针刺加盒灸治疗脾虚型肥胖症疗效评价.pdf

成都中医药大学硕士学位论文2学位论文针刺加盒灸治疗脾虚型肥胖症的疗效评价TheClinical Research of Obesity of Spleen Deficiencyin Treatment with Needling and Box-moxibustion刘颖指导教师姓名:李应昆申请学位级别:硕士专业名称:针灸推拿论文提交时间:: 二○一一年四月成都中医药大学硕士学位论文3中文摘要目的:本课题旨在研究针刺加盒灸疗法治疗脾虚型肥胖症的疗效和安全性,为肥胖症的治疗提供更安全有效的治疗方法。方法:采用随机﹑对照﹑单盲的研究方法,将60例符合纳入标准的肥胖症患者随机分为治疗组和对照组,每组各30例。治疗组采用常规针刺+盒灸治疗,对照组采用单纯针刺治疗。治疗时间:每日治疗1次,10次为1疗程,连续3个疗程;之后隔日治疗1次,5次为1疗程,连续3个疗程,共治疗45次。疗效评价:采用BMI值为主要疗效评价指标,以体重值、腰围、臀围、腰臀比、脾虚积分以及疗效等级评定为次要疗效指标。统计方法:计量资料采用t检验,计数资料采用x2检验。结果:60例病人中,57例完成整个研究过程,脱失病例3例。治疗前后改变值两组比较:BMI值有统计学意义(P<),表明治疗组疗效优于对照组;体重、脾虚积分有统计学差异(P<),表明治疗组在改善体重、脾虚积分方面疗效优于对照组;而腰围、臀围、腰臀比三项无统计学差异(P>)。治疗前后改变值各组组内比较,BMI值、体重值、腰围、臀围、腰臀比、脾虚积分均有统计学意义(P<),表明治疗组与对照组治疗肥胖症均有疗效。治疗组29例中临床痊愈5例,显效12例,有效11例,无效1例,%,%;对照组临床痊愈率2例,显效10例,有效13例,无效3例,%,%。治疗组与对照组比较,愈显率和有效率差异无统计学意义(P>)。结论:针刺加盒灸和单纯针刺均对脾虚型肥胖症的治疗有效,但针刺加盒灸疗法在改善BMI值、体重、脾虚积分方面的疗效优于单纯针刺疗法。关键词:针刺;盒灸;肥胖症;脾虚成都中医药大学硕士学位论文4ABSTRCT Objective:This paper was to assess bined with box-moxibustion for obesity of spleen deficiency, comparing with acupuncture treatment :Using randomised, controlled, single-blinddesign, 60 participants diagnosed as obesity of spleen deficiency were equally randomly divided into interventiongroupand control controlgroup was given acupuncture alone, whilethe interventiongroup was treated with both acupuncture and box- subjects were treatedonce aday and tentimes as a session, which lasted threesessions. Then subjects were treated every other day, five times as a session and continued for three sessions. Totally participants received treatment of 45 evaluation of BMI was the primary e, and the assessment of weight, waistline, hipline, waist hip ratio,spleendeficiencyscoreas well as the ranking system of effectiveness were considered as secondary e. Continuous data were analysed by ttest and dichotomous data measured by chi-square. Results:57of60 participantswent throught