摘要
目的观察阴阳调理灸法对脾肾阳虚型更年期肥胖女性的临床疗效,为其临床应用提供科学依据。方法 60例脾肾阳虚型更年期肥胖女性随机分为两组。试验组采用阴阳调理灸配合针刺法,对照组采用单纯针刺法。连续治疗3个疗程后观察治疗前后肥胖相关指标、改良KI评分、中医症候评分、HPLP-Ⅱ健康促进生活方式量表评分。结果治疗后组内比较,试验组肥胖相关指标、改良KI评分、中医症候及HPLP-Ⅱ量表六维度评分均较治疗前改善,差异有统计学意义;对照组肥胖相关指标、改良KI评分、中医症候总评分均较治疗前改善,差异有统计学意义,在HPLP-Ⅱ量表-压力管理评分上较治疗前无统计学差异(P> 0. 05),在其余五维度上均较治疗前改善,差异有统计学意义。治疗后组间比较,在腰围、腰臀比、中医症候评分(神疲乏力、腰酸肢冷、浮肿、大便稀溏)、及HPLP-Ⅱ量表中提高患者健康责任、人际关系、压力管理、精神成长方面,两组差异有统计学意义。结论阴阳调理灸配合针刺疗法在脾肾阳虚型更年期肥胖女性中能有效起到减重、减脂、改善更年期症状的作用,并且在腰围、腰臀比及自觉症状改善上较单纯针刺更具优势。
Objective To observe the clinical effect of Yin-Yang Regulating Moxibustion on obese menopausal women with deficiency of spleen and kidney-yang,and to provide scientific basis for its clinical application. Methods Sixty obese menopausal women with deficiency of spleen and kidney yang were randomly divided into two groups.The experimental group was treated with Yin-Yang Regulating Moxibustion combined with acupuncture,while the control group was treated with acupuncture simplely.After three courses of treatment,obesity-related indicators,KI score,TCM syndrome score and HPLP-Ⅱ were observed before and after treatment. Results After treatment,the obesity related index,KI score,TCM symptom score and HPLP-Ⅱ score in the experimental group were improved compared with those before treatment,and the difference was statistically significant. Obesity-related indicators,KI scores and total scores of TCM symptoms in the control group were all improved compared with those before treatment. There was no statistical difference in HPLP-Ⅱ scalestress management score( P > 0. 05),and the other five dimensions were improved compared with those before treatment. After treatment, there were significant differences in waist circumference,waist-hip ratio,TCM symptoms score( fatigue,cold waist and limbs,edema,loose stool),and HPLP-Ⅱ scale in improving patients’ health,interpersonal relationship,stress management and mental growth between the two groups. Conclusion Yin-Yang regulating moxibustion combined with acupuncture therapy can effectively reduce weight, and improve menopausal symptoms in obese women with spleen-kidney Yang deficiency type. It has more advantages than simple acupuncture in waist circumference, waist-hip ratio and improvement of conscious symptoms.
作者
周仲瑜
王佳捷
ZHOU Zhongyu;WANG Jiajie(Department of Acu-moxibustion, Hubei Province Hospital of Chinese Medicine, Wuhan 430061 ,China;Hubei Institute of Traditional Chinese Medicine, Wuhan 430074, China)
出处
《皮肤科学通报》
2019年第2期225-230,共6页
Dermatology Bulletin
关键词
阴阳调理灸法
针刺
更年期女性
肥胖
脾肾阳虚型
Yin-Yang Regulating Moxibustion
Acupuncture
Climacteric women
Obesity
Spleen-kidney Yang deficiency type
