| 盛吉莅,金肖青,诸剑芳,等.电针治疗围绝经期中心性肥胖的临床疗效观察[J].浙江中医药大学学报,2020,44(3):307-312. |
| 电针治疗围绝经期中心性肥胖的临床疗效观察 |
| Clinical Effects of Electroacupuncture on Central Obesity Patients of Perimenopausal Period |
| DOI：10.16466/j.issn1005-5509.2020.03.023 |
| 中文关键词: 电针 中心性肥胖 围绝经期 体重指数 WHtR WHR MRS MENQOL |
| 英文关键词: electroacupuncture central obesity perimenopausal period BMI WHtR WHR MRS MENQOL |
| 基金项目:浙江省中医药科技计划重点研究项目(2016ZZ05)；浙江省中医药科技计划青年人才基金(2018ZQ001)；浙江省名老中医专家传承工作室建设项目(GZS2017011) |
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| 中文摘要: |
| [目的]观察电针治疗对围绝经期中心性肥胖患者体脂分布和生活质量的影响。[方法]将82例围绝经期中心性肥胖患者随机分为电针组及对照组，对照组患者以调整生活方式为主；电针组患者在对照组基础上进行电针治疗，主要选用任脉、胃经、脾经、膀胱经的穴位。主穴:中脘、气海、关元、天枢、大横、脾俞、肾俞、大肠俞；配穴:胃热滞脾型配合三阴交、内庭；痰湿内盛型配合阴陵泉、丰隆；肝郁气滞型配合合谷、太冲；脾虚不运型配合足三里、太白；脾肾阳虚型配合命门、申脉。比较两组患者体重、体重指数(body mass index，BMI)、腰围、臀围、腰围身高比(waist height ratio，WHtR)、腰臀比(waist to hip ratio，WHR)、围绝经期生存质量评分量表(menopause rating scale，MRS)、围绝经期生活质量量表(menopause-specific quality of life， MENQOL)评分以及实验室指标的变化。[结果]与对照组比较，治疗后电针组患者腰围、WHR和WHtR改善明显(P＜0.01)，雌二醇水平显著升高(P＜0.01)，总胆固醇和低密度脂蛋白(low density lipoprotein，LDL)水平显著降低(P＜0.01，P＜0.05)。与治疗前比较，电针组雌二醇水平显著上升(P＜0.01)，而对照组显著下降(P＜0.01)。治疗后电针组患者MRS和MENQOL评分显著减低(P＜0.01)，且电针组总有效率显著高于对照组(P＜0.01)。[结论]电针能有效治疗围绝经期中心性肥胖，改善患者生活质量。 |
| 英文摘要: |
| [Objective] To observe the effects of electroacupuncture on central obesity patients of perimenopausal period. [Methods] Eighty-two patients were randomly divided into electroacupuncture(EA) group and control group. Patients in control group mainly adjusted their life style; while the patients in EA group were treated with EA on the basis of control group. The acupoints of Ren channel, stomach meridian, spleen meridian and bladder meridian were selected mostly. Main acupoints included Zhongwan, Qihan, Guanyuan, Tianshu, Daheng, Pishu, Shenshu, Dachangshu. Stagnation of spleen due to stomach heat syndrome, combined with Sanyinjiao and Neiting; internal accumulation of phlegm dampness syndrome, combined with Yinlingquan, Fenglong; stagnation of Qi due to depression of the liver syndrome, combined with Hegu, Taichong; deficiency of spleen syndrome, combined with Zusanli, Taibai; Yang deficiency of spleen and kidney syndrome, combined with Mingmen, Shenmai. The changes of body weight(BW),body mass index (BMI), waist circumference(WC), hip circumference (HC), waist height ratio (WHtR), waist to hip ratio (WHR), menopause-specific quality of life (MENQOL)， menopause rating scale(MRS) scores and laboratory indicaters were observed and measured.[Results] Compared with control group, the WC, WHR and WHtR were significantly reduced in EA group(P＜0.01), while the level of estrogen increased(P＜0.01),and the level of total cholesterol(TC) and low density lipoprotein(LDL) reduced(P＜0.01, P＜0.05). Compared with before treatment, the level of estrogen in EA group increased(P＜0.01), while the level of estrogen in control group reduced(P＜0.01). After treatment, MENQOL and MRS scores reduced significantly in EA group(P＜0.01). The overall clinical efficacy and total effective rate of EA group was significantly higher than control group(P＜0.01). [Conclusion] EA could effectively treat central obesity in perimenopausal period and improve the quality of life. |
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