不同波形电针治疗单纯性肥胖病临床疗效比较论文

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1、中文摘要【目的】通过三种不同波形电针治疗单纯性肥胖病，观察治疗前后患者体重指数、脂肪百分率、腰围、臀围、股围、上臂围的变化，比较三种波形的疗效，从而确定最佳波形，为电针治疗单纯性肥胖病提供临床指导。【方法】将138例单纯性肥胖病患者随机分为断续波组、连续波组、疏密波组各46例，实际完成121例，断续波组42例、连续波组39例、疏密波组40例。取穴：天枢、中脘、气海、足三里、丰隆、三阴交、阴陵泉、大横、腹结、公孙，根据辨证配穴，穴位常规进针后，接电针，断续波组、连续波组电流频率为2Hz，疏密波组频率为6Hz/30Hz，强度以患者耐受为度，留针30m

2、in，1次/d，每周治疗5次，休息2天，15次为1疗程，3个疗程后统计疗效。治疗前及每个疗程结束后对三组患者体重指数、脂肪百分率、腰围、臀围、股围、上臂围进行测量记录，并对治疗前、后测量值进行统计学分析。【结果】1.三组疗效分析显示，疏密波、断续波、连续波组的总有效率分别为82.5%、73.8%、74.4%，三组不同波形电针治疗单纯性肥胖病均有效，但三者之间无明显差异（P＞0.05）。2.三组治疗后体重指数、脂肪百分率、腰围、臀围、股围、上臂围均较治疗前下降，其中体重指数、脂肪百分率、腰围有显著性差异(P＜0.01)，臀围、股围、上臂围有差异(P

3、＜0.05)；治疗后三组组间比较，差异无统计学意义(P＞0.05)。【结论】疏密波、断续波、连续波治疗单纯性肥胖病均有效，但无显著性差异。腰围、臀围、股围、上臂围的降低说明三组不同波形既可减少腹、臀部脂肪，又可减少四肢脂肪。【关键词】单纯性肥胖病；电针；断续波；连续波；疏密波TherapeuticEffectComparisonofDifferentElectro-AcupunctureWaveformforTreatmentSimpleObesityABSTRACT【Objective】Threedifferenttypesofwave,inc

4、ludingcondensation-rarefactionwave,continuouswaveandintermittentwavewereselectedinelectro-acupuncturetreatmentforobesity.Toobservetheobesitychangeofbodymassindex,fatpercentage,waistcircumference,hipcircumference,thighcircumferenceandupperarmcircumferencebeforeandafterthetreat

5、ment,comparetheeffectiveness,determinethebestwaveforminelectro-acupuncturetreatmentandprovideclinicalguidancefortreatmentofsimpleobesitywithelectro-acupuncture.【Methods】The138casesofsimpleobesitywererandomlydividedintothreegroups,electro-acupuncturedwitheitherintermittent

6、wave,continuouswave,orcondensation-rarefactionwave,46casesineachgroup.But121caseswerefinishedinfact,intermittentwave(42cases),continuouswave(39cases)andcondensation-rarefactionwave(40cases).Tianshu(ST25),Zusanli(ST36),Fenglong(ST40),Gongsun(SP4),Sanyinjiao(S

7、P6),Yinlingquan(SP9),Fujie(SP14),Daheng(SP15),Qihai(RN6)andZhongwan(RN12)wereselected,andadjuvantpointswereselecteddialecticallyaccordingtodifferentsyndromes.Afterroutineinserting,theneedleswereconnectedwithelectricalcurrent.Forthegroupstreatedwithcondensation-rarefactionwave

8、,thefrequencywasswitchedbetween6Hzand30Hzalternatively,andforthegrou