中医综合治疗对女性产后体重滞留的影响

Effect of Chinese Medicine Comprehensive Treatment on Postpartum Weight Retention

目的观察中医综合治疗对产后体重滞留女性的体重滞留和生活方式的影响。方法将71例产后体重滞留女性按意愿分为治疗组35例和对照组36例。对照组不进行干预,治疗组由产后6周开始给予中医综合治疗,包括中医健康生活方式宣教、营养指导和穴位埋线,于产妇第6周及24周时观察两组产妇体重、体重滞留、体质指数(BMI)、体脂百分比、腰围、腰臀比和HPLP-Ⅱ健康促进生活方式量表中各亚项的评分。结果与产后6周比较,两组体重、体重滞留、BMI、体脂百分比、腰围和腰臀比均明显降低,且治疗组均明显低于对照组(P<0.05或P<0.01)。与本组产后6周时相比,产后24周时HPLP-Ⅱ健康促进生活方式量表评分治疗组人际关系、压力管理、营养、健康责任、体育运动和精神成长评分均明显增加(P<0.05或P<0.01);且产后24周时治疗组营养、健康责任、体育运动、精神成长评分均明显高于对照组(P<0.01)。结论中医综合治疗对产后体重滞留女性的体重有降低作用,对腰围和腰臀比的改善作用更明显,同时对产妇的健康生活方式有明显促进作用。

Objective To observe the effect of Chinese medicine comprehensive treatment on the weight retention and life styles of postpartum weight retention females. Methods Seventy-one females with postpartum weight retention were divided into a treatment group （35 cases） and a control group （36 cases） by their wishes. The control group was not given any interventions, while the treatment group was given Chinese medicine comprehensive treatment from the 6th week after delivery, including Chinese medicine healthy lifestyle education, nutrition guidance and acu- point catgut embedding. The weight, weight retention, body mass index （ BMI ）, body fat percentage, waistline, waist-to-hip ratio and the score of each sub-item in the Health-Promoting Lifestyle Profile （ HPLP-） were compared between the 6th week and the 24th week after delivery. Results Compared with those in the 6th week after delivery, the weight, weight retention, BMI, body fat percentage, waistline and waist-to-hip ratio in the 24th week declined significantly in both groups, and those in the treatment group were significantly lower than those in the control group （P 〈 0. 05 or P 〈 0. 01 ）. As for the HPLP- Ⅱ , the scores about interpersonal relationship, stress management, nutrition, healthcare, sports and spiritual growth in the treatment group all increased significantly at the 24th week compared with those at the 6th week （P 〈0. 05 or P 〈0. 01 ）. Also, at the 24th week after delivery, the scores about nutrition, healthcare, sports and spiritual growth in the treatment group were control group （ P 〈 0. 01 ）. Conclusion Chinese medicine comprehensive significantly higher than those in the treatment could reduce the weight of postpartum weight retention females, obviously embodied in waistline and waist-to-hip ration, and it could evidently improve their healthy life styles at the same time.