中医综合疗法对单纯性肥胖的疗效观察  

Observation on the Curative Effect of Traditional Chinese Medicine Comprehensive Therapy on Simple Obesity

作　　者：陈娇妍 林兰燕 何毅琪 CHEN Jiaoyan;LIN Lanyan;HE Yiqi(Department of Traditional Chinese Medicine,Qiaoying Community Health Service Center,Jimei District,Xiamen City,Fujian Province,Xiamen,Fujian 361021,China;Department of Traditional Chinese Medicine Therapy,Community Health Service Center,Xinmin Street,Tongan District,Xiamen City,Fujian Province,Xiamen,Fujian 361100,China;Department of Traditional Chinese Medicine,Xiamen Fifth Hospital,Fujian Province,Xiamen,Fujian 361101,China)

机构地区：[1]福建省厦门市集美区侨英街道社区卫生服务中心中医科,福建厦门361021 [2]福建省厦门市同安区新民街道社区卫生服务中心中医理疗科,福建厦门361100 [3]福建省厦门市第五医院中医科,福建厦门361101

出　　处：《中国医药指南》2025年第7期152-155,共4页Guide of China Medicine

摘　　要：目的分析对单纯性肥胖患者实施中医综合疗法的临床效果和应用价值。方法采用回顾性研究方法,选择2023年12月至2024年10月集美区侨英街道社区卫生服务中心就诊的60例单纯性肥胖患者,以随机数字表法分为对照、观察组,各组30例。对照组采用常规西医治疗,观察组采用中医综合疗法。分析两组基础身体指标、血脂指标、实验室指标、负性情绪情况对比治疗效果。结果观察组治疗后的体重、体重指数、腰围、臀围、腰臀比、体脂率均低于对照组(均P<0.05);治疗后两组高密度脂蛋白、低密度脂蛋白、甘油三酯、总胆固醇差异无统计学意义(P>0.05);相比对照组,观察组治疗后的血清瘦素水平更高,脂联素水平、神经肽Y水平更低,负性情绪评分更低(P<0.05)。结论中医综合疗法可有效降低单纯性肥胖患者体重,改善肥胖症状,促进体重指数、腰围、臀围、腰臀比、体脂率降低,有助于改善血脂水平,缓解负性情绪。Objective and analysis of the clinical efficacy and application value of traditional Chinese medicine comprehensive therapy for patients with simple obesity.Methods A retrospective study was conducted to select 60 patients with simple obesity who were treated in Qiaoying Community Health Service Center of Jimei District from December 2023 to October 2024,and were divided into control group and observation group by random number table method,with 30 cases in each group.The control group was treated with conventional Western medicine,and the observation group was treated with TCM comprehensive therapy.The basic body index,blood lipid index,laboratory index and negative emotion of the two groups were analyzed to compare the therapeutic effect.Results After treatment,the body mass,body mass index,waist circumference,hip circumference,waist-to-hip ratio and body fat percentage of observation group were lower than those of control group(all P<0.05).There was no significant difference in high density lipoprotein,low density lipoprotein,triglyceride and total cholesterol between the two groups after treatment(P>0.05).Compared with the control group,the serum leptin level,adiponectin level and neuropeptide Y level of the observation group after treatment were higher,and the negative emotion score was lower(P<0.05).Conclusions The comprehensive therapy of traditional Chinese medicine can effectively reduce the body mass of patients with simple obesity,improve the symptoms of obesity,promote the reduction of body mass index,waist circumference,hip circumference,waist-to-hip ratio and body fat percentage,help to improve blood lipid level and relieve negative emotions.

关 键 词：单纯性肥胖 中医综合疗法 埋针 中药贴敷 耳穴 

分 类 号：R589.2[医药卫生—内分泌]