健脾祛湿法治疗脾虚湿盛型单纯性肥胖症临床观察  

Clinical Observation on the Method of Invigorating Spleen and Removing Dampness in the Treatment of Simple Obesity of Spleen Deficiency and Dampness Excess Type

作　　者：郑凯林[1] 叶彬华[2] 林莉[1] 邱晨[2] 陈小倩 黄培龙 ZHENG Kailin;YE Binghua;LIN Li;QIU Chen;CHEN Xiaoqian;HUANG Peilong(Clinical Nutrition Department,People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350004,China;Endocrinology Department,People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350004,China;Medical Department,the Third People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350108,China;Heshan Street Community Health Service Center of Huli District in Xiamen,Fujian Province,Xiamen 361000,China)

机构地区：[1]福建中医药大学附属人民医院临床营养科,福建福州350004 [2]福建中医药大学附属人民医院内分泌科,福建福州350004 [3]福建中医药大学附属第三人民医院医务科,福建福州350108 [4]厦门市湖里区禾山街道社区卫生服务中心,福建厦门361000

出　　处：《中国中医药现代远程教育》2021年第16期89-92,共4页Chinese Medicine Modern Distance Education of China

基　　金：国家中医药管理局中医药行业科研专项项目【No.201507003-6】;福建中医药大学临床专项效果科研课题课题【No.XB2017030】。

摘　　要：目的观察健脾祛湿法治疗脾虚湿盛型单纯性肥胖症的疗效。方法选取福建中医药大学附属人民医院门诊及住院的60例脾虚湿盛型单纯性肥胖症患者,随机分为对照组和试验组,各30例。试验组给予健脾祛湿中药方剂配合医学营养治疗,对照组予医学营养治疗。结果试验组治疗前后体质量下降差值、BMI下降差值、腰臀比下降差值均较对照组高,差异有统计学意义(P<0.05)。试验组治疗前后体脂率下降幅度较对照组明显,但差异无统计学意义(P>0.05)。2组患者治疗后BMR比较,治疗组高于对照组,差异有统计学意义(P<0.05)。2组患者治疗后中医证候积分比较,差异有统计学意义(P<0.05),试验组和对照组比较,中医证候积分下降更明显,差异有统计学意义(P<0.01)。结论健脾祛湿法治疗脾虚湿盛型单纯性肥胖症疗效较好。Objective To observe the efficacy of the method of invigorating the spleen and removing dampness in the treatment of simple obesity(spleen deficiency and dampness excess type).Methods 60 outpatients and inpatients in People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine were randomly divided into control group and experimental group.The experimental group was treated with traditional Chinese medicine for invigorating the spleen and removing dampness combined with medical nutrition treatment,and the control group was given medical nutrition treatment.The changes of traditional Chinese medicine(TCM)syndrome score,body weight,body mass index(BMI),body fat rate,waist-to-hip ratio and basal metabolic rate(BMR)were compared between the two groups before and after treatment.Results The differences of weight loss,BMI and waist-to-hip ratio in the experimental group before and after treatment were higher than those in the control group,and the difference was statistically significant.Compared with the BMR after treatment,the BMR of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Compared with the BMR of the two groups after treatment,the BMR of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The decrease of body fat rate in the experimental group before and after treatment was more obvious than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion the method of invigorating spleen and removing dampness combined with medical nutrition is effective in the treatment of simple obesity of spleen deficiency and dampness excess.

关 键 词：单纯性肥胖症 健脾祛湿法 医学营养治疗 体脂肪率 中医药疗法 

分 类 号：R259[医药卫生—中西医结合]