辨证选穴治疗单纯性肥胖症临床效果及患者治疗依从性分析  

Analysis of the clinical effect of selecting acupoints based on syndrome differentiation for simple obesity and treatment compliance of patients

作　　者：傅水娟[1] 周红梅[1] 杨晓春[1] 徐新鹏[1] FU Shuijuan;ZHOU Hongmei;YANG Xiaochun;XU Xinpeng(Department of Endocrinology,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou310000,China)

机构地区：[1]杭州市中医院内分泌科,浙江杭州310000

出　　处：《中国现代医生》2022年第2期168-172,共5页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2020ZQ038)。

摘　　要：目的探讨辨证选穴治疗单纯性肥胖症临床效果及患者治疗依从性。方法选取2019年6月至2020年5月杭州市中医院接收的120例单纯性肥胖症患者,采取随机数字表法分为两组,每组各60例。对照组实施饮食、运动基础治疗,观察组实施辨证选穴治疗,比较两组的治疗依从性、总有效率、肥胖指标、脂代谢指标、不良情绪评分、压力评分、应对方式评分、生活质量评分。结果观察组治疗依从率和总有效率分别为96.67%和96.67%,均高于对照组(P<0.05)。两组体质量指数、脂肪百分率、腰围、臀围、总胆固醇、三酰甘油、低密度脂蛋白胆固醇在治疗后均较治疗前降低,而治疗后的体质量指数、脂肪百分率、腰围、臀围、总胆固醇、三酰甘油、低密度脂蛋白胆固醇在观察组中均低于对照组(P<0.05)。两组焦虑评分、抑郁评分、压力评分、逃避幻想评分在治疗后均较治疗前下降,自我认知重组、寻求社会支持等应对方式评分、生活质量评分明显升高,而治疗后的焦虑评分、抑郁评分、压力评分、逃避幻想评分在观察组中均低于对照组,自我认知重组、寻求社会支持等应对方式评分、生活质量评分高于对照组(P<0.001)。结论辨证选穴治疗单纯性肥胖症疗效显著,患者的治疗依从性高。Objective To explore the clinical effect of selecting acupoints based on syndrome differentiation for simple obesity and the treatment compliance of patients.Methods A total of 120 patients with simple obesity who were admitted to Hangzhou Hospital of Traditional Chinese Medicine from June 2019 to May 2020 were selected and divided into two groups by random number table,with 60 cases in each group.The control group was given basic diet and exercise therapy.The observation group was given selecting acupoints based on syndrome differentiation.The treatment compliance,total effective rate,obesity index,lipid metabolism index,bad mood score,stress score,coping style score,quality of life score were compared between the two groups.Results The treatment compliance rate and total effective rate of the observation group were 96.67%and 96.67%,respectively,which were higher than those of the control group(P<0.05).The body mass index,fat percentage,waist circumference,hip circumference,total cholesterol,triglycerides,and low-density lipoprotein cholesterol of the two groups were lower after treatment than before treatment.While the body mass index,fat percentage,waist circumference,hip circumference after treatment,total cholesterol,triglycerides,and low-density lipoprotein cholesterol in the observation group were lower than those in the control group(P<0.05).The anxiety scores,depression scores,stress scores and avoiding fantasy score of the two groups decreased after treatment compared with those before treatment.The scores of coping styles such as self-cognition reorganization and seeking social support,and the quality of life scores in two groups increased significantly.While the anxiety scores,the depression score,stress score and avoiding fantasy score in the observation group after treatment were lower than those in the control group.The scores of coping styles such as self-cognition reorganization and seeking social support,and the quality of life scores were higher than those of the control group(P<0.001).Conclusi

关 键 词：单纯性肥胖症 中医学 辨证选穴 针刺 治疗依从性 

分 类 号：R473.5[医药卫生—护理学]