本文選題：單純性肥胖癥 + 穴位埋線��； 參考：《廣州中醫(yī)藥大學》2017年碩士論文

【摘要】：背景:肥胖是指由于機體能量攝入量超過消耗量,導致體內脂肪堆積過多和(或)分布異常、體重增加的一種慢性代謝性疾病,是現今社會常見的疾病,已成為全球首要的健康問題。肥胖發(fā)病在一些地區(qū)已達到流行程度。肥胖癥按其病因一般分為原發(fā)性及繼發(fā)性兩類。繼發(fā)性肥胖是某些疾病的臨床表現之一,如下丘腦——垂體的腫瘤、創(chuàng)傷、感染和炎癥、垂體前葉功能減退癥、甲狀腺功能減退癥、多囊卵巢綜合征、胰島素瘤等。而原發(fā)性肥胖病則是指無明顯的內分泌和代謝性疾病的病因引起的肥胖。這不但損害患者身心靈健康,還大大降低患者生活質量。因此,肥胖癥的防治有著十分重要及廣泛的臨床意義。目的:探尋穴位埋線對單純性肥胖的臨床療效,為臨床治療單純性肥胖病證患者尋找一種操作簡單、療效確切、安全而副作用小、治療時間短、簡便廉價的減肥方法,為臨床治療提供更好的依據。方法:利用SPSS 20.0軟件產生隨機數字,并制作成隨機分配小卡片,置入不透光的信封密封進行隨機分組,將合格受試的單純性肥胖患者60例隨機在分為治療組和對比組各30例。治療組的30例給予穴位埋線療法,取穴以任脈、足陽明胃經及足少陽膽經為主要治療取穴,并結合選取2-4個(脂肪堆積明顯處)阿是穴,每一周治療一次,4次為1療程,連續(xù)治療一個月。對比組30例給予溫針灸療法,取穴同治療組,一周治療3次,12次為一個療程,連續(xù)治療一個月。兩組通過前后治療觀察患者的體重、腰圍等數值評定治療療效。結果:(1)兩組的體重、腰圍兩項指標在治療前與治療后均有明顯的療效,差異都有顯示統(tǒng)計學意義(P0.05);治療組療效優(yōu)于對照組。(2)經過為期一個月的治療結束后,穴位埋線組共30例,臨床治愈5例,顯效16例,有效7例,無效2例,治愈率為16.7%,顯效率為53.3%,有效率為23.3%,總有效率為93.3%。溫針灸組共30例,臨床治愈2例,顯效8例,有效16例,無效4例,治愈率為6.7%,顯效率為26.7%,有效率為53.3%,總有效率為86.7%。兩組間對比治療,穴位埋線組明顯優(yōu)于溫針灸組(p0.05),差異有統(tǒng)計學意義。結論:治療后的療效顯示,穴位埋線與溫針灸的對比均對于治療單純性肥胖癥具有確切明顯的療效,兩種治療療法都有改善肥胖患者外形體重的作用,但穴位埋線療法優(yōu)于溫針灸治療,此療效可能與穴位刺激效應和時間有關,并有良好的雙向調節(jié)作用,從而促進疾病的康復。
[Abstract]:Background: obesity is a chronic metabolic disease caused by excessive accumulation of energy in the body resulting in excessive accumulation of fat and (or) distribution of fat in the body. It is a common disease in the world today. It has become the primary health problem in the world. Obesity has reached prevalence in some areas. Obesity is according to its cause. It is divided into primary and secondary two categories. Secondary obesity is one of the clinical manifestations of some diseases, such as the thalamus - pituitary tumor, trauma, infection and inflammation, hypohypophysis function hypohypophysis, hypothyroidism, polycystic ovary syndrome, insulinoma and so on. Primary obesity refers to no obvious endocrine and metabolic disease. Obesity is caused by the cause of sexual disease. This not only damages the mental health of the patients, but also greatly reduces the quality of life of the patients. Therefore, the prevention and treatment of obesity has a very important and extensive clinical significance. Effective, safe and small side effects, short treatment time, simple and cheap method of weight loss, to provide a better basis for clinical treatment. Methods: using SPSS 20 software to produce random numbers, and make random distribution of small cards, into the envelopes of opaque envelopes for random grouping, 60 cases of eligible obese patients were randomly selected. The treatment group and the comparison group were divided into 30 cases. 30 cases in the treatment group were given acupoint catgut embedding therapy, taking acupoints with Ren pulse, Foot Yangming stomach meridian and foot Shaoyang gallbladder meridian as the main treatment to take acupoints, combined with 2-4 points (fat accumulation obvious place) AI acupoint, once a week, 4 times for one month, continuous treatment for one month. 30 cases in the contrast group were given warm acupuncture and moxibustion therapy, Acupoint treatment group, 3 times a week, 12 times as a course of treatment, continuous treatment for one month. The two groups through the treatment of patients' weight, waist circumference and other values to evaluate the therapeutic effect. Results: (1) the weight of two groups, two indexes of waist circumference before and after treatment have obvious effect, the difference has statistical significance (P0.05); treatment group The curative effect was superior to the control group. (2) after the end of one month treatment, the acupoint catgut embedding group was 30 cases, clinical cure 5 cases, effective 16 cases, effective 7 cases and 2 cases, the cure rate was 16.7%, the effective rate was 53.3%, the effective rate was 23.3%, the total effective rate was 93.3%. warm acupuncture group 30 cases, clinical cure 2 cases, effective 8 cases, valid 16 cases, invalid 4 cases 6.7%, the effective rate is 26.7%, the effective rate is 53.3%, the total effective rate is 86.7%. two group contrast treatment, the acupoint catgut embedding group is obviously better than the warm acupuncture group (P0.05), the difference has statistical significance. Conclusion: the curative effect after treatment shows that the comparison of acupoint catgut embedding and warm acupuncture has definite curative effect on the treatment of simple obesity and two treatments. The method has the effect of improving the body weight of obese patients, but acupoint catgut embedding therapy is superior to the treatment of warm acupuncture and acupuncture. This effect may be related to the stimulation effect and time of acupoint, and it has a good two-way regulating effect, thus promoting the rehabilitation of the disease.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.1

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