穴位埋线对女性产后体质量滞留影响的临床研究

Impacts of acupoint catgut embedding therapy on postpartum weight retention

目的:观察穴位埋线对女性产后体质量滞留的影响。方法:将71例产后体质量滞留者在产后42 d复查时根据自身意愿分为观察组(35例)和对照组(36例)。对照组进行营养咨询指导,连续控制摄入热量20周;观察组在对照组的基础上行穴位埋线,穴取中脘、中极、气海、关元、天枢、归来、水分、手三里、足三里、丰隆、阴陵泉,采用4-0号缝合线剪短至2~4 mm长度,穿入埋线针中,速刺穴位得气后用针芯将缝合线推至穴位内部,并快速拔针,每2周治疗1次,连续治疗20周,共进行10次埋线。观察两组受试者治疗前后的体质量、体质量滞留数、体质量指数(body mass index,BMI)、体脂百分比(percentage of body fat,PBF)、腰围(waist circumference,WC)、腰臀比(waist-hip ratio,WHR)和HPLP-Ⅱ健康促进生活方式量表评分。结果:两组受试者治疗后体质量、体质量滞留数、BMI、PBF、WC、WHR指标与治疗前相比均下降,差异均有统计学意义(均P<0.05);治疗后观察组产妇的体质量、体质量滞留数、BMI、PBF、WC、WHR指标均低于对照组,差异均有统计学意义(均P<0.05)。观察组受试者HPLP-Ⅱ健康促进生活方式量表各个维度评分均高于治疗前,差异均有统计学意义(均P<0.05),治疗后观察组健康责任、体育运动和精神成长方面评分均高于对照组,差异均有统计学意义(均P<0.05)。结论:穴位埋线治疗可改善女性产后体质量滞留,临床疗效较好。

Objective To observe the impacts of acupoint catgut embedding therapy on postpartum weight retention.Methods Seventy-one women of postpartum weight retention were divided into an observation group（35 cases） and a control group（36 cases） according to their own wishes when re-examination in 42 days after delivery. In the control group, the nutrition consultation was provided and the calories intake was controlled continuously for 20 weeks. In the observation group, on the basis of the treatment as the control group, the acupoint embedding therapy was applied to Zhongwan（CV 12）,Zhongji（CV 3）, Qihai（CV 6）, Guanyuan（CV 4）, Tianshu（ST 25）, Guilai（ST 29）, Shuifen（CV 9）, Shousanli（LI 10）, Zusanli（ST36）, Fenglong（ST 40） and Yinlingquan（SP 9）. The sutures, No. 4-0 were cut as 2 to 4 mm in length and put into the embedding needle. After qi arrival, the sutures were pushed into the acupoints with the needle core and the needle was removed quickly. The treatment was given once every two weeks, continuously for 20 weeks. Totally, 10 times of acupoint catgut embedding therapy were required. Before and after treatment, the body mass, weight retention, body mass index（BMI）, percentage of body fat（PBF）,waist circumference（WC）, waist-hip ratio（WHR） and health promoting lifestyle profile（HPLP-Ⅱ） were observed in the participants of the two groups. Results After treatment, body mass, weight retention, BMI, PBF, WC and WHR were all reduced as compared with those before treatment in the participants of the two groups, indicating the significant differences（all P〈0.05）. After treatment, the body mass, weight retention, BMI, PBF, WC and WHR in the participants of the observation group were lower than those in the control group, indicating the significant differences（all P〈0.05）. The score of every dimension of HPLP-Ⅱ after treatment was higher than that before treatment in the participants of the observation group, indicating the significant differences（all P〈0.05）; and the scores of health responsibility, sports and spiritual growth in the observation group were higher than those in the control group, indicating the significant differences（all P〈0.05）. Conclusion The acupoint catgut embedding therapy improves in the postpartum weight retention and achieves the satisfactory clinical therapeutic effects.