【摘要】：目的:對(duì)單純性肥胖癥伴血尿酸增高患者進(jìn)行干預(yù)治療并作治療4周療效觀察,探討針灸對(duì)單純性肥胖癥伴血尿酸增高患者體質(zhì)量、體重指數(shù)、腹圍、腰臀比和血尿酸的近期影響。方法:將符合條件的40例觀察對(duì)象隨機(jī)分為治療組(針灸組)和對(duì)照組(飲食控制與運(yùn)動(dòng)組),每組20例。針灸組:在針刺治療的基礎(chǔ)上予飲食控制及適當(dāng)運(yùn)動(dòng)。取穴均選取雙側(cè)公孫、支溝、大橫、天樞、合谷、豐隆。治療組患者治療均留針30min,每日1次,每周6次,休息1天,共治療4周。治療組和對(duì)照組均在營(yíng)養(yǎng)科醫(yī)師指導(dǎo)下進(jìn)行飲食控制,制定具體飲食處方及運(yùn)動(dòng)療法。所有觀察對(duì)象均記錄患者治療前、治療4周后的體質(zhì)量、體重指數(shù)、腹圍、腰臀比并進(jìn)行統(tǒng)計(jì)學(xué)分析,同時(shí)記錄患者治療前、治療4周后血尿酸值并進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:1.治療組治療前后比較,治療組體質(zhì)量、體重指數(shù)降低(p0.01),差異有統(tǒng)計(jì)學(xué)意義,腹圍、腰臀比(p0.05),無統(tǒng)計(jì)學(xué)意義。對(duì)照組體質(zhì)量、體重指數(shù)降低(p0.05),差異有統(tǒng)計(jì)學(xué)意義,腹圍、腰臀比(p0.05),無統(tǒng)計(jì)學(xué)意義。兩組血尿酸值降低(p0.01)。2.組間比較:治療后比較治療組較對(duì)照組體質(zhì)量、體重指數(shù)降低(p0.05),血尿酸值下降明顯(p0.01),差異有統(tǒng)計(jì)學(xué)意義,腹圍、腰臀比(p0.05),無統(tǒng)計(jì)學(xué)意義。結(jié)論:本研究證實(shí)針灸能有效減輕單純性肥胖癥伴血尿酸增高患者的體質(zhì)量、減少體重指數(shù)及降低血尿酸值,有較好的近期療效,優(yōu)于單純飲食運(yùn)動(dòng)控制,實(shí)現(xiàn)健康減肥、降低血尿酸。
[Abstract]:Objective: to observe the therapeutic effect of acupuncture and moxibustion on body mass, body mass index and abdominal circumference of patients with simple obesity with elevated serum uric acid for 4 weeks. Recent effects of waist-to-hip ratio and serum uric acid. Methods: 40 subjects were randomly divided into treatment group (acupuncture group) and control group (diet control and exercise group) with 20 cases in each group. Acupuncture group: on the basis of acupuncture treatment, diet control and proper exercise. The acupoints were selected from both sides of Gongsun, Zhigou, Dayeng, Tianshu, Hegu, Fenglong. The patients in the treatment group were treated with acupuncture for 30 mins, once a day, 6 times a week, rest for 1 day, for 4 weeks. Both the treatment group and the control group were given diet control under the guidance of dietetics doctors, and specific diet prescriptions and exercise therapy were formulated. All the subjects recorded the body mass, body mass index, abdominal circumference, waist-hip ratio before and after treatment for 4 weeks, and recorded the blood uric acid value before and after treatment for 4 weeks. The result is 1: 1. Treatment group before and after treatment, the treatment group body mass, body mass index decreased (p0.01), the difference was statistically significant, abdominal circumference, waist to hip ratio (p0.05), there was no statistical significance. In the control group, the body mass and body mass index decreased (p0.05), but the abdominal circumference and waist-to-hip ratio (p0.05) were not statistically significant. The serum uric acid value of the two groups decreased (p0.01). Comparison between groups: compared with the control group after treatment, the body mass, body mass index, blood uric acid value of the treatment group decreased significantly (p0.01), the difference was statistically significant, abdominal circumference, waist-to-hip ratio (p0.05), there was no statistical significance. Conclusion: this study proved that acupuncture and moxibustion can effectively reduce the body mass, body mass index and blood uric acid value of patients with simple obesity with elevated serum uric acid. It has a good short-term effect and is superior to simple diet and exercise control to achieve healthy weight loss. Reduce serum uric acid.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.1

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