健脾益肾汤治疗单纯性肥胖症的临床探究.pdfVIP

提 要 目的：探讨健脾益肾汤对脾肾气虚，痰湿内盛型单纯性肥胖症的临床疗效和机理。 方法：选择60例脾肾气虚，痰湿内盛证的单纯性肥胖症患者，随机分组，将其中30 例予健脾益肾汤（治疗组），30 例予六味能消胶囊（对照组），分别对其进行系统临 床研究，着重观察治疗前后患者主要临床症状、肥胖衡量指标（体重、体重指数、腰 围、腰臀围比）及血脂水平的变化。结果：治疗组总有效率为86.7%，对照组总有效 率为60%，两组临床总疗效之间有显著性差异（P＜0.05）；治疗组在改善主要临床症 状、肥胖衡量指标及血脂水平方面优于对照组（P＜0.05或P＜0.01）。结论：健脾益 肾汤对脾肾气虚，痰湿内盛型单纯性肥胖症的患者具有良好的治疗效果。 关键词 单纯性肥胖症；健脾益肾汤；临床研究；血脂 Clinical Research on JIAN-PI-YI-SHEN TANG in Treating Simple Obesity Speciality: Internal medicine of TCM Author: Zhang Na Tutor: Professor Zhao Quanlin Abstract Aim: To discuss the therapeutic effects to treat the simple obesity patients with Qi deficiency of the Spleen-kidney and Retention of phlegm-dampness after taking JIAN-PI-YI-SHEN TANG, so as to provide mechanism. Methods: equally randomized 60 simple obesity patients with Qi Deficiency of the Spleen-kidney and Retention of phlegm-dampness into 2 groups, they are: treatment group and control group. The patients in treatment group were taked JIAN-PI-YI-SHEN TANG , the patients in control group were taked LIU-WEI-NENG-XIAO capsules. After parting clinical research and contrastive therapeutic effects on clinical symptom; obesity weigh indices: weight, waist circumference, body mass index （BMI ）, waist and seat circumference ratio; blood-lipids level. Results: The total availability of treatment group was 86.7% and the control group was 60%. They had remarkable difference in total clinical effects （P0.05 ）. The treated group had an obviously better effect on improving clinical symptom, obesity weigh indices and blood-lipids level （P ＜0.05 OR P ＜0.01 ）. Conclusion: JIAN-PI-YI-SHEN TANG is effective for the simple obesity patients with Qi D