基于社区管理配合低频电磁治疗控制单纯性肥胖临床研究  

Clinical Study of Low-frequency Electrotherapy Based on Community Administration in Controlling Simple Obesity

作　　者：林宇明 王焕霞 何莉娜 LIN Yu-ming;WANG Huan-xia;HE Li-na(Guangzhou Yuexiu District Guangta Street Community Health Service Center, Guangzhou 520120,China)

机构地区：[1]广州市越秀区光塔街社区卫生服务中心,广州520120

出　　处：《上海针灸杂志》2017年第12期1415-1419,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广州市越秀区科信局科技计划项目(2015-WS-010)

摘　　要：目的观察社区管理配合低频电磁治疗干预对单纯性肥胖控制率及代谢综合征发病的影响。方法将符合单纯性肥胖诊断的240例患者分成治疗组和对照组。治疗组以社区管理配合低频电磁治疗,对照组单纯以社区管理。观察治疗20星期后单纯性肥胖控制情况,及2年后代谢综合征发病、体重反弹的情况。结果两组治疗后患者的体重、腰围、臀围、股围、BMI均下降(P<0.05);治疗组体重、腰围、BMI较对照组下降更多(P<0.05);2年后治疗组代谢综合征发病率及体重反弹率明显低于对照组(P<0.05)。结论通过社区管理,控制饮食,规律运动,可有效控制单纯性肥胖患者的体重,减少代谢综合征的发病。社区管理配合低频电磁治疗在控制体重、减少代谢综合征发病率方面,优于单纯进行社区管理。Objective To observe the effect of low-frequency electrotherapy plus community administration on the control rate of simple obesity and incidence of metabolic syndrome. Method A total of 240 patients diagnosed with simple obesity were divided into a treatment group and a control group, The treatrnent group was intervened by community administration plus low-frequency electrotherapy, while the control group was intervened by community administration alone. The control of simple obesity was observed after 20-week treatment; the incidence of metabolic syndrome and rebound weight gain were observed 2 years later. Result After the intervention, body weight, waist circumference, hip circumference, thigh circumference and body mass index （BMI） decreased significantly in the two groups （P〈0.05）; the reductions of body weight, waist circumference and BMI in the treatment group were more significant than those in the control group （P〈0.05）; 2 years later, the incidence of metabolic syndrome and the rate of rebound weight gain were significantly lower in the treatment group than in the control group （P〈0.05）. Conclusion Community administration plus diet control and regular exercise can effectively control the body weight of simple obesity patients and reduce the incidence of metabolic syndrome. Community administration plus low-frequency electrotherapy has advantage in controlling body weight and reducing the incidence of metabolic syndrome compared to community administration alone.

关 键 词：穴位疗法 肥胖症 电磁针 社区保健护理 体重 腰围 臀围 

分 类 号：R246.1[医药卫生—针灸推拿学]