons in each group. In the treatment group, the points were taken as Tianshu, Zhongwan, Yinjiao, Wailing, sliding Meat Gate, Water, Belt, Great Cross, Quchi, Zusanli, each Tuesday and Friday were treated with fire needle once, twice a week, for 8 weeks; In the control group, the points were taken as Zhongwan, Shuihui, Guan Yuan, Tianshu, Quchi, Zhigou, Chambers, Fenglong, Shangjuxu, Yin Lingquan, Neiguan, Zusanli, and were treated with routine acupuncture, acupuncture for 5 days a week, Saturday, Rest on Sunday for 2 days and then continue acupuncture for 8 weeks. 3. 3. Height, weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%) and waist-hip ratio (WHR) were measured and recorded before and after treatment. The data were analyzed by SPSS 17.0 software. Results: 1. Age and body weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%), waist-hip ratio (WHR) were measured by independent sample t test. Age and pre-treatment body weight, waist circumference, hip circumference and body mass index (BMI),) were measured in both groups. Fat rate (F%), waist-hip ratio difference was not statistically significant (P0.05), comparable 2. 5. Two groups of patients with sex 蠂 2 test, the two groups of gender composition difference was not statistically significant (P0.05), comparable. 3. The body weight, waist circumference, hip circumference, body mass index (BMI),) fat ratio (F%) of the treatment group and the control group before and after treatment were compared before and after treatment. There was significant difference in waist-hip ratio (P0.05) (P0.05). After treatment, the results of independent t-test were used after treatment. The results showed that the body weight, waist circumference, body mass index (BMI),) fat rate (F%) of the treatment group and the control group after treatment were higher than those of the control group. The comparison of waist-hip ratio and its difference was statistically significant (P0.05), there were significant differences. After treatment, there was no significant difference in hip circumference between treatment group and control group (P0.05), which indicated that there was significant difference between treatment group and control group in reducing hip circumference. The total effective rate of the two groups was compared by 蠂 2 test. The total effective rate of the treatment group was 93.3g and that of the control group 76.67. The difference between the treatment group and the control group was statistically significant (P0.05). Conclusion to sum up, the treatment group (fire acupuncture group) and the control group (routine acupuncture group) have good therapeutic effect on phlegm dampness blocking type simple obesity. The fire acupuncture treatment group can significantly reduce the body weight, body mass index, fat rate, hip circumference, waist circumference and waist-hip ratio of simple obesity patients with phlegm dampness and dampness blocking type, so it can be concluded that fire is aimed at reducing the weight of simple obesity patients with phlegm dampness and blocking obstruction. Body mass index, fat rate, waist circumference, hip circumference and waist to hip ratio were better than conventional acupuncture group. The fire acupuncture therapy can not only open the external door of meridians and collaterals, but also promote the movement of qi and blood, and achieve the function of invigorating spleen and invigorating qi and dehumidifying, thus achieving the purpose of treating phlegm, dampness and blocking the simple obesity of the type of phlegm and dampness.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1
【参考文献】
相关期刊论文 前10条
1 叶莉;封飞虎;李春艳;扈盛;盛一帆;朱炎锋;;运动减肥夏令营对男性肥胖青少年体成分及血清生化指标的影响[J];中国康复理论与实践;2016年02期
2 陈云群;;浅析运动与减肥[J];科技视界;2016年02期
3 李益;洒玉萍;;穴位埋线对肥胖模型大鼠脂联素及其受体的影响[J];世界中医药;2015年11期
4 郑彩慧;赵素君;;历代中医典籍对儿童单纯性肥胖病因病机的认识[J];四川中医;2015年05期
5 王俊志;孙冷冰;佟晓辉;刘畅;;加味温胆汤配合火针治疗结节性痒疹的临床观察[J];中医药学报;2015年02期
6 陈玉娟;李立;张立立;贾富池;;单纯节食减肥大学生体成分状况分析[J];体育科技;2015年01期
7 关晓蕾;;腹部穴位为主埋线治疗单纯性肥胖100例[J];中国民间疗法;2014年10期
8 葛生虎;张振辉;;穴位埋线治疗肥胖症180例临床疗效观察[J];中医临床研究;2014年25期
9 付焕香;蔡少峰;赵玉娟;;雷火灸联合针刺治疗单纯性肥胖症43例[J];河南中医;2014年08期
10 李福红;孙悦;;贺氏三通针刺法配合腹部按摩治疗单纯性肥胖44例[J];山东中医杂志;2014年06期
相关博士学位论文 前1条
1 陈美君;电针加温针灸治疗单纯性肥胖的临床研究[D];广州中医药大学;2009年
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