溫針治療單純性肥胖臨床療效觀察 - 臨床醫(yī)學(xué)

溫針治療單純性肥胖臨床療效觀察-臨床醫(yī)學(xué)肥胖已成為全球的流行病,它不僅影響體形和美觀，而且成為多種疾病示例高血壓、冠心《⑻悄蠆〉扔泄氐奈Ｏ找蛩?，F(xiàn)匚：θ死嘟】?。笔諊覂e昀床捎夢(mèng)掄刖鬧瘟頻ゴ啃苑逝種《60例取得了稱心的療效現(xiàn)總結(jié)報(bào)告如下:1臨床資料1.1一般資料納入察看的120例患者均der-top:windowtext1ptsolid;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">總有效率owtext1ptsolid;border-left:windowtext1ptsolid;padding-bottom:0cm;background-color:transparent;padding-left:5.4pt;width:35.6pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"47\">治療組

60

42

16

order-left:#f4f4f4;padding-bottom:0cm;background-color:transparent;padding-left:5.4pt;width:54pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"72\">2

58(96.67)

對(duì)照組

60

style=\"border-bottom:windowtext1ptsolid;border-left:#f4f4f4;padding-bottom:0cm;background-color:transparent;padding-left:5.4pt;width:45pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"60\">16

34

10

50(83.33)

如表1所示,治療組的顯效率明顯高于對(duì)照組,經(jīng)過Ridit分析,組間比擬有顯著性差別(P＜0.01).

3.2兩組治療前后主要體征的比擬見表2.

表2兩組治療前后主要體征的比擬 (x±s)

體征

治療組(n=60)

對(duì)照組(n=60)

;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">治療前;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">治療后

治療前

治療后

體重(kg)

nt;padding-left:5.4pt;width:63pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">80.81±10.35

70.08±5.64*△

79.91±9.68

idth=\"84\">74.45±7.53*g-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"83\">身體脂肪率(%)

31.46±6.16

23.85±6.23*△

30.25±6.45

e=\"border-bottom:windowtext1ptsolid;border-left:#f4f4f4;padding-bottom:0cm;background-color:transparent;padding-left:5.4pt;width:63pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">27.54±7.36*

BMI(kg/m2)

30.11±2.19

ext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">28.15±2.95*△und-color:transparent;padding-left:5.4pt;width:63pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">29.75±2.68

28.52±2.36*

腰圍(cm)

99.56±7.21

93.77±6.81*△

99.21±6.85

96.54±6.78*

2.6pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"83\">臀圍(cm)er-left:#f4f4f4;padding-bottom:0cm;background-color:transparent;padding-left:5.4pt;width:63pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">105.33±5.61

101.35±5.51*△

105.39±6.25

t;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">103.41±6.58*

腰臀比(WHR)

0.95±0.39

0.95.±0.21*△

ng-bottom:0cm;background-color:transparent;padding-left:5.4pt;width:63pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"84\">0.98±0.35

0.96±0.25*

注:*與治療前比擬,P＜0.05;△與對(duì)照組比擬，P＜0.05。治療組改善程度明顯優(yōu)于對(duì)照組。

3．3兩組治療前后主要實(shí)驗(yàn)室指標(biāo)比擬見表3

表3兩組治療前后主要實(shí)驗(yàn)室比擬

指標(biāo)(mmol/L)

45\"colspan=\"2\">治療組(n=60)

對(duì)照組(n=60)

治療前

治療后

ext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"76\">治療前h:50.7pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"68\">治療后

HDL-C(0.8-1.7)

1.4±0.7

1.1±0.6*△

1.2±0.1

1.2±0.3*

TG(0.1-1.8)

t;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"73\">1.8±0.5rder-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"72\">1.3±0.6*△

1.7±0.9

1.5±0.8*

CHOL(3.6-6.2)

6.0±0.7

5.6±0.8*△

5.9±0.5

;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;mso-border-left-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"68\">5.6±0.7*e=\"border-bottom:windowtext1ptsolid;border-left:windowtext1ptsolid;padding-bottom:0cm;background-color:transparent;padding-left:5.4pt;width:71pt;padding-right:5.4pt;border-top:#f4f4f4;border-right:windowtext1ptsolid;padding-top:0cm;mso-border-top-alt:solidwindowtext.5pt;mso-border-alt:solidwindowtext.5pt;\"valign=\"top\"width=\"95\">LDL-C(1.1-3.6)

2.9±0.4

2.1±0.6*△

=\"76\">2.9±0.3

2.6±0.2*

注:*與治療前比擬,P＜0.05;△與對(duì)照組比擬,P＜0.05。治療組改善程度明顯優(yōu)于對(duì)照組。

4討論

現(xiàn)代醫(yī)學(xué)研究【3】認(rèn)為單純性肥胖是由于機(jī)體攝入能量高于耗費(fèi)能量,或攝入正常而耗費(fèi)量過少,導(dǎo)致體內(nèi)脂肪過多堆積,體重增加和脂肪分布異常,脂肪組織和其他組織比例失