發(fā)布時(shí)間：2017-12-28 13:17

  本文關(guān)鍵詞：刮痧結(jié)合針刺治療單純性肥胖臨床觀察　出處：《廣州中醫(yī)藥大學(xué)》2017年博士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 刮痧治療 針刺 單純性肥胖

【摘要】：背景:肥胖的概念已經(jīng)演變了 200多年。中過多的脂肪積累和異常脂肪分布導(dǎo)致體重增加等于或大于標(biāo)準(zhǔn)體重的20%。多余的能量以體內(nèi)脂肪的形式儲(chǔ)存形成肥胖。過量脂肪的積累對個(gè)人的健康構(gòu)成風(fēng)險(xiǎn),其特征在于體重增加,疲勞。近年,研究表明,某些形式的肥胖也是由特定的生物化學(xué)因素引起的。這些因素如何影響食物調(diào)節(jié)和能量代謝,而構(gòu)成慢性代謝疾病和內(nèi)分泌疾病是非常復(fù)雜的,仍然是一個(gè)懸而未決的問題。肥胖與腦血管和心血管疾病以及糖尿病的關(guān)聯(lián)是一個(gè)主要的公共衛(wèi)生問題。中醫(yī)認(rèn)為,身體脂肪是痰濁的積累。痰液是由身體內(nèi)液體的凝結(jié)產(chǎn)生的。據(jù)說,三個(gè)臟器,即肺,脾,腎,對體內(nèi)液體的調(diào)節(jié)負(fù)責(zé);但是,脾臟是的主要器官。脾臟控制液體變成濕和痰液。損傷的脾臟功能可能導(dǎo)致轉(zhuǎn)化功能失效,導(dǎo)致濕病原體的積累。長期而言,濕的病原體會(huì)凝結(jié)成痰(脂肪)并引起肥胖。自20世紀(jì)80年代以來,針灸已經(jīng)發(fā)現(xiàn)有效于體重控制。越來越多的證據(jù)表明針灸對減肥產(chǎn)生良好的效果,而不會(huì)引起不良反應(yīng)。針灸治療肥胖癥越來越多地被世界各地越來越多的人所接受。此外,針灸可以幫助治療與肥胖相關(guān)疾病。近年來針對基礎(chǔ)和臨床領(lǐng)域進(jìn)行針灸減肥的廣泛研究。刮痧是傳統(tǒng)東亞醫(yī)學(xué)的治療技術(shù)。有時(shí)被稱為"沖壓,勺子或刮擦",刮痧被定義為儀器輔助的單向壓力機(jī)械表面的潤滑區(qū)域,故意創(chuàng)建代表皮膚外滲血液的"痧"。刮痧能夠消除傳統(tǒng)東亞醫(yī)學(xué)中認(rèn)為致病的血液停滯�，F(xiàn)代研究顯示,暫時(shí)性治療性瘀點(diǎn)產(chǎn)生抗炎和免疫保護(hù)作用,在單次治療后持續(xù)數(shù)天,可緩解患者疼痛,僵硬,發(fā)燒,寒戰(zhàn),咳嗽,喘息,惡心和嘔吐等癥狀,并能具有減肥等功效。目的:本研究旨在評(píng)估針灸加刮痧治療單純性肥胖患者的療效和安全性。本研究還將確定哪些針灸治療最有效的治療肥胖癥的患者(募穴或背俞穴)。通過結(jié)合刮痧治療方法,將針刺穴位和募穴或背俞穴用于簡單肥胖的常用用途,觀察治療單純性肥胖的臨床療效,并證明其有效治療方法。該研究是一項(xiàng)隨機(jī)對照試驗(yàn),由三組(針灸和刮痧治療)和對照組(針灸組)組成。方法:90例患者分為2組和對照組,對照組僅包括針灸治療。治療組包括針灸治療,而刮痧治療每周兩次。處方含有中脘(CV 12),天樞(ST 25),大橫(SP 15),曲池(LI 11),陰陵泉(SP 9),豐隆(ST 40),上巨虛(ST 37)帶脈(GB 26。穴或背俞穴穴位針刺治療單純性肥胖的安全有效治療方法。結(jié)合飲食,運(yùn)動(dòng)和認(rèn)知治療,針灸可能是一種安全有效的肥胖治療形式。如果根據(jù)CM綜合征分化個(gè)體化,針灸可能更有益。當(dāng)與其他治療(即心理治療,飲食療法,運(yùn)動(dòng)等)結(jié)合使用時(shí),針灸對于BW,BMI顯示出更多的益處。飲食和身體活動(dòng)模式的變化往往是與衛(wèi)生,農(nóng)業(yè),交通運(yùn)輸,城市規(guī)劃,環(huán)境,食品加工,分銷,營銷和教育等部門發(fā)展相關(guān)的環(huán)境和社會(huì)變化以及缺乏支持性政策的結(jié)果。超重和肥胖以及相關(guān)的非傳染性疾病在很大程度上是可以預(yù)防的。超重和肥胖減少,支持性環(huán)境和社區(qū)是塑造人們選擇的基礎(chǔ),通過選擇更健康的食物和定期的身體活動(dòng)是最簡單的選擇(最容易獲得,可用和負(fù)擔(dān)得起的選擇),因此防止超重和肥胖肥胖。在個(gè)人層面上,人們可以:·限制總脂肪和糖類的能量攝入量;·增加水果和蔬菜以及豆類,全麥和堅(jiān)果的消費(fèi);和·定期進(jìn)行身體活動(dòng)(兒童每天至少60分鐘,成人每周傳播150分鐘)。個(gè)人責(zé)任只有在人們有機(jī)會(huì)獲得健康的生活方式的情況下才能有效果。
[Abstract]:Background: the concept of obesity has evolved for more than 200 years. Excessive fat accumulation and abnormal fat distribution resulted in weight gain equal to or greater than 20% of the standard weight. Excess energy is stored in the form of fat in the body to form obesity. The accumulation of excess fat is a risk to a person's health, which is characterized by weight gain and fatigue. In recent years, studies have shown that some forms of obesity are also caused by specific biochemical factors. How these factors affect food regulation and energy metabolism, constitute chronic metabolic disease and endocrine disease is very complex, is still an open question. The association of obesity with cerebrovascular and cardiovascular diseases and diabetes is a major public health problem. Traditional Chinese medicine believes that body fat is the accumulation of phlegm turbidity. The sputum is produced by the condensation of the liquid in the body. It is said that the three organs, the lungs, the spleen and the kidney, are responsible for the regulation of the fluid in the body; however, the spleen is the main organ. The spleen controls the liquid to become wet and sputum. Injury of spleen function may lead to the conversion function failure, resulting in the accumulation of dampness pathogen. In the long term, a wet pathogen condenses into phlegm (fat) and causes obesity. Since 1980s, acupuncture has been found to be effective in weight control. More and more evidence shows that acupuncture has a good effect on losing weight and does not cause adverse reactions. The treatment of obesity by Acupuncture and moxibustion is increasingly accepted by more and more people around the world. In addition, acupuncture can help the treatment of obesity related diseases. In recent years, there has been a wide range of research on acupuncture and moxibustion for weight loss in the field of basic and clinical fields. Scraping is the treatment technology of Traditional East Asian medicine. Sometimes called "stamping, spoon or scraping, scraping" is defined as the unidirectional pressure lubrication region surface of mechanical instruments, deliberately created on behalf of the "Sha blood extravasation of skin". Scraping can eliminate the stagnation of blood that is believed to be pathogenic in traditional East Asian medicine. Modern research shows that the temporary treatment of petechiae produce anti-inflammatory and immune protective effect in after a single treatment for several days, can relieve the pain of patients, have a fever, stiff, chills, cough, wheezing, nausea and vomiting and other symptoms, and with weight loss and other effects. Objective: the purpose of this study was to evaluate the efficacy and safety of acupuncture and scraping in the treatment of simple obesity. This study will also determine which acupuncture treatment is the most effective treatment for obesity patients (acupoints or back Yu Xue). Combined with scraping therapy, acupuncture points and Mu points or back Shu points are used for simple obesity. Observe the clinical effect of simple obesity and prove its effective treatment. The study was a randomized controlled trial consisting of three groups (acupuncture and scraping treatment) and a control group (acupuncture and moxibustion group). Methods: 90 patients were divided into 2 groups and the control group, and the control group only included acupuncture and moxibustion. The treatment group included acupuncture and moxibustion, and scrapping treatment was two times a week. The prescription containing Zhongwan (CV 12), Tianshu (ST 25), large cross (SP 15), Quchi (LI 11), yinlingquan (SP 9), Fenglong (ST 40), Shangjuxu (ST 37) with GB (26. A safe and effective treatment for simple obesity by acupuncture at acupoints at acupoint or back Shu points. Acupuncture and moxibustion may be a safe and effective form of obesity treatment combined with diet, exercise and cognitive therapy. Acupuncture may be more beneficial if it is individualized according to CM syndrome. When combined with other treatments, such as psychotherapy, dietotherapy, exercise, etc., acupuncture shows more benefits for BW and BMI. Changes in diet and physical activity patterns are often the result of environmental and social changes and lack of supportive policies related to health, agriculture, transportation, urban planning, environment, food processing, distribution, marketing and education. Overweight and obesity, as well as related non communicable diseases, are largely preventable. Overweight and obesity are decreasing. Supportive environment and community are the basis for shaping people's choice. Choosing the healthier food and regular physical activity is the simplest choice (the easiest, available and affordable option), so preventing overweight and obesity from obesity. At the individual level, people can: limit the total energy intake of total fat and sugar; increase consumption of fruits and vegetables, beans, whole grains and nuts; and regular physical activity (children at least 60 minutes a day, adults spread 150 minutes per week). Personal responsibility can only be effective when people have a chance to get a healthy lifestyle.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2017
【分類號(hào)】：R244.4

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