阴阳调理灸在更年期肥胖女性中的临床应用
|
摘要
目的观察阴阳调理灸法对脾肾阳虚型更年期肥胖女性的临床疗效,为其临床应用提供科学依据。方法 60例脾肾阳虚型更年期肥胖女性随机分为两组。试验组采用阴阳调理灸配合针刺法,对照组采用单纯针刺法。连续治疗3个疗程后观察治疗前后肥胖相关指标、改良KI评分、中医症候评分、HPLP-Ⅱ健康促进生活方式量表评分。结果治疗后组内比较,试验组肥胖相关指标、改良KI评分、中医症候及HPLP-Ⅱ量表六维度评分均较治疗前改善,差异有统计学意义;对照组肥胖相关指标、改良KI评分、中医症候总评分均较治疗前改善,差异有统计学意义,在HPLP-Ⅱ量表-压力管理评分上较治疗前无统计学差异(P> 0. 05),在其余五维度上均较治疗前改善,差异有统计学意义。治疗后组间比较,在腰围、腰臀比、中医症候评分(神疲乏力、腰酸肢冷、浮肿、大便稀溏)、及HPLP-Ⅱ量表中提高患者健康责任、人际关系、压力管理、精神成长方面,两组差异有统计学意义。结论阴阳调理灸配合针刺疗法在脾肾阳虚型更年期肥胖女性中能有效起到减重、减脂、改善更年期症状的作用,并且在腰围、腰臀比及自觉症状改善上较单纯针刺更具优势。
Objective To observe the clinical effect of Yin-Yang Regulating Moxibustion on obese menopausal women with deficiency of spleen and kidney-yang,and to provide scientific basis for its clinical application. Methods Sixty obese menopausal women with deficiency of spleen and kidney yang were randomly divided into two groups.The experimental group was treated with Yin-Yang Regulating Moxibustion combined with acupuncture,while the control group was treated with acupuncture simplely.After three courses of treatment,obesity-related indicators,KI score,TCM syndrome score and HPLP-Ⅱ were observed before and after treatment. Results After treatment,the obesity related index,KI score,TCM symptom score and HPLP-Ⅱ score in the experimental group were improved compared with those before treatment,and the difference was statistically significant. Obesity-related indicators,KI scores and total scores of TCM symptoms in the control group were all improved compared with those before treatment. There was no statistical difference in HPLP-Ⅱ scalestress management score( P > 0. 05),and the other five dimensions were improved compared with those before treatment. After treatment, there were significant differences in waist circumference,waist-hip ratio,TCM symptoms score( fatigue,cold waist and limbs,edema,loose stool),and HPLP-Ⅱ scale in improving patients' health,interpersonal relationship,stress management and mental growth between the two groups. Conclusion Yin-Yang regulating moxibustion combined with acupuncture therapy can effectively reduce weight, and improve menopausal symptoms in obese women with spleen-kidney Yang deficiency type. It has more advantages than simple acupuncture in waist circumference, waist-hip ratio and improvement of conscious symptoms.
Objective To observe the clinical effect of Yin-Yang Regulating Moxibustion on obese menopausal women with deficiency of spleen and kidney-yang,and to provide scientific basis for its clinical application. Methods Sixty obese menopausal women with deficiency of spleen and kidney yang were randomly divided into two groups.The experimental group was treated with Yin-Yang Regulating Moxibustion combined with acupuncture,while the control group was treated with acupuncture simplely.After three courses of treatment,obesity-related indicators,KI score,TCM syndrome score and HPLP-Ⅱ were observed before and after treatment. Results After treatment,the obesity related index,KI score,TCM symptom score and HPLP-Ⅱ score in the experimental group were improved compared with those before treatment,and the difference was statistically significant. Obesity-related indicators,KI scores and total scores of TCM symptoms in the control group were all improved compared with those before treatment. There was no statistical difference in HPLP-Ⅱ scalestress management score( P > 0. 05),and the other five dimensions were improved compared with those before treatment. After treatment, there were significant differences in waist circumference,waist-hip ratio,TCM symptoms score( fatigue,cold waist and limbs,edema,loose stool),and HPLP-Ⅱ scale in improving patients' health,interpersonal relationship,stress management and mental growth between the two groups. Conclusion Yin-Yang regulating moxibustion combined with acupuncture therapy can effectively reduce weight, and improve menopausal symptoms in obese women with spleen-kidney Yang deficiency type. It has more advantages than simple acupuncture in waist circumference, waist-hip ratio and improvement of conscious symptoms.
引文
[1]崔世红.妇产科学[M].郑州:郑州大学出版社,2009.
[2]任彬彬,刘志诚,徐斌.针灸治疗女性肥胖伴发更年期综合征疗效观察[J].中国针灸,2012,32(10):871-876.
[3]梁秀兰,阮祥燕.绝经妇女体脂改变与相关的慢性疾病[J].中国组织工程研究,2009,13(46):9175-9178.
[4]陈霞,黄伟,邓杰,等.针刺治疗成人单纯性肥胖效果的Meta分析[J].针灸临床杂志,2016,32(9):64-69.
[5]黄伟,王佳捷,陈霞,等.穴位埋线疗法对单纯性肥胖患者胰岛素抵抗的影响[J].中华中医药杂志,2017,32(8):3646-3649.
[6]陈霞,黄伟,邓杰,等.中医治疗单纯性肥胖症的临床研究近况[J].中华中医药学刊,2017,35(6):1454-1458.
[7]陈霞,周仲瑜,黄伟,等.针灸疗法配合饮食运动治疗单纯性肥胖并发高脂血症的临床研究[J].针灸临床杂志,2017,33(7):1-5.
[8]王佳捷,陈霞,黄伟,等.穴位埋线对单纯性肥胖患者外周血瘦素及胰岛素的影响[J].上海针灸杂志,2017,36(1):55-59.
[9]华克勤.实用妇产科学[M].北京:人民卫生出社,2013:444-453.
[10]Harlow SD,Gass M,Hal JE,et al.Consensus Statement:Executive Summary of the Stages of Reproductive Aging Workshop+10:Addressing the Unfinished Agenda of Staging Reproductive Aging[J].Fertility&Sterility,2012,15(2):843-851.
[11]WRPO W.The Asia-Pacific Perspective:Redefining Obesity and Its Treatment[M].Geneva:World Health Organization,2000.
[12]高树中.针灸治疗学[M].上海:上海科学技术出版社,2009.
[13]Walker SN,Volkan K,Sechrist KR,et al.Health-Promoting Life Styles of Older Adults:Comparisons with Young and Middle-aged Adults,Correlates and Patterns[J].ANS Adv Nurs Sci,1988,11(1):76-90.
[14]张慧敏,马学红,姜超,等.穴位埋线对女性产后体质量滞留影响的临床研究[J].中国针灸,2017(7):725-728.
[15]Lovejoy JC,Champagne CM,Jonge LD,et al.Increased Visceral Fat and Decreased Energy Expenditure During the Menopausal Transition[J].Int J Obes,2008,32(6):949.
[16]任彬彬,刘志诚,徐斌.针灸治疗女性肥胖伴发更年期综合征疗效观察[J].中国针灸,2012,32(10):871-876.
[17]冯翠花.针灸治疗女性肥胖合并更年期综合征的疗效观察[J].实用妇科内分泌杂志(电子版),2016,3(3):53-53.
[18]Donato GB,Fuchs SC,Oppermann K,et al.Association Between Menopause Status and Central Adiposity Measured at Different Cutoffs of Waist Circumference and Waist-to-hip Ratio[J].Menopause,2006,13(2):280-285.
[19]王洪彬,李晓泓,孙志芳,等.针灸辨质治未病与更年期女性的三级预防[J].中国中医基础医学杂志,2012(8):890-891.
[20]任彬彬,刘志诚,徐斌.针灸治疗女性肥胖伴发更年期综合征疗效观察[J].中国针灸,2012,32(10):871-876.
[21]黄叶飞,符文彬,吴泰相,等.针灸治疗围绝经期抑郁症有效性和安全性的系统评价[J].中华中医药杂志,2011(5):908-914.
[22]庞婷婷,刘志诚,徐斌.温针灸联合耳针治疗女性脾肾阳虚型肥胖并发高脂血症临床观察[J].中国针灸,2015,35(6):529-533.
[23]殷振瑾,闫远杰.温阳益气针灸方治疗气虚质单纯性肥胖症临床观察[J].南京中医药大学学报,2010,26(4):268-270.
[24]庞婷婷,刘志诚,徐斌.温针灸联合耳针对肥胖并发高脂血症脾肾阳虚型患者脂质水平的影响[J].中华中医药杂志,2016(6):2133-2138.
[25]李红星,郭淑芹,马锐,等.腹高与内脏脂肪面积的相关性及探讨腹高预测腹型肥胖切点的研究[J].中华内分泌代谢杂志,2015,31(2):136-139.
[2]任彬彬,刘志诚,徐斌.针灸治疗女性肥胖伴发更年期综合征疗效观察[J].中国针灸,2012,32(10):871-876.
[3]梁秀兰,阮祥燕.绝经妇女体脂改变与相关的慢性疾病[J].中国组织工程研究,2009,13(46):9175-9178.
[4]陈霞,黄伟,邓杰,等.针刺治疗成人单纯性肥胖效果的Meta分析[J].针灸临床杂志,2016,32(9):64-69.
[5]黄伟,王佳捷,陈霞,等.穴位埋线疗法对单纯性肥胖患者胰岛素抵抗的影响[J].中华中医药杂志,2017,32(8):3646-3649.
[6]陈霞,黄伟,邓杰,等.中医治疗单纯性肥胖症的临床研究近况[J].中华中医药学刊,2017,35(6):1454-1458.
[7]陈霞,周仲瑜,黄伟,等.针灸疗法配合饮食运动治疗单纯性肥胖并发高脂血症的临床研究[J].针灸临床杂志,2017,33(7):1-5.
[8]王佳捷,陈霞,黄伟,等.穴位埋线对单纯性肥胖患者外周血瘦素及胰岛素的影响[J].上海针灸杂志,2017,36(1):55-59.
[9]华克勤.实用妇产科学[M].北京:人民卫生出社,2013:444-453.
[10]Harlow SD,Gass M,Hal JE,et al.Consensus Statement:Executive Summary of the Stages of Reproductive Aging Workshop+10:Addressing the Unfinished Agenda of Staging Reproductive Aging[J].Fertility&Sterility,2012,15(2):843-851.
[11]WRPO W.The Asia-Pacific Perspective:Redefining Obesity and Its Treatment[M].Geneva:World Health Organization,2000.
[12]高树中.针灸治疗学[M].上海:上海科学技术出版社,2009.
[13]Walker SN,Volkan K,Sechrist KR,et al.Health-Promoting Life Styles of Older Adults:Comparisons with Young and Middle-aged Adults,Correlates and Patterns[J].ANS Adv Nurs Sci,1988,11(1):76-90.
[14]张慧敏,马学红,姜超,等.穴位埋线对女性产后体质量滞留影响的临床研究[J].中国针灸,2017(7):725-728.
[15]Lovejoy JC,Champagne CM,Jonge LD,et al.Increased Visceral Fat and Decreased Energy Expenditure During the Menopausal Transition[J].Int J Obes,2008,32(6):949.
[16]任彬彬,刘志诚,徐斌.针灸治疗女性肥胖伴发更年期综合征疗效观察[J].中国针灸,2012,32(10):871-876.
[17]冯翠花.针灸治疗女性肥胖合并更年期综合征的疗效观察[J].实用妇科内分泌杂志(电子版),2016,3(3):53-53.
[18]Donato GB,Fuchs SC,Oppermann K,et al.Association Between Menopause Status and Central Adiposity Measured at Different Cutoffs of Waist Circumference and Waist-to-hip Ratio[J].Menopause,2006,13(2):280-285.
[19]王洪彬,李晓泓,孙志芳,等.针灸辨质治未病与更年期女性的三级预防[J].中国中医基础医学杂志,2012(8):890-891.
[20]任彬彬,刘志诚,徐斌.针灸治疗女性肥胖伴发更年期综合征疗效观察[J].中国针灸,2012,32(10):871-876.
[21]黄叶飞,符文彬,吴泰相,等.针灸治疗围绝经期抑郁症有效性和安全性的系统评价[J].中华中医药杂志,2011(5):908-914.
[22]庞婷婷,刘志诚,徐斌.温针灸联合耳针治疗女性脾肾阳虚型肥胖并发高脂血症临床观察[J].中国针灸,2015,35(6):529-533.
[23]殷振瑾,闫远杰.温阳益气针灸方治疗气虚质单纯性肥胖症临床观察[J].南京中医药大学学报,2010,26(4):268-270.
[24]庞婷婷,刘志诚,徐斌.温针灸联合耳针对肥胖并发高脂血症脾肾阳虚型患者脂质水平的影响[J].中华中医药杂志,2016(6):2133-2138.
[25]李红星,郭淑芹,马锐,等.腹高与内脏脂肪面积的相关性及探讨腹高预测腹型肥胖切点的研究[J].中华内分泌代谢杂志,2015,31(2):136-139.