基于BMI分级的肥胖中医药干预技术研究

Research on TCM Intervention Technology for Obesity Based on BMI Grading

目的:基于文献寻找不同BMI分级适宜的中医药减肥干预技术方案。方法:以中国知网、万方、维普为数据来源,检索1980年至2017年的关于中医药治疗单纯性肥胖的论文,统计不同BMI分级的干预技术使用情况。结果:最终纳入1486篇文献,其中自身对照实验文献670篇、分组对照实验文献816篇,对干预技术名称进行规范化得到21种干预技术:运动、针刺、饮食、埋线、电针、中药、耳穴、中成药、推拿、仪器、茶饮、健康教育、心理干预、西药、拔罐、艾灸、刮痧、汗蒸、医务监督、穴位贴敷及针刀。针刺和埋线两种干预技术在不同肥胖等级中均表现突出,此外,在超重人群中使用较多的是电针和耳穴,在轻度肥胖的人群中中药和耳穴占了较大比重,在中度肥胖人群中电针、中药和耳穴使用较多,在重度肥胖人群中,选用电针和耳穴干预的较多。结论:临床医生将这一分级结果用于临床实践,不同肥胖等级群体采用不同方法,取得了良好效果。总结不同肥胖等级使用的干预技术可以为临床选择合适的干预技术提供有力参考。

Objective: Based on the literature, we searched for the appropriate therapeutic techniques of Tra-ditional Chinese Medicine (TCM) for weight loss with different BMI classifications. Methods: Using China National Knowledge Infrastructure (CNKI), WanFang and WeiPu as data sources, we searched papers on the TCM treatment of simple obesity from 1980 to 2017, and counted the use of interven-tion technology with different BMI grades. Results: Eventually, 1486 articles were contained. They included 670 self-controlled experimental articles, 816 group control experiment articles and 21 intervention technologies obtained by normalizing the name of intervention technology, which are: exercise, acupuncture, diet, catgut embedding, electro-acupuncture, Chinese herb, auricular points, Chinese patent medicine, massage, instrument, tea drinking, health education, psychological inter-vention, western medicine, cupping, moxibustion, scraping, steaming, medical supervision, acu-point application and acupotomy. Acupuncture and catgut embedding are both prominent in dif-ferent levels of obesity. In addition, electro-acupuncture and auricular points are most commonly used in overweight people. Chinese herb and auricular points are accounted for a large proportion of mildly obese people. And electro-acupuncture, herb, and auricular points are used more in mod-erately obese people. Among the people with severe obesity, electro-acupuncture and auricular point intervention were more frequently used. Conclusion: Clinicians used this grading result in clinical practice, different obesity groups adopt different methods, and good results had been achieved. Summarizing the intervention technologies used in different obesity levels could provide a powerful reference for clinical selection of appropriate intervention technologies.