穴位埋线疗法治疗单纯性肥胖症不同季节疗效差异的临床探究.pdfVIP

提 要 目的：采用穴位埋线疗法治疗单纯性肥胖症，观察在不同季节的疗效有无差异， 从而为临床提供一种可靠的季节性疗效分析依据。方法：选择符合纳入标准的单纯性 肥胖症患者 117 例，按照治疗的季节，分为春、夏、秋、冬四组，通过自身前后对照 及组间两两比较的方法，观察各个季节患者治疗前后主要症状、体征、物理指标及实 验室指标的变化情况。结果：两个疗程后，患者症状、体征都有明显改善。统计学比 较：1．组内比较：两个疗程后，春季组物理指标(除胸围外) 、血清胰岛素、血清瘦 素、血清 TC、TG 含量有非常显著性差异（P0.01 ），血清HDL-C 、LDL-C 含量有显 著性差异（P0.05 ）；夏季组物理指标(除胸围外)及实验室指标均有非常显著性差异 （P0.01 ）；秋季组物理指标(除胸围外) 、血清胰岛素、血清瘦素、血清 TC、HDL-C 含量有非常显著性差异（P0.01 ），血清 TG、LDL-C 含量有显著性差异（P0.05 ）； 冬季组物理指标(除胸围外)有非常显著性差异（P0.01 ），实验室指标有显著性差异 （P0.05 ）。2．组间比较：体重、体重指数、髋围三项物理指标中，春季组与冬季组、 夏季组与秋季组、夏季组与冬季组相比有非常显著性差异（P0.01 ）；腰围中三组与 冬季组相比均有非常显著性差异（P0.01 ）；血清瘦素、血清TC 含量两项实验室指标 中，夏季组与冬季组有显著性差异（P0.05 ）；血清胰岛素中夏季组与冬季组、秋季 组与冬季组相比有非常显著性差异（P0.01 ）；血清LDL-C 含量夏季组与秋季组、夏 季组与冬季组相比均有显著性差异（P0.05 ）。结论：本课题表明穴位埋线疗法治疗 单纯性肥胖症有很好疗效，但四组疗效不等，夏季组疗效最为显著，冬季组疗效稍差， 四组疗效由优到劣依次为：夏季组、春季组、秋季组、冬季组。 关键词 穴位埋线；单纯性肥胖；不同季节；疗效差异 Clinical Study about the effect of Catgut Implantation at Acupoint on treating Simple Obesity in different seasons Specialty: Acupuncture and moxibustion Author: Dong Juan Tutor: Prof. Ge Baohe Abstract Objective: The article was to observe the effect of catgut implantation at acupoint on treating simple obesity and discuss the effects in different seasons. Method: 117 cases were selected, and divided into four groups randomly according to the different seasons. Comparing their symptom, physical sign and laboratory index after treatment with them before treatment. Result: After two courses, the therapy decreased the bodyweight, circumference, the lever of serum leptin and blood-lipid. Four groups had different therapeutic results. The total effective rate of spring was 80%, of summer was 90%, of autumn was 51.72% ,of winter was 35.71% .Conclusion: The regulation of the therapy on level of blood-lipid an