穴位埋线联合健康教育对单纯性肥胖症患者肥胖指标及生活质量的影响

Effects of acupoint catgut embedding combined with health education on obesity index and living quality in patients with simple obesity

目的观察穴位埋线联合健康教育对单纯性肥胖症患者肥胖指标及生活质量的影响。方法将60例单纯性肥胖症患者随机分为2组,治疗组30例应用穴位埋线联合健康教育,对照组30例单纯应用穴位埋线治疗。2组治疗前后及随访3、6个月,比较体质量、腰围、臀围、体质量指数(BMI)及腰臀比变化,根据中文版健康调查简表(SF-36)观察患者的健康状况,比较食欲评分,比较2组治疗后、随访3个月、随访6个月疗效。结果 2组治疗后、随访3个月、随访6个月时体质量、腰围、BMI、腰臀比、食欲评分均较本组治疗前下降(P<0.05),SF-36量表评分均较本组治疗前升高(P<0.05),且治疗组治疗后、随访3个月、随访6个月时体质量、腰围、BMI、腰臀比、食欲评分均低于对照组治疗后同期(P<0.05),SF-36量表评分高于对照组治疗后同期(P<0.05)。2组痊愈率比较差异有统计学意义(P<0.05),治疗组治疗后、随访3个月、随访6个月疗效优于对照组。结论穴位埋线联合健康教育治疗单纯性肥胖症有良好的疗效,使机体达到正常的生理平衡,减肥效果持久有效。

Objective To observe the effects of acupoint catgut embedding combined with health education on obesity index and living quality in patients with simple obesity. Methods 60 subjects with simple obesity were randomly divided into two groups. 30 subjects in treatment group were treated by acupoint catgut embedding combined with health education. 30 subjects in control group were treated by simple acupoint catgut embedding. The body mass,waistline,hipline,BMI and waist- hip ratio before,after treatment and 3,6 months follow- up were compared in two groups. The health status was observed by short form 36 health survey（ SF- 36） of Chinese version,and the value of appetite was compared. The curative effects of after treatment and 3,6 months follow- up were compared between two groups. Results The body mass,waistline,BMI,waist- hip ratio and appetite value after treatment and 3,6 months follow- up were decreased in two groups（ P〈0. 05）,the scores of SF- 36 were increased as compared with those in before treatment（ P〈0. 05）. The body mass,waistline,BMI,waist- hip ratio and appetite value after treatment and 3,6 months follow- up in treatment were lower than those in control group at the same period（ P〈0. 05）,and the SP- 36 was higher（ P〈0. 05）. There were statistical differences on cure rate of after treatment and 3,6 months follow- up between two groups（ P〈0. 05）,and the curative effects in treatment group was superior to that in control group. Conclusion Acupoint catgut embedding combined with health education has good clinical efficacy on the treatment of simple obesity, and achieve physiological equilibrium,and the effect of weight loss was lasting and effective.