【摘要】：研究目的探討電針結(jié)合飲食控制治療單純性肥胖的臨床療效。通過(guò)對(duì)單純性肥胖的患者采用電針結(jié)合飲食控制治療的臨床觀察,對(duì)比電針結(jié)合飲食控制與單純電針、單純飲食控制治療單純性肥胖的療效,尋找治療肥胖的最佳方法,提高痊愈率,減少后遺癥。研究方法90例單純性肥胖的患者被隨機(jī)分為三組,其中30例為接受電針結(jié)合飲食控制的治療,另30例為接受單純的電針治療,另30例為接受單純的飲食控制治療。經(jīng)過(guò)3個(gè)治療階段后,評(píng)估每一位患者的最終肥胖指數(shù)(體重、腰圍、臀圍、大腿圍、小腿圍、上臂圍、體重指數(shù)、體內(nèi)脂肪比例、內(nèi)臟脂肪含量)。所有的統(tǒng)計(jì)數(shù)據(jù)均經(jīng)過(guò)SPSS19.0統(tǒng)計(jì)軟件分析。研究結(jié)果經(jīng)過(guò)電針結(jié)合飲食控制治療、單純電針治療、單純飲食控制治療后,三組患者的體重、腰圍、臀圍、大腿圍、小腿圍、上臂圍、體重指數(shù)、體內(nèi)脂肪比例、內(nèi)臟脂肪含量均下降。其中電針結(jié)合飲食控制組治療后患者的體重、腰圍、臀圍、體重指數(shù)、FAT及VFA均下降,前后比較各項(xiàng)指標(biāo)具有顯著性差異(P0.01)。電針組治療后患者的體重、腰圍、臀圍、體重指數(shù)、FAT及VFA下降,這些指標(biāo)前后比較差異有顯著性(P0.05),大腿圍、小腿圍、上臂圍前后比較各項(xiàng)指標(biāo)差異無(wú)顯著性(P0.05)。飲食控制組治療后患者的體重、腰圍、臀圍、大腿圍、小腿圍、上臂圍、體重指數(shù)、FAT及VFA均下降,但前后比較各項(xiàng)指標(biāo)差異無(wú)顯著性(P0.05)。治療組與對(duì)照組1治療后比較,體重、腰圍、臀圍、大腿圍、小腿圍、上臂圍、體重指數(shù)、FAT及VFA方面,兩者比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。但仍說(shuō)明電針結(jié)合飲食控制組減肥療效在降低某些項(xiàng)肥胖指標(biāo)方面優(yōu)于電針組。治療組與對(duì)照組2治療后比較,體重、腰圍、臀圍、體重指數(shù)、FAT及VFA方面,兩者具有顯著性差異(P0.01)：大腿圍、小腿圍、上臂圍方面下降值兩者差異比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。說(shuō)明電針結(jié)合飲食控制組在降低某些肥胖指標(biāo)方面明顯優(yōu)于飲食控制組。對(duì)照組1與對(duì)照組2治療后比較,體重、腰圍、臀圍、體重指數(shù)、FAT及VFA下降值比較具有顯著性差異(P0.05)：大腿圍、小腿圍、上臂圍方面下降值兩者差異比較無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。說(shuō)明電針組減肥療效在降低某些肥胖指標(biāo)方面優(yōu)于飲食控制組。但是減肥療效沒有電針結(jié)合飲食控組顯著。三組療效比較,電針結(jié)合飲食控制組總體有效率為93.4%；單純電針組總體有效率為76.7%；單純飲食控制組總體有效率為66.7%。這表明電針飲食控制組治療效果顯著。電針結(jié)合飲食控制組總有效率高于電針組及飲食控制組,三組總有效率比較x2=19.019、P=0.004、P0.01,具有統(tǒng)計(jì)學(xué)意義。結(jié)論電針結(jié)合飲食控制、單純電針、單純飲食控制都是治療單純性肥胖的有效方法,但電針結(jié)合飲食控制的減肥療效在降低體重、腰圍、臀圍、體重指數(shù)、FAT及VFA方面明顯優(yōu)于單純電針及飲食控制。
[Abstract]:Objective to investigate the clinical effect of electroacupuncture combined with diet control in the treatment of simple obesity. Through the clinical observation of patients with simple obesity treated by electroacupuncture combined with diet control, the effect of electroacupuncture combined with diet control and simple diet control on simple obesity was compared, and the best method of treating obesity was found. Improve the recovery rate and reduce sequelae. Methods 90 patients with simple obesity were randomly divided into three groups: 30 patients were treated with electroacupuncture combined with diet control, the other 30 patients received simple electroacupuncture therapy and 30 patients received simple diet control therapy. After three stages of treatment, the final obesity index (body weight, waist circumference, hip circumference, thigh circumference, calf circumference, upper arm circumference, body mass index, body fat ratio, visceral fat content) was evaluated in each patient. All statistical data were analyzed by SPSS19.0 statistical software. Results the body weight, waist circumference, hip circumference, thigh circumference, shank circumference, upper arm circumference, body mass index, body fat ratio of the three groups after electroacupuncture combined with diet control therapy, simple electroacupuncture therapy and simple diet control therapy, The content of visceral fat decreased. The body weight, waist circumference, hip circumference, body mass index (BMI), fat and VFA of patients in electroacupuncture combined with diet control group were all decreased after treatment, and there was significant difference between before and after treatment (P0.01). The body weight, waist circumference, hip circumference, body mass index (BMI) and VFA decreased in the electroacupuncture group after treatment. There were significant differences in these indexes before and after treatment (P0.05). There was no significant difference in the thigh circumference, calf circumference and upper arm circumference between the two groups (P0.05). The body weight, waist circumference, hip circumference, thigh circumference, calf circumference, upper arm circumference, body mass index (BMI) and body mass index (VFA) of patients in diet control group decreased after treatment, but there was no significant difference between before and after treatment (P0.05). The body weight, waist circumference, hip circumference, thigh circumference, leg circumference, upper arm circumference, body mass index (BMI) and VFA were not significantly different between the treatment group and the control group after treatment (P0.05). But it still shows that the effect of electroacupuncture combined with diet control group is better than that of electroacupuncture group in reducing some obesity indexes. There were significant differences in body weight, waist circumference, hip circumference, body mass index (fat) and VFA between the treatment group and the control group (P0.01): there was no significant difference between the two groups in thigh circumference, shank circumference and upper arm circumference (P0.05). The results showed that the electroacupuncture combined with diet control group was superior to the diet control group in reducing some obesity indexes. Control group 1 compared with control group 2 after treatment, weight, waist circumference, hip circumference, body mass index, fat and VFA decreased values have significant difference (P0.05): thigh circumference, shank circumference, upper arm circumference decreased values have no statistical significance (P0.05). The results showed that the effect of electroacupuncture on reducing some obesity indexes was better than that of diet control group. But the effect of weight loss was not significant in electroacupuncture combined with diet control group. The total effective rate of electroacupuncture combined with diet control group was 93.44.The total effective rate of simple electroacupuncture group was 76.70.The total effective rate of simple diet control group was 66.7. This indicated that the effect of electroacupuncture diet control group was remarkable. The total effective rate of electroacupuncture combined with diet control group was higher than that of electroacupuncture group and diet control group. Conclusion Electro-acupuncture combined with diet control, simple electroacupuncture and simple diet control are effective methods for the treatment of simple obesity, but the effect of electroacupuncture combined with diet control can reduce body weight, waist circumference and hip circumference. Body mass index (BMI), fat and VFA were superior to electroacupuncture and diet control.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.1

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