经穴按摩辅助规律有氧运动治疗儿童单纯性肥胖症的效果  

Effect of meridian massage combined with regular aerobic exercise in the treatment of childhood simple obesity

作　　者：刘莉[1] 钟勇 刘铭 李源渊[1] LIU Li;ZHONG Yong;LIU Ming;LI Yuanyuan(Department of Pediatrics,Baoding First Hospital of Hebei Province,Baoding,Hebei,071000)

机构地区：[1]河北省保定市第一医院儿科,河北保定071000

出　　处：《实用临床医药杂志》2024年第17期83-87,共5页Journal of Clinical Medicine in Practice

基　　金：河北省保定市科技计划项目(1941ZF031)。

摘　　要：目的 观察经穴按摩辅助规律有氧运动治疗儿童单纯性肥胖症的临床效果。方法 选取单纯性肥胖症患儿96例为研究对象,根据随机数表法分为对照组(n=48)及治疗组(n=48)。观察2组患儿的临床治疗效果。比较2组治疗前后的血脂指标、体质量、腰围、体质量指数(BMI)、臀围、血糖指标、瘦素水平以及中医主要证候积分。结果 对照组临床治疗总有效率为72.92%,低于治疗组的93.75%,差异有统计学意义(P<0.05)。治疗后,2组患儿的甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平、体质量、BMI、腰围、血糖指标、瘦素水平以及中医主要证候积分低于或小于治疗前,高密度脂蛋白胆固醇(HDL-C)水平高于治疗前,且治疗组的TG、TC、LDL-C、体质量、BMI、腰围、血糖指标、瘦素水平以及中医主要证候积分低于或小于对照组,HDL-C水平高于对照组,差异有统计学意义(P<0.05)。结论 经穴按摩辅助规律有氧运动对儿童单纯性肥胖症的治疗效果较好,可有效降低患儿体质量,改善其血糖、血脂等水平。Objective To observe the clinical effect of meridian massage combined with regular aerobic exercise in treatment of childhood simple obesity.Methods A total of 96 children with simple obesity were selected as the research subjects and divided into control group(n=48) and treatment group(n=48) according to the random number table method.The clinical treatment effects of the two groups were observed.Blood lipid indexes,body weight,waist circumference,body mass index(BMI),hip circumference,blood glucose indexes,leptin levels and major symptom scores of traditional Chinese medicine were compared between the two groups before and after treatment.Results The total effective rate of clinical treatment in the control group was 72.92%,which was lower than 93.75% in the treatment group,and the difference was statistically significant(P<0.05).After treatment,the triglyceride(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C) levels,body weight,BMI,waist circumference,blood glucose indexes,leptin levels and major symptom scores of traditional Chinese medicine were lower or smaller in both groups compared to before treatment,while high-density lipoprotein cholesterol(HDL-C) levels were higher;moreover,the treatment group had lower or smaller TG,TC,LDL-C,body weight,BMI,waist circumference,blood glucose indexes,leptin levels and major symptom scores of traditional Chinese medicine compared to the control group,and higher HDL-C levels,and the differences were statistically significant(P< 0.05).Conclusion Meridian massage combined with regular aerobic exercise has a good therapeutic effect on childhood simple obesity,which can effectively reduce body weight and improve basic signs such as blood glucose and blood lipids.

关 键 词：儿童单纯性肥胖 经穴按摩 规律有氧运动 体质量指数 

分 类 号：R723.14[医药卫生—儿科] R246.4[医药卫生—临床医学] R244.1