认知行为疗法干预联合阴阳调理灸对更年期肥胖患者的影响

Influence of cognitive behavioral therapy intervention combined with yin and yang regulating moxibustion on menopausal obese patients

目的探讨认知行为疗法干预联合阴阳调理灸对更年期肥胖患者的影响。方法选取湖北省中医院针灸科门诊2021年1月至2022年6月接诊的更年期肥胖患者80例作为研究对象,依据随机纸片法分为对照组和观察组,各40例。对照组给予认知行为疗法干预联合艾条灸,观察组给予认知行为疗法干预联合阴阳调理灸。比较两组干预前后体重指数(BMI)、臀围、腰围、气虚质症状评分、体重对生活冲击量表-简明版(IWQOL-Lite)评分。结果干预前,两组BMI、臀围、腰围、气虚质症状评分、IWQOL-Lite评分比较,差异无统计学意义(P>0.05)。干预后,两组BMI、臀围、腰围、气虚质症状评分、IWQOL-Lite评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论认知行为疗法干预+阴阳调理灸能够改善更年期肥胖症状,改善气虚质症状、IWQOL-Lite评分,值得推广应用。

Objective To explore the influence of cognitive behavioral therapy intervention combined with yin and yang regulating moxibustion on menopausal obese patients.Methods A total of 80 menopausal obese patients admitted to Hubei Provincial Hospital of Traditional Chinese Medicine from January 2021 to June 2022 were selected as research subjects and they were divided into the control group and the observation group according to the random paper method,with 40 cases in each group.The control group was given cognitive behavioral therapy intervention combined with moxibustion.The observation group was given cognitive behavioral therapy intervention combined with yin and yang regulating moxibustion.The body mass index(BMI),hip circumference,the waist circumference,qi deficiency symptom score,and the impact of weight on quality of life-life(IWQOL-Lite)score were compared.Results Before intervention,there were no significant differences in BMI,hip circumference,waist circumference,qi-deficiency symptom score and IWQOL-Lite score between the two groups(P>0.05).After intervention,BMI,hip circumference,waist circumference,qi-deficiency symptom score,and IWQOL-Lite score in two groups were lower than before intervention,and observation group was lower than control group,the differences were statistically significant(P<0.05).Conclusion Cognitive behavior therapy intervention combined with yin-yang conditioning moxibustion can improve menopausal obesity symptoms,improve qi deficiency symptom and IWQOL-Lite score,it is worth to be used.