择导法治疗腹型肥胖的临床研究.docVIP

成都中医药大学硕士学位论文 中文摘要 目的：随着人们生活水平的提高，人们饮食结构的改变，生活和劳动条件及交通 状况的改善、肥胖在全球范围内迅速增长，患病率与日俱增，已经成为现代社会 的流行病。腹型肥胖越来越受到广大医生学者的注意。有研究表明向心性肥胖更 易出现血中脂肪酸含量过高、甘油三脂血症,腹部过多的脂肪沉积在内障器官, 更易患病[1].针灸减肥除了操作简单，副作用少。且显效佳，已有大量文献报道。 通过研究针刺加耳针治疗腹型肥胖，通过和单纯针刺组对照，观察针刺加耳针在 治疗肥胖症上是否优于单纯针刺组。寻找更合适的方法治疗腹型肥胖以减少因腹 型肥胖引起的高血压、糖尿病、冠心病等。提高患者的生存质量。世界卫生组织 在1997年宣布肥胖是一种疾病[1]。 方法：全部病例均来自 2010 年 3 月—2011 年 3 月来自门诊部就诊的患者。 最小年龄 21 岁，最大年龄 59 岁，平均年龄在 35 岁。其中男性 20 例，女性 40 例。分为治疗组和对照组，对两组患者分别进行治疗。治疗组采用四川省名中医 胡运光主任医师提出的“择导法”治疗。对照组采用普通针刺法治疗。第一周做 治疗 7 次，以后每周治疗 5 次，治疗 4 周。治疗前后测量：体重、BMI、腰围、 臀围。治疗后治疗组和对照组比较。 结果：治疗组、对照组的患者在治疗前后腰围、臀围、BMI 均下降（P＜0.05）, 两种种方法的有效率分别为 93%，80%。 结论：治疗组较对照组在治疗腹型肥胖时有效率高，说明择导法安全有效。 值得在临床上推广。 关键词：择导法、电针、穴位、腰围、臀围、体重指数（BMI） 2 成都中医药大学硕士学位论文 ABSTRACT Objective：As people living standard rise, people diet structure change, living and working conditions and traffic improvements, obesity worldwide in rapid growth, increasing prevalence of modern society, has become pandemic. More and more abdominal obesity get the attention of doctors. Research has shown that abdominal obesity are more likely to have high blood fatty acids, triglycerides hematic disease, abdominal fat deposition in the Organs, more sick. Because of its simple operation, few side-effects, loss weight by acupuncture has been reported powerfully. Through the research to observe whether acupuncture add ear-acupoints is better than pure acupuncture group in the treatment of obesity. Thus we can find an effective method to improve the life quality of the obese . Methods：All test-takers were patients from clinics from March 2010 to March 2011. Minimum age was 21, maximum age was 59 years, and the average age was 35. men 20, women 40 .They were divided into treatment group and control group. Patients of treatment group were treated by Selectively import method, which was raised by Chief physician huyunguang. Patients of control group were treated by Simple acupuncture method .Patients were treated 22 times, seven times in the first week, five times a wee