【作者】 朴汉诚；

【导师】 艾炳蔚；

【作者基本信息】 南京中医药大学 ， 针灸推拿， 2011， 硕士

【摘要】 研究背景：肥胖病是常见的营养障碍性疾病,其根本原因是能量的正平衡。它是由特定的生化因子所引起的一系列进食调控和能量代谢紊乱而导致的疾病,与遗传、环境、膳食结构等多种因素有关,其中基因是主要的决定因素。随着经济的发展,人民生活水平的提高,肥胖发病率的上升幅度令人担忧。近些年采用传统的中医药方法治疗本病取得了显着效果,特别是针灸减肥以其疗效显着,无毒副作用而广泛被患者接受,而其针灸减肥的作用机理也成为目前医学研究热点。近几年来,国内对针灸治疗单纯性肥胖症的临床及作用机理做了大量研究,取得了可喜的成绩。研究目的：观察电针结合激光治疗对单纯性肥胖患者内脏脂肪含量的影响,寻找针灸治疗单纯性肥胖的优化方案。研究方法：将60例单纯性肥胖患者随机分为电针组、电针结合激光组,并分别给予电针,电针加激光治疗,观察针刺治疗前后患者肥胖指标(腰围、臀围、股围、体重、体重指数、体脂百分比、内脏脂肪含量)的变化,进行统计分析。研究结果：经单纯电针治疗、电针结合激光治疗后,两组患者的体重、腰围、臀围、股围、BMI、FAT和VFA均下降,治疗前后比较各项指标差异均有显着性(P<0.01)；两组总有效率分别为90.00%、90.00%；这些均提示单纯电针、电针结合激光都是治疗单纯性肥胖病的有效方法。治疗后两组各指标下降值经两组独立样本T检验比较示电针结合激光组体重、FAT下降值较单纯电针组比较差异具有显着性统计学意义(P<0.05)；腰围及VFA下降值比较差异具有极显着性统计学意义(P<0.01)；BMI、臀围及股围方面两者差异比较无统计学意义；说明电针结合激光减肥疗效在降低内脏脂肪方面优于电针。电针结合激光组的显效率高于单纯电针组,但经统计学分析,差异无统计学意义。研究结论：电针、电针结合激光都是单纯性肥胖的有效治疗方法,电针结合激光治疗在降低体重、FAT、腰围、VFA方面优于电针。更多还原

【Abstract】 Background:The obesiyt is a kind of common dystrophic disease which basic reason is positive balance of the energy. It is a series of regulation of diet and energy metabolism disorder caused by particular bio-chemical factor. It related to various factors, such as heredity, environment and the meal strurcturc.etc…Among them, the gene is a main decisive factor. With the economic development and improvement of living condition, the rising range of the incidence of obesity is troubling. In recent years the use of traditional Chinese medicine treatment of the disease has achieved significant results, especially acupuncture slimming effect of its significant, non-toxic side effects in patients with widely accepted, and the mechanism of acupuncture slimming of the current medical research have also become hot spots. In recent years, the domestic acupuncture treatment of obesity and simple mechanism to do a lot of research, has made gratifying achievements.Purpose:Observe the effect to simple obesity patient’s visceral fat quantity by combining electric-acupuncture with laser, find out the better treatment program.Method:Sixty simple obesity patients were randomly divided into two groups:lectro-cupuncture roup, electro-acupuncture and laser group. After treatment, obesity index(waistline, hip circumference, thigh circumference, body mass, body mass index, percentage of body fat and fat content of internal organs), and post-treatment were observed.SPSS13.0 software was performed in the statistical analysis.Result:After treatment, the body mass, waistline, hip circumference, thigh circumference, BMI, FAT and VFA were all descended(P<0.01). The total effective rate of electro-acupuncture group, electro-acupuncture and laser group were 90.00%,90.00%respectively. These prompted that electr-acupuncture, electro-acupuncture and laser were both the effective treatments on simple obesity. With independent-samples T test, there was statistical significance between electro-acupuncture group and electro-acupuncture with laser group on FAT and bodymass (PO.05). There was remarkably statistical significance between the two group on waistlin and VFA(PO.O1). There was no statistical significance between the two group on BMI, hip circumference, thigh circumference and the total effective rate. All these indicated that electro-acupuncture and laser was better than electro-acupuncture on degrading the visceral fat. Conclusion:Both the electro-acupuncture and the electro-acupuncture with laser are effective treatments on simple obesity, the electro-acupuncture with laser group’s changes in waist circumference, FAT, bodymass and VFA are obvious than the electro-acupuncture group’s.更多还原