中医药干预向心性肥胖的现代文献研究  

Modern Literature on Traditional Chinese Medicine Intervention in Abdominal Obesity

作　　者：杨亚伟 于泽楷 扈新刚 约日古丽·麦海提 李青 张达 袁梦华 赵燕 YANG Yawei;YU Zekai;HU Xingang;Yueriguli·Maihaiti;LI Qing;ZHANG Da;YUAN Menghua;ZHAO Yan(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China;Editorial Department of Science and Technology-Modernization of Traditional Chinese Medicine and Materia Medica,Beijing 100089,China)

机构地区：[1]北京中医药大学中医学院,北京102488 [2]北京中医药大学第三附属医院,北京100029 [3]世界科学技术-中医药现代化编辑部,北京100089

出　　处：《世界中医药》2023年第18期2620-2625,共6页World Chinese Medicine

基　　金：国家重点研发计划项目(2019YFC1710102)——腹型肥胖干预技术的临床评价研究。

摘　　要：目的:探讨中医药干预向心性(腹型)肥胖的诊断标准、干预措施、疗效评价指标、疗效评价标准的应用现状及各干预措施的效果比较。方法:检索2001—2021年中医药干预向心性肥胖的临床文献,统计分析各项干预方法、诊断标准、疗效指标及疗效标准的应用情况及干预效果。结果:最常用的干预方法为针刺疗法(68次,61.82%);最常用的诊断标准为《中国成人超重和肥胖症预防控制指南(试行)》(39篇,38.61%);常用的主要疗效指标分别是腰围(WC)(88次,87.13%)、体质量指数(BMI)(82次,81.19%)和体质量(BW)(75次,74.26%);次要指标是三酰甘油(TG)(26次,25.74%)、高密度脂蛋白(HDL)(23次,22.77%)和总胆固醇(TC)(23次,22.77%);最常用的疗效评价标准为《单纯性肥胖病的诊断与疗效评价标准》(38次,52.78%);联合疗法对向心性肥胖的改善率最高(9.72%),联合疗法中埋线+推拿对向心性肥胖的改善率最好(17.03%)。结论:中医药干预向心性肥胖具有研究前景,但目前向心性肥胖的诊断标准、疗效指标及疗效标准不够统一和规范,需要进一步统一诊疗标准,为临床干预提供科学可靠的循证依据。Objective:To explore the current status of the diagnostic criteria,intervention measures,and efficacy evaluation indexes and criteria of traditional Chinese medicine(TCM)intervention in abdominal obesity and compare the intervention effects.Methods:The clinical literature on TCM intervention in abdominal obesity from 2001 to 2021 were searched,and the intervention methods,diagnostic criteria,efficacy indexes,efficacy criteria and intervention effects were statistically analyzed.Results:The most common intervention method and diagnostic criteria were acupuncture(68 articles,61.82%),and the Guidelines for the Prevention and Control of Overweight and Obesity in Chinese Adults(Trial)(39 articles,38.61%).The main efficacy indexes were waist circumference(WC,88 articles,87.13%),body mass index(BMI,82 articles,81.19%)and body weight(BW,75 article,74.26%),and the secondary indexes were triglyceride(TG,26 articles,25.74%),high density lipoprotein(HDL,23 articles,22.77%)and total cholesterol(TC,23 articles,22.77%).The Simple Obesity Diagnosis and Efficacy Evaluation Criteria was the most used criterion for efficacy assessment(38 articles,52.78%).Combined therapy had the optimal improvement for abdominal obesity(9.72%),among which catgut embedment combined with tuina had the highest improvement rate(17.03%).Conclusion:Research on TCM intervention in abdominal obesity is promising,but the current diagnostic criteria as well as efficacy indexes and criteria of abdominal obesity are not standardized.Therefore,further unified diagnosis and treatment standards are needed to provide scientific and reliable evidence-based basis for clinical intervention.

关 键 词：中医药 向心性肥胖 诊断标准 疗效标准 文献研究 数据挖掘 

分 类 号：R242[医药卫生—中医临床基础]