【摘要】：目的:通過觀察單純性肥胖患者體重、體重指數(shù)(BMI)、脂肪百分率(FAT)、腰圍各項指標的改變情況,對比電針聯(lián)合走罐與單純用電針療法治療單純性肥胖癥的臨床療效,以客觀的角度論述針灸聯(lián)合走罐的綜合療法對單純性肥胖癥的臨床療效。探尋一種--治療效果更加明顯、無不良反應(yīng)、能讓肥胖患者自行堅持無痛苦或痛苦小,在減輕體重的同時還能塑造形體美的治療單純性肥胖癥的治療方案。材料與方法:收治66例于2014年3月至2015年3月就診于遼寧中醫(yī)藥大學附屬醫(yī)院美容科門診的單純性肥胖癥患者。將這些患者隨機分成兩組,治療組、對照組,每組33例。對照組給予單純電針治療,針刺主穴中脘、陰交、氣海、外陵、天樞、大橫、陰陵泉、水道、足三里、三陰交、滑肉門、豐隆、阿是穴。根據(jù)證型辨證配穴:脾虛濕阻型配水分、足臨泣;胃熱濕阻型配曲池、合谷、內(nèi)庭;肝郁氣滯型配太沖、行間、陽陵泉;脾腎陽虛型配關(guān)元、太溪;陰虛內(nèi)熱型加支溝、肝俞。針刺得氣后選取天樞(雙側(cè))、足三里(雙側(cè))接通電針儀,選用疏密波,電波頻率1.5Hz,每次留針30min,前三日連續(xù)治療,后隔日治療一次;治療組在對照組的基礎(chǔ)上加用走罐治療,主要在背部和腹部。背部沿督脈和膀胱經(jīng);腹部在任脈、脾胃經(jīng)來回推動,背部與腹部隔天交替進行。兩組均30天為一個療程,治療3個療程后,根據(jù)觀察指標判定其療效。結(jié)果:1.電針聯(lián)合走罐療法與電針療法對單純性肥胖的治療均有顯著療效。2.在腰圍、脂肪百分率(FAT)、體重指數(shù)(BMI)方面,電針聯(lián)合走罐療法的治療效果要明顯優(yōu)于單純電針療法。結(jié)論:1.電針聯(lián)合走罐法對治療單純性肥胖病有良好療效。2.電針聯(lián)合走罐法對治療單純性肥胖病在改變腰圍、脂肪百分率(FAT)和體重指數(shù)(BMI)方面顯著優(yōu)于單純使用電針法,在塑形方面尤為突出。
[Abstract]:Objective: to observe the changes of body weight, body mass index (BMI),) fat percentage and (FAT), waist circumference in patients with simple obesity, and to compare the clinical effect of electroacupuncture combined with cupping therapy and electroacupuncture therapy on simple obesity. Objective to discuss the clinical effect of acupuncture combined with cupping therapy on simple obesity. Explore a more effective treatment, no adverse reactions, to allow obese patients to adhere to a painless or less painful, weight loss, but also shape the shape of the treatment of simple obesity treatment. Materials and methods: 66 patients with simple obesity were admitted from March 2014 to March 2015 in the Department of Beauty Department of affiliated Hospital of Liaoning University of traditional Chinese Medicine. These patients were randomly divided into two groups, treatment group and control group, 33 cases in each group. The control group was treated with electroacupuncture, acupuncture at the main points of Zhongwan, Yinjiao, Qihai, Wiling, Tianshu, Dayeng, Yinling Quan, watercourse, Zusanli, Sanyinjiao, Sanyingmen, Fenglong, Ashi. According to syndrome differentiation of points: spleen deficiency dampness block type of water distribution, foot sobbing; stomach heat dampness resistance type of distribution pool, Hegu, chamber; liver stagnation Qi stagnation type of Taichong, interline, Yangling spring; spleen and kidney yang deficiency type, Taixi; Yin deficiency internal heat type plus Zhigou, Ganshu. After acupuncture, Tianshu (bilateral) was selected, Zusanli (bilateral) was connected with electroacupuncture instrument, dense wave was selected, radio frequency was 1.5 Hz, each time the needle was kept for 30 minutes, the first three days were treated continuously, and the treatment was done every other day; the treatment group was treated with walking cupping on the basis of the control group, Mainly in the back and abdomen. Back along du pulse and bladder meridian; abdomen in any vein, spleen and stomach push back and forth, back and abdomen alternate days. The two groups were treated with 30 days as a course of treatment. After 3 courses of treatment, the therapeutic effect was evaluated according to the observation index. The result is 1: 1. Electroacupuncture combined with cupping therapy and electroacupuncture therapy have significant therapeutic effects on simple obesity. 2. In the aspect of waist circumference, fat percentage (FAT), body mass index (BMI), the effect of electroacupuncture combined with cupping therapy was better than that of simple electroacupuncture therapy. Conclusion: 1. Electroacupuncture combined with cupping therapy has a good curative effect on simple obesity. 2. Electroacupuncture combined with cupping therapy in the treatment of simple obesity in the change of waist circumference, fat percentage of (FAT) and body mass index (BMI) is significantly better than the simple electroacupuncture method, especially in shaping.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R259

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