针灸联合中药脐敷治疗儿童单纯性肥胖症的效果

Effect of Acupuncture and Moxibustion Combined with Umbilical Application of Traditional Chinese Medicine in Treating Simple Obesity in Children

目的探究针灸联合中药脐敷治疗儿童单纯性肥胖症的效果及对体重、糖脂代谢的影响。方法选取2019年10月至2022年10月医院收治的80例单纯性肥胖症患儿,依据随机数字表法分为对照组及观察组。两组患儿均接受常规饮食及运动指导,对照组(40例)患者接受针灸治疗,观察组(40例)患儿在对照组基础上接受中药脐敷联合治疗。比较两组患儿疗程结束后疗效,中医证候积分、体重指数(BMI)、体脂率(BFP)、体重、总胆固醇(TC)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)、空腹血糖(FPG)、空腹胰岛素(FINS)水平及不良反应。结果观察组治疗有效率高于对照组(P>0.05)。治疗后两组患儿形体肥胖、倦怠乏力、肢体困重、舌质淡红、苔白腻、脉沉缓评分降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后两组患儿BMI、BFP、体重均降低(P<0.05),且观察组低于对照组(P<0.05)。治疗后两组患儿TC、LDL、FPG、FINS均降低,HDL升高(P<0.05);且观察组TC、LDL、FPG、FINS低于对照组,HDL高于对照组(P<0.05)。结论针灸联合中药脐敷治疗儿童单纯性肥胖症效果确切,可有效降低患儿体重,正性调节糖脂代谢水平,具有良好的安全性。

Objective To investigate the effect of acupuncture and moxibustion combined with umbilical application of traditional Chinese medicine in treating simple obesity in children,and the influence on body mass and glucose and lipid metabolism.Methods A total of 80 children with simple obesity admitted to the hospital from October 2019 to October 2022,and divide them into a control group and an observation group according to the random number table method.Both groups of children received routine diet and exercise guidance.The control group(40 cases)received acupuncture and moxibustion treatment,and the observation group(40 cases)received the combined treatment of traditional Chinese medicine umbilical application on the basis of the control group.Curative effect,traditional Chinese medicine syndrome scores,body mass index(BMI),body fat percentage(BFP),body mass,total cholesterol(TC),low density lipoprotein(LDL),high density lipoprotein(HDL),fasting plasma glucose(FPG),fasting insulin(FINS)and adverse reactions were compared between the two groups.Results The treatment response rate in the observation group was higher than that in the control group(P<0.05).After treatment,traditional Chinese medicine syndrome scores of the two groups decreased(P<0.05),and scores of the observation group were lower than those of the control group(P<0.05).After treatment,BMI,BFP,body mass,TC,LDL,FPG and FINS in both groups decreased,and HDL increased(P<0.05),BMI,FAT,body mass,TC,LDL,FPG and FINS in the observation group were lower than those in the control group,and HDL was higher than that in the control group(P<0.05).Conclusion Acupuncture and moxibustion combined with navel application of traditional Chinese medicine has a definite therapeutic effect on simple obesity in children,which can effectively reduce the weight of children,positively regulate the level of glucose and lipid metabolism,and has good safety.