超重和肥胖者的社区壮医药综合干预模式建立及实施效果评估  

Establishment of integrated intervention model in community Zhuang medicine and assessment of implementation effect in persons with overweight and obesity

作　　者：唐红珍[1,2] 林辰[2] 杨靖[2] 黄适[2] 刘佳[2] 陈丹丹[2] 张昭阳[2] 

机构地区：[1]南京中医药大学,南京210023 [2]广西中医药大学,南宁530001

出　　处：《天津中医药》2014年第10期608-610,共3页Tianjin Journal of Traditional Chinese Medicine

基　　金：广西科技攻关项目(10124001B-35)

摘　　要：[目的]探讨超重、肥胖的社区壮医药综合干预模式建立的实施效果。[方法]选取300例肥胖、超重患者,随机分为壮医药综合治疗组(简称观察组)及常规治疗组(简称对照组),疗程结束后观察两组患者的疗效以及采用90项症状自评量表(SCL-90)、社会支持评定量表(SSRS)、艾森克人格问卷(EPQ,成人)检测评估心身症状差别。[结果]治疗后,观察组患者的有效率92.00%,优于对照组75.33%,差异具统计学意义(P<0.05)。同时,观察组的SCL-90的总分、阳性项目数、阳性均分、躯体因子、强迫因子、抑郁因子、焦虑因子、人际因子以及SSRS总分、客观支持、主观支持、支持利用度以及EPQ评估中的N、P、L均低于对照组,差异具有统计学意义(P<0.05)。[结论]以壮医药药线灸、壮医药推拿、减肥方为基础,辅以壮医药知识宣传教育工作的社区壮医药综合干预模式的建立对于不仅可有效提高肥胖、超重患者的疗效,而且可对于缓解患者的身心症状大有裨益。[Objective] To explore the establishment of integrated intervention model of community Zhuang medicine and implementation effect in treating overweight and obesity. [Methods] The 300 patients with overweight and obesity were selected. They were randomly di- vided into Zhuang medicine comprehensive treatment group （observation group） and conventional treatment group （control group）. After treatment the therapeutic effect of patients in two groups were observed and the difference of psychological and physical symptom were detected and evaluated using SCL-90, SSRS, EPQ （for adult）. [Results] After treatment, the effective rate of observation group was 92.00% and is better than that in control group （75.33%） with statistical significance （P〈0.05）. At the same time, the total sore of SCL- 90, the number of positive items, positive average score, somatic factors, forcing factors, depression factors, anxiety factors, interpersonal factor and total score of SSPS, objective support, subjective support, support utilization and N,P,L value in EPQ evaluation in observation group were all lower than that in control group with statistical significance （P〈0.05）. [Conclusion] The comprehensive intervention mode, based on Zhuang medicine medicated thread moxibustion, Zhuang medicine massage, weight losing prescription and accompanied by the propaganda and education of Zhuang medical knowledge can not only effectively increase the curative effect of patients with overweight and obesity but can also help for the improvement of psychological and physical symptom in patients.

关 键 词：壮医药 社区干预 超重 肥胖 效果 

分 类 号：R589.2[医药卫生—内分泌]