穴位埋线治疗痰湿型肥胖伴月经过少的临床研究

发布时间：2019-01-14 08:37

【摘要】：目的：评价穴位埋线和针刺治疗痰湿型肥胖伴月经过少的疗效差异,为临床治疗该病提供更简便有效的方法。方法：将痰湿型肥胖伴月经过少的女性60例作为观察对象,按照随机数字法分成两组,即穴位埋线组和针刺组各30例。两组均选穴：中脘、下脘、气海、关元、水道(双侧)、大横(双侧)、子宫(双侧)、丰隆(双侧)。穴位埋线组在每个月经周期的第7日和第20日治疗,针刺组每周治疗3次,隔日1次,1个月经周期为1个疗程,两组均需连续治疗3个疗程。观察治疗前后体重指数(BMI)、身体脂肪率(F%)、腰臀比(WHR)、性激素五项、胰岛素抵抗指数及中医症状积分的变化情况。结果：1.穴位埋线组和针刺组都可明显降低痰湿型肥胖伴月经过少患者的体重指数(BMI)、身体脂肪率(F%)、腰臀比(WHR)、中医症状积分和胰岛素抵抗指数(P0.05),穴位埋线组和针刺组治疗前后性激素五项未见差异(P0.05),且都处于正常水平。2.穴位埋线组在降低身体脂肪率和中医症状积分方面疗效优于针刺组(P0.05),而针刺组在降低胰岛素抵抗指数方面疗效优于穴位埋线组(P0.05)3.穴位埋线组治疗肥胖和月经过少的的总有效率分别为93.33%和96.67%,而针刺组分别为86.67%和83.33%,说明穴位埋线组在总体疗效方而较针刺组佳。结论：穴位埋线治疗痰湿型肥胖伴月经过少患者简便有效,能达到减肥和调经的双重目的,且疗效优于针刺,值得临床推广。
[Abstract]:Objective: to evaluate the difference between acupoint catgut embedding and acupuncture in treating phlegm dampness type obesity with menorrhagia, and to provide a more convenient and effective method for clinical treatment of this disease. Methods: sixty women with phlegm-dampness type obesity and menorrhagia were divided into two groups according to the random number method: 30 cases in acupoint embedding group and 30 cases in acupuncture group. Both groups selected points: Zhongwan, Xiaban, Qihai, Guanyuan, waterway (bilateral), Great Transverse (bilateral), uterus (bilateral), Fenglong (bilateral). Acupoint catgut embedding group was treated on the 7th and 20th day of each menstrual cycle, acupuncture group was treated 3 times a week, once every other day, 1 menstrual cycle was a course of treatment, both groups needed 3 consecutive courses of treatment. Body mass index (BMI),) body fat rate (F%), waist to hip ratio (WHR) (WHR), sex hormones, insulin resistance index and TCM symptom score were observed before and after treatment. Results: 1. Both acupoint embedding group and acupuncture group could significantly reduce the body mass index (BMI),) body fat rate (F%), waist hip ratio (WHR),) TCM symptom score and insulin resistance index (P 0.05) in obese patients with phlegm-dampness type obesity associated with menorrhagia. There was no difference in five sex hormones between acupoint embedding group and acupuncture group before and after treatment (P0.05), and they were all in normal level. The therapeutic effect of acupuncture group on reducing body fat rate and TCM symptom score was better than that of acupuncture group (P0.05), while acupuncture group was superior to acupoint embedding group in reducing insulin resistance index (P0.05). The total effective rate of acupuncture group was 93.33% and 96.67%, respectively, while that of acupuncture group was 86.67% and 83.33%, respectively. Conclusion: the treatment of phlegm dampness type obesity with menorrhagia is simple and effective, and the therapeutic effect is better than acupuncture, which is worth popularizing.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246

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