推拿脾胃经对产后肥胖患者的影响

Efficacy of massage on Pi and Wei Jing on postpartum obesity

目的:观察推拿脾胃经对产后肥胖患者的影响。方法:选取2018年8月-2019年7月在重庆市中医院门诊行产后42天检查时确诊为产后肥胖的患者90例,按随机数字表法分为试验组、对照1组和对照2组,每组30例。试验组患者接受健康饮食及运动并结合脾胃经推拿治疗,对照1组仅接受健康饮食及运动,对照2组仅正常居家生活,疗程为4周。于治疗前及治疗后测量每位患者的体质量、腰围、臀围,计算体质量指数,并抽取患者的空腹静脉血检测血粘度,采用配对t检验和独立样本t检验比较;于疗程结束后采用χ²检验评定各组临床疗效。结果:治疗前三组患者体质量、腰围、臀围、体质量指数及血粘度无显著性差异(P>0.05),具有可比性;组内治疗前后比较,治疗后对照1组及试验组患者体质量、体质量指数、腰围、臀围、血粘度较治疗前均显著降低(P<0.05);治疗后组间比较,试验组体质量、体质量指数及血粘度下降明显快于对照1组(P<0.05),试验组腰围变化幅度及臀围变化幅度均大于对照1组(P<0.05);治疗结束后,试验组总有效率明显高于对照1组及对照2组(P<0.01)。结论:推拿脾胃经及健康的饮食与运动均有助于减轻产后肥胖患者的体质量,减小腰围、臀围,降低血粘度及体质量指数,改善临床症状,且联合干预疗效更优。

Objective:To observe the efficacy of massage on Pi and Wei Jing(脾胃经)on postpartum obesity.Methods:From August,2018 to July,2019,90 patients were divided into the test group,the control group 1 and the control group 2 by the number table method.Patients in the test group received massage on Pi and Wei Jing and received only healthy diet and exercise at the same time.Patients in the control group 1 received only healthy diet and exercise,patients in the control group 2 lived as usual,for 4 weeks.The body weight,waist circumference,hip circumference and blood viscosity of each patient were measured before and after treatment,and the body mass index(BMI)was calculated.Paired T test and independent sample T test were used to compare the data,clinical efficacy was evaluated byχ^2 test at the end of treatment.Results:The body weight,BMI,waist Circumference,hip circumference and blood viscosity in the control group 1 and the test group were significantly lower than those before treatment(P<0.05).The body weight,BMI and blood viscosity in the test group were decreased faster than the control group 1(P<0.05).The variation of waist circumference and hip circumference in the test group were larger than that in the control group 1(P<0.05).After the treatment,the total efficiency in the test group was significantly higher than that in the control group 1 and the control group 2(P<0.01).Conclusion:Massage on Pi and Wei Jing,healthy diet and exercise were helpful to reduce the weight of postpartum obese patients,reduce waist circumference and hip circumference,reduce body mass index and blood viscosity,improve the clinical symptoms,with good effects.