中医推拿、耳穴按压合五行音乐治疗儿童单纯性肥胖61例总结

Clinical effect of traditional Chinese medicine massage and auricular point pressing combined with five-element music in treatment of simple obesity in children:An analysis of 61 cases

目的:探讨中医推拿、耳穴按压及五行音乐治疗儿童单纯性肥胖的临床疗效。方法:选择我院中西医融合儿童保健专科门诊收治的单纯性肥胖儿童100例,根据家长意愿分为治疗组和对照组。对照组仅给患儿提供饮食指导,不进行其他任何干预;治疗组患儿在对照组的基础上给予中医推拿、耳穴按压及五行音乐联合治疗,5 d为1个疗程,每个月治疗2个疗程,共治疗3个月。结果:总有效率治疗组为93.44%(57/61),对照组为64.10%(25/39),组间比较,差异有统计学意义(P<0.05);治疗组患儿体质量指数(BMI)干预1、2、3个月均较治疗前下降,差异均有统计学意义(P<0.05),且干预2、3个月后的BMI明显低于对照组,差异均有统计学意义(P<0.05);治疗组患儿肩胛下角部、腹部和髂嵴上部3个部位皮褶厚度明显小于治疗前,且与治疗后的对照组相比,差异有统计学意义(P<0.05)。结论:中医推拿、耳穴按压联合五行音乐治疗儿童单纯性肥胖效果明显,可减轻患儿体质量,减少皮下脂肪,值得临床推广应用。

Objective:To investigate the clinical effect of traditional Chinese medicine(TCM)massage and auricular point pressing combined with five-element music in the treatment of simple obesity in children.Methods:A total of100 children with simple obesity who were admitted to Department of Integrated Traditional Chinese and Western Medicine Therapy for Child Care in our hospital were enrolled and divided into treatment group and control group according to their parents’will.The children in the control group were given dietary guidance alone,and those in the treatment group were given TCM massage and auricular point pressing combined with five-element music in addition to the dietary guidance in the control group.Each course of treatment was 5 days,and the children were given two courses of treatment each month for3 months.Results:There was a significant difference in overall response rate between the treatment group and the control group[93.44%(57/61)vs 64.10%(25/39),P<0.05].The treatment group had a significant reduction in body mass index(BMI)after 1,2,and 3 months of intervention(P<0.05),and the treatment group had a significantly lower BMI than the control group after 2 and 3 months of intervention(P<0.05).The treatment group had significant reductions in the skinfold thickness at the subscapular angle,the abdomen,and the upper iliac crest after treatment,and there were significant differences in these indices between the two groups after treatment(P<0.05).Conclusion:TCM massage and auricular point pressing combined with five-element music has a marked clinical effect in the treatment of simple obesity in children and can reduce body weight and subcutaneous fat,and therefore,it holds promise for clinical application.