本文選題：單純性肥胖　切入點：刮痧　出處：《南京中醫(yī)藥大學(xué)》2016年博士論文　論文類型：學(xué)位論文

【摘要】：[背景]肥胖是由于機體熱量攝入大于消耗,導(dǎo)致脂肪在體內(nèi)積聚過多或分布異常,與身體疾病、代謝障礙等原因無關(guān)。肥胖不僅從外形上影響美感,還會引起多種并發(fā)癥。隨著社會的發(fā)展,肥胖患者有急劇增加的趨勢。因此,單純性肥胖癥的預(yù)防和治療至關(guān)重要�，F(xiàn)代醫(yī)學(xué)對于肥胖的治療方法以飲食療法、運動療法、行為修正療法為主。相較于上述療法,中醫(yī)療法更容易得到患者的認(rèn)可和接受。關(guān)于中醫(yī)治療肥胖的研究報道有很多,有單一療法,也有多種療法聯(lián)合治療。其中,刮痧療法簡單無副作用,且不會帶來嚴(yán)重的痛感,被認(rèn)為是一種男女老少都適用的肥胖治療方法。臨床多采用刮痧結(jié)合拔罐治療單純性肥胖,為觀察刮痧結(jié)合拔罐療法與單一刮痧療法對于單純性肥胖的療效比較,因此開展了本研究。[目的]本研究的目的是觀察刮痧結(jié)合拔罐療法對單純性肥胖癥的臨床療效與安全性,并與單一刮痧療法進行比較,為臨床應(yīng)用提供依據(jù),為進一步規(guī)范化研究奠定基礎(chǔ)。[方法]將符合入組標(biāo)準(zhǔn)的60名單純性肥胖癥女性隨機分為治療組和對照組。治療組接受每周1次刮痧結(jié)合拔罐療法,對照組接受單獨刮痧療法。12周干預(yù)后檢查干預(yù)前后的身體構(gòu)成變化,血液變化,身體滿意度變化。收集數(shù)據(jù)使用SPSS18.0統(tǒng)計軟件進行統(tǒng)計分析,以P0.05為差異有統(tǒng)計學(xué)意義。計量資料符合正態(tài)分布,兩組組間比較采用T檢驗,各組治療前后比較用配對T檢驗。兩組干預(yù)周期不同時間點之間觀察指標(biāo)的比較使用重復(fù)測量設(shè)計資料的方差分析方法。[結(jié)果]1身體構(gòu)成變化(1)刮痧結(jié)合拔罐療法可降低單純性肥胖患者的體重、體脂肪量、BMI、體脂肪率、肥胖度、腰圍、臀圍、腹部皮下脂肪厚度和WHR,增加患者肌肉量和BMR(P.05)。(2)單純刮痧療法也可降低單純性肥胖患者的體重、體脂肪量、BMI、體脂肪率、肥胖度、腰圍、臀圍、腹部皮下脂肪厚度和WHR,|增加患者肌肉量和BMR(P0.05)。(3)在降低患者腹部皮下脂肪厚度方面,刮痧結(jié)合拔罐療法優(yōu)于單純刮痧療法(P0.05)。(4)刮痧結(jié)合拔罐療法治療單純性肥胖的總有效率為83.3%,單純刮痧療法的總有效率為80.3%,兩組治療方法的療效差異無統(tǒng)計學(xué)意義(P0.05),即兩組療效相當(dāng)。2血液變化刮痧結(jié)合拔罐療法可降低血中總膽固醇和甘油三酯(P0.05)。單一刮痧療法可降低甘油三酯(P0.05)。3身體滿意度變化刮痧結(jié)合拔罐療法及單一刮痧療法對增加BCS指數(shù),降低BET指數(shù),提高自我身體滿意度均有效。但是,刮痧結(jié)合拔罐療法比單一刮痧療法在降低BET分?jǐn)?shù)上更有效(P0.05)。[結(jié)論]綜上所述,刮痧結(jié)合拔罐療法與單一刮痧療法均可有效引起單純性肥胖患者身體組成變化及血脂數(shù)值的變化。但在降低腹部脂肪厚度和提高自我滿意度方面,刮痧結(jié)合拔罐療法更具優(yōu)勢。
[Abstract]:[background] obesity is caused by the body's calorie intake is greater than consumption, leading to excessive accumulation of fat in the body or the abnormal distribution, and physical diseases, for reasons unrelated to metabolic disorders. Obesity not only from the appearance effect of beauty, but also cause a variety of complications. With the development of society, obesity patients increase rapidly. Therefore, prevention and the treatment is simple obesity. Modern medicine for the treatment of obesity by diet therapy, exercise therapy, behavior modification therapy. Compared with the above therapy, Chinese medicine therapy is more likely to be recognized and accepted by patients. On TCM treatment of obesity has a lot of research reports, a single therapy, there are a variety of therapies. The simple scraping therapy without side effects, and will not cause serious pain, is considered as a treatment for obesity everyone applies. Clinical use scraping combined with Cupping treatment of simple obesity, in order to observe the scraping scraping therapy combined with cupping therapy and single comparison for the therapy of simple obesity, we conduct this research. The purpose of this research was to observe the scraping combined with cupping therapy clinical curative effect and safety of simple obesity, and single therapy and scraping comparison, provide the basis for the clinical application for further research on the standardization of lay the foundation. Methods: meet the inclusion criteria for 60 simple obesity women were randomly divided into treatment group and control group. The treatment group received 1 times a week of scraping combined with cupping therapy group received single.12 weeks before and after the dry scraping therapy prognosis intervention body composition changes, blood change control, body satisfaction changes. Collected data were analyzed using SPSS18.0 statistical software, using P0.05 as the difference was statistically significant. Measurement data with normal distribution, Between the two groups using T test, before and after treatment were compared using the paired T test. The variance between the two groups at different time points to observe the intervention period index were compared using repeated measurement data analysis method. Results]1 body composition changes (1) scraping combined with cupping therapy can reduce obesity in patients with body weight, body fat mass, BMI, body fat rate, degree of obesity, waist circumference, hip circumference, abdominal subcutaneous fat thickness and WHR, increase the patient's muscle mass (P.05) and BMR (2). Simple scraping therapy can also reduce obesity in patients with body weight, body fat mass, BMI, body fat rate, degree of obesity, waist circumference, hip circumference. Abdominal subcutaneous fat thickness and WHR, increase the amount of muscle and | patients with BMR (P0.05). (3) in patients with lower abdominal subcutaneous fat thickness, scraping and cupping therapy is better than simple scraping therapy (P0.05). (4) scraping combined with cupping therapy for treatment of simple obesity of the total effective The rate is 83.3%, only scraping therapy the total effective rate was 80.3%, no significant differences in the efficacy of the two groups of treatment (P0.05), the two group efficacy.2 blood change scraping combined with cupping therapy can reduce blood cholesterol and triglyceride (P0.05). Single scraping therapy reduces the levels of triglyceride (P0.05).3 body satisfaction the change of scraping combined with cupping therapy and single scraping therapy to increase the BCS index, BET index decreased, improve the self body satisfaction are effective. However, scraping combined with cupping therapy than single scraping therapy in reducing the BET scores more effective (P0.05). Conclusion: in summary, scraping combined with cupping therapy and single scraping therapy can effectively cause changes in obesity the patient's body composition and blood lipid numerical changes alone. But in the aspect of reducing abdominal fat thickness and improve the self satisfaction, scraping combined with cupping therapy has more advantages.

【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：博士
【學(xué)位授予年份】：2016
【分類號】：R244

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本文編號：1616394