本文選題：穴位埋線 + 大橫溫針灸�。� 參考：《成都中醫(yī)藥大學》2016年碩士論文

【摘要】：目的：本研究觀察、評價穴位埋線結合大橫穴溫針灸治療脾虛濕盛型單純性肥胖癥的臨床療效,為治療脾虛濕盛型單純性肥胖癥提供一種可供臨床選擇的治療方法。方法：采用隨機對照研究方法將60例符合納入排除標準的脾虛濕盛型單純性肥胖患者隨機分為治療組與對照組,每組各30例患者。治療組采取穴位埋線結合大橫穴溫針灸療法治療,對照組只進行基礎干預,不施加任何治療。治療結束后對兩組患者治療前后的體重指數、肥胖度、體重、腰臀比、腰圍等指標進行對比分析評價療效。結果：在研究過程中共脫落病例3例,其中治療組脫落1例,對照組脫落2例,其余57例均完成全過程。分析結果顯示：治療組與對照組療效比較,治療組總有效率(93.10%)明顯高于對照組(3.57%),經秩和檢驗后P0.05,兩組療效有統(tǒng)計學差異；治療后治療組與對照組BMI經t檢驗,P0.05,有統(tǒng)計學差異,且治療后治療組BMI均值(28.99)小于治療后對照組的BMI均值(31.66)和治療組治療前BMI的均值(32.18),說明治療組治療方法能減小脾虛濕盛型單純性肥胖患者BMI;治療后兩組間體重經成組t檢驗,P0.05,有統(tǒng)計學差異,且治療后治療組體重均值(75.64)小于對照組治療后均值(82.34)和治療組治療前體重均值(83.95),說明穴位埋線結合大橫溫針灸能降低患者體重；治療后兩組間肥胖度經成組t檢驗,P0.01,有統(tǒng)計學差異,且治療后治療組肥胖度均值(0.3736)小于對照組治療后肥胖度均值(0.5005)和治療組治療前肥胖度均值(0.5278),說明穴位埋線結合大橫溫針灸能降低患者肥胖度；治療后兩組間腰圍、臀圍、腰臀比經成組t檢驗,P0.05,有統(tǒng)計學差異；說明治療組治療方法治脾虛濕盛型單純性肥胖癥有效,能降低患者體重、體重指數、肥胖度、腰臀圍及腰臀比的值。結論：1、穴位埋線結合大橫穴溫針灸治療脾虛濕盛型單純性肥胖具有確切的療效。2、治療過程中均未出現嚴重不良反應,該治療方法治療脾虛濕盛型單純性肥胖癥安全高效。3、穴位埋線結合大橫溫針灸的治療方法治療脾虛濕盛型單純性肥胖患者具有療效確切、安全、操作簡單、耗時少等優(yōu)點,適宜在臨床中運用和推廣。
[Abstract]:Objective: to evaluate the clinical effect of acupoint catgut embedding combined with heat moxibustion on spleen deficiency and dampness syndrome, and to provide a method for treating simple obesity with spleen deficiency and dampness. Methods: 60 cases of simple obesity with spleen deficiency and dampness were randomly divided into treatment group and control group with 30 patients in each group. The treatment group was treated with acupuncture and moxibustion combined with acupoint embedding and point warming, while the control group was treated only with basic intervention without any treatment. Body mass index, fat degree, weight, waist-to-hip ratio and waist circumference were compared before and after treatment. Results: in the course of the study, there were 3 cases of shedding, including 1 case in the treatment group, 2 cases in the control group, and 57 cases in the other 57 cases. The results showed that the total effective rate of the treatment group was significantly higher than that of the control group (P 0.05, P 0.05), and the BMI of the treatment group and the control group was significantly higher than that of the control group (P 0.05, t test, P 0.05), and the total effective rate of the treatment group was significantly higher than that of the control group (P 0.05). The mean value of BMI in the treatment group (28.99) was lower than that in the control group (31.66) and that in the treatment group before treatment (32.18g), which indicated that the treatment method in the treatment group could reduce the weight of the simple obesity patients with spleen deficiency and dampness, and the weight between the two groups was significantly lower than that in the control group. There was statistical difference in group T test (P 0.05). After treatment, the mean weight of the treatment group was 75.64) less than that of the control group (82.34) and the treatment group before treatment (83.95), which indicated that acupoint embedding combined with large transverse temperature acupuncture could reduce the weight of the patients. After treatment, the fat degree of the two groups was significantly higher than that of the control group (P 0.01). After treatment, the mean value of fat and fat degree in the treatment group was 0.3736) lower than that in the control group (0.5005) and in the treatment group before treatment, the mean value of fat and fat degree was 0.5278g, indicating that acupoint catgut embedding combined with great transverse temperature acupuncture could reduce the fat degree of the patients, and the waist circumference and hip circumference between the two groups after treatment were lower than those in the control group. The results showed that the treatment method of the treatment group was effective in treating simple obesity with spleen deficiency and dampness, and could reduce the body weight, body mass index, fat degree, waist-hip circumference and waist-hip ratio of the patients. Conclusion the treatment of simple obesity caused by spleen deficiency and dampness is effective in the treatment of simple obesity of spleen deficiency and dampness. There is no serious adverse reaction during the treatment. This treatment method is safe and effective in the treatment of simple obesity with spleen deficiency and dampness. It is safe, simple and time-consuming to treat simple obesity with spleen deficiency and dampness. It is suitable for clinical application and popularization.
【學位授予單位】：成都中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.1

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