“通、调、养”三步法治疗单纯性肥胖儿童的临床疗效及对心理状态的影响  

Clinical effect of three-step method of"dredging,regulating and nourishing"on simple obese children and its influence on psychological state

作　　者：林琳 白青云[1] 梁上艳 LIN Lin;BAI Qingyun;LIANG Shangyan(Pediatric Hospital of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,School of Pediatric Medicine of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院儿科医院,河南中医药大学儿科医学院(郑州),450000

出　　处：《中国健康心理学杂志》2024年第9期1368-1372,共5页China Journal of Health Psychology

基　　金：河南省卫生健康委员会国家中医药传承创新中心科研专项(编号:2023ZXZX1108)。

摘　　要：目的:探讨“通、调、养”三步法治疗单纯性肥胖儿童的临床疗效及对心理状态的影响。方法:选取2023年1月-2024年5月医院收治的60例单纯性肥胖患儿,随机分为对照组(n=30,饮食-运动-睡眠干预)和观察组(n=30,在对照组基础上给予“通、调、养”三步法治疗),干预3个月。比较两组临床指标、生化指标、中医证候积分、临床疗效及心理状态。结果:两组干预后体质指数、腰围、臀围及腰臀比均降低(P<0.01),且观察组体质指数、腰围、臀围及腰臀比均低于对照组(t=3.515,3.052,2.489,2.818;P<0.05);两组干预后甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FPG)及瘦素水平均降低,高密度脂蛋白胆固醇(HDL-C)均升高(P<0.01),且观察组TG、TC、LDL-C、FPG及瘦素水平均低于对照组,HDL-C水平高于对照组(t=2.185,5.480,3.012,2.758,2.222,3.442;P<0.05);两组干预后中医证候积分均降低(P<0.01),且观察组低于对照组(t=5.981,P<0.01);观察组治疗总有效率高于对照组(χ^(2)=7.954,P<0.01);两组干预后长处和困难问卷(SDQ)困难总分均降低,SDQ长处总分均升高(P<0.01),且观察组SDQ困难总分低于对照组,SDQ长处总分高于对照组(t=5.376,5.870;P<0.01)。结论:“通、调、养”三步法能有效降低单纯性肥胖儿童肥胖体征、血脂血糖水平,改善患儿心理状态,临床疗效良好。Objective:To explore the clinical effect of the three-step method of"dredging,regulating and nourishing"on simple obese children and its influence on their psychological state.Methods:Sixty children with simple obesity admitted to the hospital from January 2023 to February 2024 were selected and divided into control group(n=30,diet-exercise-sleep intervention)and observation group(n=30,based on control group,three-step therapy of"dredging,regulating and nourishing"was given).Both groups intervened for 3 courses.The clinical indicators,biochemical indicators,TCM syndrome score,clinical efficacy and psychological state of the two groups were compared.Results:After the intervention,the body mass index,waist circumference,hip circumference and waist-hip ratio of the two groups decreased(P<0.01).And the body mass index,waist circumference,hip circumference and waist-hip ratio in observation group were lower(t=3.515,3.052,2.489,2.818;P<0.05).After the intervention,the levels of triglyceride(TG),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),fasting blood glucose(FPG)and leptin decreased,and high density lipoprotein cholesterol(HDL-C)increased(P<0.01),and the levels of TG,TC,LDL-C,FPG and leptin in observation group were lower,and the level of HDL-C was higher(t=2.185,5.480,3.012,2.758,2.222,3.442;P<0.05).After the intervention,the scores of TCM syndromes in both groups decreased(P<0.01),and those in observation group were lower(t=5.981,P<0.01).The total effective rate in observation group was higher than that in control group(χ^(2)=7.954,P<0.01).After the intervention,the total difficulty score of the Strengths and Difficulties Questionnaire(SDQ)decreased and the total strength score of SDQ increased in both groups(P<0.01).The total score of SDQ difficulty in observation group was lower,and the total score of SDQ strength was higher(t=5.376,5.870;P<0.01).Conclusion:The three-step method of"dredging,regulating and nourishing"can effectively reduce obesity signs,blood lipid and blood glucose levels and

关 键 词：单纯性肥胖 通调三焦推拿法 八段锦 饮食养护法 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]