火針治療痰濕閉阻型單純性肥胖癥的臨床研究
發(fā)布時(shí)間：2018-11-03 20:33
【摘要】：目的：研究火針對(duì)痰濕閉阻型單純性肥胖癥患者體重、腰圍、臀圍、體質(zhì)指數(shù)、脂肪率、腰臀比值的影響,對(duì)比火針治療痰濕閉阻型單純性肥胖癥與常規(guī)針刺治療痰濕閉阻型單純性肥胖癥的臨床療效,為臨床提供更為有效的治療手段。研究方法：1.2014年6月至2015年12月在黑龍江中醫(yī)藥大學(xué)附屬第二醫(yī)院針灸五門診和病房選取60例痰濕閉阻型單純性肥胖患者,年齡在25-55周歲之間,采用隨機(jī)數(shù)字表法隨機(jī)分為治療組和對(duì)照組,治療組采用火針治療,對(duì)照組采用常規(guī)針刺治療,每組各30人。2.治療組取穴為天樞、中脘、陰交、外陵、滑肉門、水分、帶脈、大橫、曲池、足三里,每周二和周五各采用火針治療一次,一周兩次,共治療8周；對(duì)照組取穴為中脘、水分、關(guān)元、天樞、曲池、支溝、內(nèi)庭、豐隆、上巨虛、陰陵泉、內(nèi)關(guān)、足三里,采用常規(guī)針刺治療,每周連續(xù)針刺5天,周六、周日休息2天再繼續(xù)針刺,共治療8周。3.分別于治療前和治療結(jié)束后測量與記錄患者的身高、體重、腰圍、臀圍、體質(zhì)指數(shù)(BMI)、脂肪率(F%)、腰臀比值。所得數(shù)據(jù)均用SPSS 17.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果：1.兩組患者年齡和治療前體重、腰圍、臀圍、體重指數(shù)(BMI)、脂肪率(F%)、腰臀比值采用獨(dú)立樣本t檢驗(yàn),兩組年齡和治療前體重、腰圍、臀圍、體重指數(shù)(BMI)、脂肪率(F%)、腰臀比值的差異無統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。2.兩組患者性別采用χ2檢驗(yàn),兩組性別構(gòu)成差異無統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。3.治療結(jié)束后,組內(nèi)治療前后比較采用配對(duì)t檢驗(yàn),治療組與對(duì)照組治療前后的體重、腰圍、臀圍、體重指數(shù)(BMI)、脂肪率(F%)、腰臀比值比較具有統(tǒng)計(jì)學(xué)意義(P0.05)存在著顯著差異(P0.05)。4.治療結(jié)束后,組間治療后比較采用獨(dú)立樣t本檢驗(yàn),統(tǒng)汁結(jié)果表明,治療組與對(duì)照組治療后體重、腰圍、體重指數(shù)(BMI)、脂肪率(F%)、腰臀比值比較及其差值的比較具有統(tǒng)計(jì)學(xué)意義(P0.05),存在著顯著差異。治療后臀圍值比較沒有統(tǒng)計(jì)學(xué)意義(P0.05),臀圍差值比較有統(tǒng)計(jì)學(xué)意義(P0.05),表明治療組與對(duì)照組在減少臀圍方面存在顯著差異。5.兩組總有效率比較采用χ2檢驗(yàn),治療組總有效率93.3%,對(duì)照組總有效率76.67%。治療組與對(duì)照組比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論綜上所述,治療組(火針治療組)和對(duì)照組(常規(guī)針刺組)對(duì)于痰濕閉阻型單純性肥胖均有良好的治療效果。其中火針治療組能顯著降低痰濕閉阻型單純性肥胖患者的體重,體質(zhì)指數(shù),脂肪率,臀圍,腰圍以及腰臀比,故可以說明火針對(duì)于降低痰濕閉阻型單純性肥胖患者的體重、體質(zhì)指數(shù)、脂肪率、腰圍、臀圍以及腰臀比的效果較常規(guī)針刺組好�；疳槸煼ɡ脺�?zé)岽碳?既可開啟經(jīng)絡(luò)的外門,從而使病邪有出路,又加上其能促進(jìn)氣血運(yùn)行,達(dá)到健脾益氣除濕的作用,從而達(dá)到治療痰濕閉阻型單純性肥胖的目的。
[Abstract]:Objective: to study the effects of fire on body weight, waist circumference, hip circumference, body mass index, fat rate and waist-hip ratio in patients with simple obesity with phlegm-dampness blockage. To compare the clinical effect of fire acupuncture on phlegm dampness blocking type simple obesity and routine acupuncture on phlegm dampness blocking type simple obesity, and to provide a more effective treatment method for clinical treatment. Methods: 1. From June 2014 to December 2015, 60 patients with simple obesity, aged 25-55 years, were selected from the Fifth Clinic of Acupuncture and moxibustion, affiliated to the second Hospital of Heilongjiang University of traditional Chinese Medicine. The treatment group was treated with fire acupuncture and the control group was treated with conventional acupuncture, with 30 persons in each group. In the treatment group, the points were taken as Tianshu, Zhongwan, Yinjiao, Wailing, sliding Meat Gate, Water, Belt, Great Cross, Quchi, Zusanli, each Tuesday and Friday were treated with fire needle once, twice a week, for 8 weeks; In the control group, the points were taken as Zhongwan, Shuihui, Guan Yuan, Tianshu, Quchi, Zhigou, Chambers, Fenglong, Shangjuxu, Yin Lingquan, Neiguan, Zusanli, and were treated with routine acupuncture, acupuncture for 5 days a week, Saturday, Rest on Sunday for 2 days and then continue acupuncture for 8 weeks. 3. 3. Height, weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%) and waist-hip ratio (WHR) were measured and recorded before and after treatment. The data were analyzed by SPSS 17.0 software. Results: 1. Age and body weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%), waist-hip ratio (WHR) were measured by independent sample t test. Age and pre-treatment body weight, waist circumference, hip circumference and body mass index (BMI),) were measured in both groups. Fat rate (F%), waist-hip ratio difference was not statistically significant (P0.05), comparable 2. 5. Two groups of patients with sex 蠂 2 test, the two groups of gender composition difference was not statistically significant (P0.05), comparable. 3. The body weight, waist circumference, hip circumference, body mass index (BMI),) fat ratio (F%) of the treatment group and the control group before and after treatment were compared before and after treatment. There was significant difference in waist-hip ratio (P0.05) (P0.05). After treatment, the results of independent t-test were used after treatment. The results showed that the body weight, waist circumference, body mass index (BMI),) fat rate (F%) of the treatment group and the control group after treatment were higher than those of the control group. The comparison of waist-hip ratio and its difference was statistically significant (P0.05), there were significant differences. After treatment, there was no significant difference in hip circumference between treatment group and control group (P0.05), which indicated that there was significant difference between treatment group and control group in reducing hip circumference. The total effective rate of the two groups was compared by 蠂 2 test. The total effective rate of the treatment group was 93.3g and that of the control group 76.67. The difference between the treatment group and the control group was statistically significant (P0.05). Conclusion to sum up, the treatment group (fire acupuncture group) and the control group (routine acupuncture group) have good therapeutic effect on phlegm dampness blocking type simple obesity. The fire acupuncture treatment group can significantly reduce the body weight, body mass index, fat rate, hip circumference, waist circumference and waist-hip ratio of simple obesity patients with phlegm dampness and dampness blocking type, so it can be concluded that fire is aimed at reducing the weight of simple obesity patients with phlegm dampness and blocking obstruction. Body mass index, fat rate, waist circumference, hip circumference and waist to hip ratio were better than conventional acupuncture group. The fire acupuncture therapy can not only open the external door of meridians and collaterals, but also promote the movement of qi and blood, and achieve the function of invigorating spleen and invigorating qi and dehumidifying, thus achieving the purpose of treating phlegm, dampness and blocking the simple obesity of the type of phlegm and dampness.
【學(xué)位授予單位】：黑龍江中醫(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
本文編號(hào)：2308957
[Abstract]:Objective: to study the effects of fire on body weight, waist circumference, hip circumference, body mass index, fat rate and waist-hip ratio in patients with simple obesity with phlegm-dampness blockage. To compare the clinical effect of fire acupuncture on phlegm dampness blocking type simple obesity and routine acupuncture on phlegm dampness blocking type simple obesity, and to provide a more effective treatment method for clinical treatment. Methods: 1. From June 2014 to December 2015, 60 patients with simple obesity, aged 25-55 years, were selected from the Fifth Clinic of Acupuncture and moxibustion, affiliated to the second Hospital of Heilongjiang University of traditional Chinese Medicine. The treatment group was treated with fire acupuncture and the control group was treated with conventional acupuncture, with 30 persons in each group. In the treatment group, the points were taken as Tianshu, Zhongwan, Yinjiao, Wailing, sliding Meat Gate, Water, Belt, Great Cross, Quchi, Zusanli, each Tuesday and Friday were treated with fire needle once, twice a week, for 8 weeks; In the control group, the points were taken as Zhongwan, Shuihui, Guan Yuan, Tianshu, Quchi, Zhigou, Chambers, Fenglong, Shangjuxu, Yin Lingquan, Neiguan, Zusanli, and were treated with routine acupuncture, acupuncture for 5 days a week, Saturday, Rest on Sunday for 2 days and then continue acupuncture for 8 weeks. 3. 3. Height, weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%) and waist-hip ratio (WHR) were measured and recorded before and after treatment. The data were analyzed by SPSS 17.0 software. Results: 1. Age and body weight, waist circumference, hip circumference, body mass index (BMI),) fat rate (F%), waist-hip ratio (WHR) were measured by independent sample t test. Age and pre-treatment body weight, waist circumference, hip circumference and body mass index (BMI),) were measured in both groups. Fat rate (F%), waist-hip ratio difference was not statistically significant (P0.05), comparable 2. 5. Two groups of patients with sex 蠂 2 test, the two groups of gender composition difference was not statistically significant (P0.05), comparable. 3. The body weight, waist circumference, hip circumference, body mass index (BMI),) fat ratio (F%) of the treatment group and the control group before and after treatment were compared before and after treatment. There was significant difference in waist-hip ratio (P0.05) (P0.05). After treatment, the results of independent t-test were used after treatment. The results showed that the body weight, waist circumference, body mass index (BMI),) fat rate (F%) of the treatment group and the control group after treatment were higher than those of the control group. The comparison of waist-hip ratio and its difference was statistically significant (P0.05), there were significant differences. After treatment, there was no significant difference in hip circumference between treatment group and control group (P0.05), which indicated that there was significant difference between treatment group and control group in reducing hip circumference. The total effective rate of the two groups was compared by 蠂 2 test. The total effective rate of the treatment group was 93.3g and that of the control group 76.67. The difference between the treatment group and the control group was statistically significant (P0.05). Conclusion to sum up, the treatment group (fire acupuncture group) and the control group (routine acupuncture group) have good therapeutic effect on phlegm dampness blocking type simple obesity. The fire acupuncture treatment group can significantly reduce the body weight, body mass index, fat rate, hip circumference, waist circumference and waist-hip ratio of simple obesity patients with phlegm dampness and dampness blocking type, so it can be concluded that fire is aimed at reducing the weight of simple obesity patients with phlegm dampness and blocking obstruction. Body mass index, fat rate, waist circumference, hip circumference and waist to hip ratio were better than conventional acupuncture group. The fire acupuncture therapy can not only open the external door of meridians and collaterals, but also promote the movement of qi and blood, and achieve the function of invigorating spleen and invigorating qi and dehumidifying, thus achieving the purpose of treating phlegm, dampness and blocking the simple obesity of the type of phlegm and dampness.
【學(xué)位授予單位】：黑龍江中醫(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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