【摘要】：目的：本課題用簡(jiǎn)單隨機(jī)的對(duì)照臨床研究,實(shí)行對(duì)單純性肥胖癥患者的臨床隨機(jī)對(duì)照研究。觀察以靳三針為指導(dǎo),對(duì)患有此疾病的患者施以同穴組上埋線(xiàn)與電針兩種不同的方法來(lái)進(jìn)行治療。對(duì)比它們的效果,來(lái)探討穴位埋線(xiàn)、電針針刺治療單純性肥胖癥兩種療法的效果,為治療單純性肥胖癥提供一定研究依據(jù)。方法：從廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院的針灸科門(mén)診以及招募的志愿者中選擇切合觀察條件包含歲數(shù)還有其他等各種標(biāo)準(zhǔn)要求的患者,一共六十位。年齡從22到65歲,其中男性有9例,女性有51例。將符合標(biāo)準(zhǔn)的受試對(duì)象隨機(jī)分配至治療組與對(duì)照組,每組30例,療程為2個(gè)月。兩組患者在治療前的一般資料檢查如年齡、病程、性別以及各項(xiàng)觀察指標(biāo)之間的比較,差異都沒(méi)有顯著的意義(P0.05),具有可比性。治療組用穴位埋線(xiàn)療法,而對(duì)照組用單純電針療法,兩組的選取的穴位均為肥三針(中脘、。雙帶脈、。雙足三里)。治療前后測(cè)量并記錄患者體重、腰圍、臀圍、肩胛角下皮褶厚度、臂三頭肌皮褶厚度。算出體質(zhì)量指數(shù)(BMI)與體脂百分率(F%)。臨床研究結(jié)束后。采用SPSS。19.0進(jìn)行統(tǒng)計(jì)分析。計(jì)數(shù)資料采用chi-square test來(lái)進(jìn)行假設(shè)推斷分析。兩組之間以及兩組本身在療程完結(jié)之后與療程之前的對(duì)比。根據(jù)不同的數(shù)據(jù)而選用獨(dú)立樣本t檢驗(yàn)或是配對(duì)樣本t檢驗(yàn)。治療后等級(jí)資料采用Relative to an identified distribution unit分析,以統(tǒng)計(jì)出它們各自的治療效果。成果：(1)60例患者做完全部的治療與療效評(píng)定。結(jié)果治療組的臨床治愈2例(6.7%)。顯效12例(40.0%)。有效11例(36.7%)。無(wú)效5例(16.7%)�？傆行适�83.3%；對(duì)照組的臨床治愈1例(3.3%)。顯效4例(13.3%)。有效19例(63.3%)。無(wú)效6例(20.0%)�？傆行适�80%；兩組療效結(jié)果經(jīng)Ridit分析,兩組比較P0.05,表明埋線(xiàn)治療單純性肥胖癥在療效上優(yōu)于單純電針針刺治療。(2)兩組患者治療后體重、BMI、WHR、F%均與治療前相比較有明顯差異(P0.05)。結(jié)果表明了埋線(xiàn)治療組與電針對(duì)照組在治療單純性肥胖癥上均有明顯的療效。(3)治療組與對(duì)照組治療后的體重、BMI、WMR、F%相比較,兩組病例的體重、。BMI、WHR、F%均無(wú)明顯差異。表明了埋線(xiàn)與電針?lè)椒ㄔ趯?duì)于治療此病上對(duì)體重、。BMI、WHR、F%的療效相近。治療組與對(duì)照組治療前后的體重、BMI、WHR、F%的差值相比較,治療組治療前后體重、BMI、F%差值比對(duì)照組差值要大,WHR差值比較則無(wú)明顯差異,說(shuō)明埋線(xiàn)組比電針組在改善體重、BMI、F%觀察指標(biāo)上更優(yōu),兩組在改善WHR方面無(wú)明顯差異。結(jié)論：本課題研究證明了穴位埋線(xiàn)與電針療法在治療單純性肥胖癥中的療效確切,均能有效的降低患者的體重與腰臀圍值。但穴位埋線(xiàn)在治療本病中較電針?lè)奖憬?jīng)濟(jì),且療效顯著,安全可靠,是一種值得進(jìn)一步推廣的治療方法。
[Abstract]:Objective: to carry out a randomized controlled clinical study of simple obesity patients. Under the guidance of Jin's three needles, the patients with this disease were treated with two different methods of embedding thread and electroacupuncture in the same acupoint group. By comparing their effects, this paper discusses the effect of acupoint catgut embedding and electroacupuncture in the treatment of simple obesity, which provides some research basis for the treatment of simple obesity. Methods: sixty patients were selected from the Department of Acupuncture and moxibustion Clinic and the volunteers recruited from the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. The age range is 22 to 65 years, including 9 males and 51 females. Subjects who met the criteria were randomly assigned to the treatment group and the control group with 30 cases in each group for 2 months. The general data of the two groups before treatment such as age, course of disease, sex and the comparison between the observation indicators, there is no significant difference (P0.05), comparable. The treatment group was treated with catgut embedding at acupoints, while the control group was treated with simple electroacupuncture. A double band. Two feet three miles) Body weight, waist circumference, hip circumference, subscapular skinfold thickness and triceps brachii skinfold thickness were measured and recorded before and after treatment. Body mass index (BMI) and body fat percentage (F%) were calculated. After the clinical study. SPSS.19.0 was used for statistical analysis. Chi-square test was used for hypothetical inference analysis. The comparison between the two groups and between the two groups after the end of the course and before the course of treatment. Independent sample t test or paired sample t test are selected according to different data. After treatment, Relative to an identified distribution unit analysis was used to analyze their respective therapeutic effects. Results: (1) 60 patients were treated and evaluated. Results in the treatment group, 2 cases (6.7%) were cured. There were 12 cases (40.0%) with remarkable effect. 11 cases (36.7%) were effective. 5 cases (16.7%) were ineffective. The total effective rate was 83.3% in the control group and 1 case (3.3%) in the control group. There were 4 cases (13.3%) with remarkable effect. 19 cases (63.3%) were effective. Invalid 6 cases (20.0%). The total effective rate was 80. The results of Ridit analysis showed that the treatment of simple obesity by embedding thread was better than that by electroacupuncture alone. (2) there was significant difference between the two groups in body weight and BMI-WHRF% after treatment (P0.05). The results showed that the treatment group and the electroacupuncture control group had obvious curative effect in the treatment of simple obesity. (3) there was no significant difference between the two groups in the weight of BMIP WMRF% after treatment. The results showed that the therapeutic effect of embedding thread and electroacupuncture on body weight, BMIA and WHRF% was similar. There was no significant difference between the treatment group and the control group in the difference of body weight BMI-WHRF% before and after treatment. The difference between the treatment group and the control group was larger than that in the control group, which indicated that the buried wire group was better than the electroacupuncture group in improving the body weight and the BMIF% observation index, and the difference between the treatment group and the control group was higher than that in the control group, which indicated that the treatment group was better than the electroacupuncture group in improving the body weight and BMIF%. There was no significant difference in improving WHR between the two groups. Conclusion: this study proved that acupoint embedding and electroacupuncture therapy are effective in the treatment of simple obesity and can effectively reduce the weight and waist hip circumference of patients. But acupoint embedding is more convenient and economical than electroacupuncture in the treatment of this disease, and the curative effect is remarkable, safe and reliable, which is a treatment method worth further popularizing.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R246.1

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本文編號(hào)：2258875