肥胖讲课ppt课件.ppt

肥胖的诊断方法 The diagnostic method of obesity 最常用的指标是体质指数（最常用的指标是体质指数（B MIB MI）The common index is BMI.The common index is BMI.B MI=B MI=体重体重weightweight（kgkg）身高）身高2 2（m m2 2）height height 腰髋周径比值：腰部周径是指在第腰髋周径比值：腰部周径是指在第1212肋下缘水平，髋部周径肋下缘水平，髋部周径是指臀部最大周径，此值大于是指臀部最大周径，此值大于 0.720.72可诊为肥胖可诊为肥胖 Ratio of wRatio of waistaist-coxa girth:this ratio which is-coxa girth:this ratio which is bigger than 0.72 can be bigger than 0.72 can be diagnosediagnosed as Obesity.lumbar d as Obesity.lumbar girth refers to the girth encircling the lower of girth refers to the girth encircling the lower of 12th rib.The sciatic girth refers to the longest 12th rib.The sciatic girth refers to the longest girth of girth of buttocksbuttocks.肥胖按发病机制和病因可以分为单纯性（占肥胖按发病机制和病因可以分为单纯性（占9595）和继发性）和继发性两类：单纯性肥胖包括体质性和获得性两类两类：单纯性肥胖包括体质性和获得性两类Obesity can be classified as simple obesity and Obesity can be classified as simple obesity and secondary obesity according to etiology and secondary obesity according to etiology and pathogenesis.The simple obesity includes pathogenesis.The simple obesity includes constitutional type and obtaining type.constitutional type and obtaining type.体质性肥胖是自童年起发病体质性肥胖是自童年起发病The constitutional obesity The constitutional obesity comes on from es on from childhood.获得性肥胖包括产后肥胖，更年期肥胖获得性肥胖包括产后肥胖，更年期肥胖 （性腺功能减退）等（性腺功能减退）等 The obtaining obesity includes The obtaining obesity includes post partumpost partum fatness fatness and menopause fatness (and menopause fatness (hypogonadismhypogonadism)etc.)etc.继发性肥胖分为下丘脑病、垂体病、胰岛病、甲状腺功能减继发性肥胖分为下丘脑病、垂体病、胰岛病、甲状腺功能减退症、肾上腺皮质功能亢进症、性腺功能减弱症等退症、肾上腺皮质功能亢进症、性腺功能减弱症等 The secondary obesity refers to fatness accompanying The secondary obesity refers to fatness accompanying with hypothalamus disease,pituitary disease,with hypothalamus disease,pituitary disease,pancreas disease,hypothyroid disease,-,pancreas disease,hypothyroid disease,-,hypogonadism disease.hypogonadism disease.取得良好疗效的就诊者情况是取得良好疗效的就诊者情况是 the situation of patients who took good effect is the situation of patients who took good effect is the fact that:the fact that:单纯性肥胖者中的体质性肥胖占单纯性肥胖者中的体质性肥胖占10.210.2,获得性肥胖者占获得性肥胖者占 35.235.2；产后肥胖患者占；产后肥胖患者占 5.75.7 The constitutional obesity accounts for 10.2The constitutional obesity accounts for 10.2 and and the obtaining obesity accounts for 35.2the obtaining obesity accounts for 35.2 of simple of simple obesity patients,obesity patients,post partumpost partum fatness accounts for 5 fatness accounts for 5.7.7.继发性肥胖者中的更年期肥胖患者占继发性肥胖者中的更年期肥胖患者占10.310.3 The menopause fatness accounts for 10.3The menopause fatness accounts for 10.3 of of secondary obesity patients.secondary obesity patients.超重者占超重者占 33.533.5 ，正常体重追求瘦身者，占，正常体重追求瘦身者，占 1010 The overweight-patients account for 33.5The overweight-patients account for 33.5,the,the natural weight patients who want to lose weight natural weight patients who want to lose weight account for 10account for 10.其它占其它占5.35.3 the others account for 5.3the others account for 5.3 减肥机理-神经功能调整the mechanism of losing weight-regulating the function of nerve控制下丘脑摄食中枢，抑制亢进的食欲和胃肠消化力，减少控制下丘脑摄食中枢，抑制亢进的食欲和胃肠消化力，减少进食量进食量 control hypothalamus-centrum,restrain sthenic control hypothalamus-centrum,restrain sthenic appetite and digestion of stomach and intestine,appetite and digestion of stomach and intestine,reduce quantity of food.reduce quantity of food.抑制亢进的胃肠消化吸收机能，减少机体对能量的吸收，从抑制亢进的胃肠消化吸收机能，减少机体对能量的吸收，从而减少能量的摄入而减少能量的摄入 restrain restrain hyperfunctionhyperfunction of digestion and absorbency of digestion and absorbency of stomach and intestine,reduce of stomach and intestine,reduce absorptionabsorption of of organism to energyorganism to energy,so reduce the ingestion of so reduce the ingestion of energy.energy.促进能量代谢，增加能量消耗，促进体脂的动员及脂肪的分促进能量代谢，增加能量消耗，促进体脂的动员及脂肪的分解解 promote energy promote energy metabolism metabolism,increase energy,increase energy consumption,promote mobilization and consumption,promote mobilization and decompositiondecomposition of fat.of fat.减肥机理-内分泌功能调整 the mechanism of losing weight-regulating the function of incretion单纯性肥胖多有内分泌紊乱，各种激素，尤其是胰岛素、性单纯性肥胖多有内分泌紊乱，各种激素，尤其是胰岛素、性激素、肾上腺皮质激素、瘦素等异常激素、肾上腺皮质激素、瘦素等异常 The simple obesity has turbulence of incretion mostly The simple obesity has turbulence of incretion mostly and and abnormityabnormity of every incretion especially for of every incretion especially for insulin,sex hormone,adrenaline,-.insulin,sex hormone,adrenaline,-.减肥有一个过程，治疗时从调节食欲、调节体脂动员机制、减肥有一个过程，治疗时从调节食欲、调节体脂动员机制、建立和巩固新建的代谢平衡点建立和巩固新建的代谢平衡点3 3个方面入手个方面入手 Losing weight has a long term.We starts with three Losing weight has a long term.We starts with three factors as regulating appetite,regulating mechanism factors as regulating appetite,regulating mechanism of fat mobilization,establishing and consolidating of fat mobilization,establishing and consolidating new metabolism balance when treating.new metabolism balance when treating.制定一个循序渐进、疗效逐渐积累的方案是实现这一目的的制定一个循序渐进、疗效逐渐积累的方案是实现这一目的的可靠保证可靠保证 Formulating a scheme Formulating a scheme which proceeds in an orderly which proceeds in an orderly way,way,-the the effect effect accumulates gradually accumulates gradually is is reliable guarantee that reliable guarantee that achieveachieve the goal.the goal.针刺减肥疗效是一个累积的过程，治疗前后体重变化可分为针刺减肥疗效是一个累积的过程，治疗前后体重变化可分为三期三期:The effect of losing weight with acupuncture is a The effect of losing weight with acupuncture is a accumulative course.The change of weight can be accumulative course.The change of weight can be classified as three stages around the treatment.classified as three stages around the treatment.快速减重期（快速减重期（l l4 4周）：迅速减少原体重的周）：迅速减少原体重的5 5 the stage of losing weight quickly(1-the stage of losing weight quickly(1-4week):losing 54week):losing 5 of former weight quickly of former weight quickly 平台调整期（平台调整期（4 41212周）：体重变化不大，但其体内的脂肪周）：体重变化不大，但其体内的脂肪分布会有所变化，脂肪会减少分布会有所变化，脂肪会减少 the stage of flat regulation(4-12week):The change the stage of flat regulation(4-12week):The change of weight is not big,but distribution of body fat of weight is not big,but distribution of body fat can have the change and the fat can reduce.can have the change and the fat can reduce.稳定缓慢减重期（稳定缓慢减重期（1212周以后）：缓慢减少原体重的周以后）：缓慢减少原体重的5 5 the stage of losing weight steadily and tardily the stage of losing weight steadily and tardily(after 12 week):losing 5(after 12 week):losing 5 of former weight tardily.of former weight tardily.初期治疗 earlier treatment 针刺动员了机体的能量利用机制，使摄入的能量不再积聚，针刺动员了机体的能量利用机制，使摄入的能量不再积聚，机体为了维持原有的代谢平衡，动员了积存的脂肪，使体重机体为了维持原有的代谢平衡，动员了积存的脂肪，使体重快速下降快速下降 The acupuncture had mobilized using mechanism of body The acupuncture had mobilized using mechanism of body energy,make the energy not accumulate.the body energy,make the energy not accumulate.the body mobilizes accumulated fat to make weight lose quickly mobilizes accumulated fat to make weight lose quickly for maintaining former metabolism balance.for maintaining former metabolism balance.平台期治疗 the treatment of flat stage 患者机体重建形成较高的代谢平衡点，进一步动员机体积存患者机体重建形成较高的代谢平衡点，进一步动员机体积存的脂肪，可相应调整针刺治疗的方案，增加的脂肪，可相应调整针刺治疗的方案，增加1 13 3的刺激量，的刺激量，从而进入稳定缓慢减重期从而进入稳定缓慢减重期 The organism reforms the higher metabolism balance,The organism reforms the higher metabolism balance,mobilizes accumulating fat farther,regulate the mobilizes accumulating fat farther,regulate the acupuncture treatment therapy correspondingly and acupuncture treatment therapy correspondingly and increase 1increase 13 stimulation,so goes the stage of 3 stimulation,so goes the stage of losing weight steadily and tardily.losing weight steadily and tardily.在平台期，食欲调整是关键，对于食欲未能控制的患者可增在平台期，食欲调整是关键，对于食欲未能控制的患者可增加耳针，一旦食欲下降，体重变化即可能进入第加耳针，一旦食欲下降，体重变化即可能进入第3 3期期 At the stage of flat,the key is regulating At the stage of flat,the key is regulating appetite.It can add ear acupuncture to the patients appetite.It can add ear acupuncture to the patients whose appetite canwhose appetite cant be controlled.Once the t be controlled.Once the appetite is dropping,the change of weight can go appetite is dropping,the change of weight can go into the third stage.into the third stage.稳定期 steady stage 机体形成较高的代谢平衡点，进一步动员积存的脂肪，从而机体形成较高的代谢平衡点，进一步动员积存的脂肪，从而进入稳定缓慢减重期，收到持久的治疗效果。进入稳定缓慢减重期，收到持久的治疗效果。The body formulates the higher metabolism balance The body formulates the higher metabolism balance and mobilizes accumulating fat farther,so goes the and mobilizes accumulating fat farther,so goes the stage of losing weight steadily and tardily and stage of losing weight steadily and tardily and receives continuing effect finally.receives continuing effect finally.辨证分型 differentiation 胃肠实热胃肠实热solid heat of stomach and intestinesolid heat of stomach and intestine脾虚湿阻脾虚湿阻damp obstruction and deficiency of spleen damp obstruction and deficiency of spleen 肝郁气滞肝郁气滞stagnation of liver qi stagnation of liver qi 冲任失调冲任失调disorder of chong rendisorder of chong ren辨证分型意义：中枢机制在针刺减肥中起决定性作用，针刺辨证分型意义：中枢机制在针刺减肥中起决定性作用，针刺脂肪堆积部位并不能起到应有的治疗作用脂肪堆积部位并不能起到应有的治疗作用 significance of differentiation:the mechanism of significance of differentiation:the mechanism of nerve centre play the determinative role in losing nerve centre play the determinative role in losing weight with acupuncture.Acupuncturing the parts weight with acupuncture.Acupuncturing the parts which have accumulating fat canwhich have accumulating fat cant have effect that t have effect that should be should be gainedgained.辨证取穴 acupoint selection 经脉经脉meridian meridian 躯干穴躯干穴 point of trunk point of trunk 四肢穴四肢穴point of limbpoint of limb胃经胃经 天枢、归来、水道天枢、归来、水道 梁丘、足三里、丰隆、梁丘、足三里、丰隆、Stomach meridian Stomach meridian 石门、滑肉门、石门、滑肉门、上巨虚、下巨虚、内庭上巨虚、下巨虚、内庭脾经脾经 腹结腹结 、大横、大横 阴陵泉、三阴交、血海阴陵泉、三阴交、血海Spleen meridianSpleen meridian肝经肝经 期门期门 太冲、曲泉太冲、曲泉liver meridianliver meridian任脉任脉 中脘、关元、气海、中脘、关元、气海、Ren meridianRen meridian 中极、水分中极、水分督脉督脉 肺俞、脾俞、胃俞、肺俞、脾俞、胃俞、Du meridianDu meridian 膏盲俞膏盲俞大肠经大肠经 曲池曲池Large meridianLarge meridian心包经心包经 内关内关Pericardium meridianPericardium meridian胆经胆经 带脉、日月、带脉、日月、Gallbladder meridianGallbladder meridian 行针方案 the scheme of manipulating the needles 在进针完成后即进行在进针完成后即进行1 1次行针，确定针刺后所在穴位均处于得次行针，确定针刺后所在穴位均处于得气状态气状态 manipulating the needles once after the insertion manipulating the needles once after the insertion of needles and be assure to attaining the needling of needles and be assure to attaining the needling sensation of every point.sensation of every point.以后每以后每1010分钟行针分钟行针1 1次，次，manipulating the needles once L manipulating the needles once L every 10 minutes later,every 10 minutes later,起针前再行针起针前再行针1 1次次manipulating the needles once before manipulating the needles once before taking needles.taking needles.一次治疗有一次治疗有4 4次行针，可以获得并维持有效的刺激量。次行针，可以获得并维持有效的刺激量。Manipulating the needles 4 times in all can gain Manipulating the needles 4 times in all can gain effective effective stimulatstimulation that can be maintaining.ion that can be maintaining.电针方案Electro-acupuncture scheme腹部电针穴位腹部电针穴位 ：带脉、天枢、水道、归来：带脉、天枢、水道、归来The point of abdomen with electro-acupuncture:The point of abdomen with electro-acupuncture:GB26,ST25,ST29,ST28GB26,ST25,ST29,ST28疏密波，留针疏密波，留针3030分钟分钟 sparse-dense wave,the needles are retained for 30 sparse-dense wave,the needles are retained for 30 minutes.minutes.耳针 ear acupuncture 耳针是维持针刺治疗期间有效刺激量的最佳措施之一耳针是维持针刺治疗期间有效刺激量的最佳措施之一 Ear acupuncture therapy is one ofEar acupuncture therapy is one of best measures best measures that that can maintain effective can maintain effective stimulatstimulation at the period of ion at the period of treatment.treatment.具体方法：每次针刺完毕后，在双侧的饥点、三焦、内分泌、具体方法：每次针刺完毕后，在双侧的饥点、三焦、内分泌、神门、脾等耳穴点贴压王不留行籽，嘱患者每次进餐前半小神门、脾等耳穴点贴压王不留行籽，嘱患者每次进餐前半小时自行按压各穴时自行按压各穴5050次次 concrete method:stick and press-to concrete method:stick and press-to hungerhunger points,sanjiao points,Shenmen,Spleen,Endocrine points,sanjiao points,Shenmen,Spleen,Endocrine points of two sides after acupuncture every time and points of two sides after acupuncture every time and tell the patients to press points 50 times half hour tell the patients to press points 50 times half hour before eating.before eating.穴位埋线 imbedding thread to points专用一次性埋线器具，将蛋白线埋入相应的穴位，产生持久专用一次性埋线器具，将蛋白线埋入相应的穴位，产生持久而温和的物理、生理、生化刺激而温和的物理、生理、生化刺激 the special and one-off the special and one-off apparatusapparatus of imbedding of imbedding thread.imbed protein thread into thread.imbed protein thread into correspondingcorresponding points,produce moderate and maintaining points,produce moderate and maintaining physicalphysical physiology-stimulation.physiology-stimulation.蛋白线被人体分解吸收的同时，调节内分泌，促进新陈代谢，蛋白线被人体分解吸收的同时，调节内分泌，促进新陈代谢，提高身体对糖类、脂肪的代谢能力提高身体对糖类、脂肪的代谢能力 Protein thread regulates endocrine,promotes Protein thread regulates endocrine,promotes metabolism and advance the power of metabolism to fat metabolism and advance the power of metabolism to fat and sugar when it is and sugar when it is decomposedecomposed and digested by d and digested by organism.organism.后面内容直接删除就行后面内容直接删除就行资料可以编辑修改使用资料可以编辑修改使用资料可以编辑修改使用资料可以编辑修改使用主要经营：网络软件设计、图文设计制作、主要经营：网络软件设计、图文设计制作、发布广告等发布广告等公司秉着以优质的服务对待每一位客户，做公司秉着以优质的服务对待每一位客户，做到让客户满意！到让客户满意！致力于数据挖掘，合同简历、论文写作、致力于数据挖掘，合同简历、论文写作、PPTPPT设计、计划书、策划案、学习课件、各设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求类模板等方方面面，打造全网一站式需求The user can demonstrate on a projector The user can demonstrate on a projector or computer,or print the presentation or computer,or print the presentation and make it into a film to be used in a and make it into a film to be used in a wider fieldwider field