[1]任媛媛,张文静,王 欣,等.穴位埋线对胃肠实热型肥胖患者饮食行为的临床研究*[J].陕西中医,2019,(5):661-663，670.
　REN Yuanyuan,ZHANG Wenjing,WANG Xin,et al.Acupoint embedding on dietary behavior of patients with gastroenteric febrile obesity[J].,2019,(5):661-663，670.
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穴位埋线对胃肠实热型肥胖患者饮食行为的临床研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年5期
页码:
661-663，670
栏目:
针灸经络
出版日期:
2019-05-05

文章信息/Info

Title:
Acupoint embedding on dietary behavior of patients with gastroenteric febrile obesity
文章编号:
DOI:〖HT5K〗10.3969/j.issn.1000-7369.2019.05.034
作者:
任媛媛 1 ; 张文静 2 ; 王 欣 3 ; 赵卫锋
1.陕西中医药大学附属西安市中医医院（西安 710021）； 2.陕西中医药大学（咸阳 712046）；3.西安航天总医院（西安 710100）
Author(s):
REN Yuanyuan ; ZHANG Wenjing; WANG Xin; et al.
Xi'an City Traditional Chinese Medicine Hospital（Xi'an 710000）
关键词:
穴位埋线疗法; 饮食行为; 肥胖症; 肥胖相关指标; 长期疗效; 中医症候积分
Keywords:
Acupoint embedding therapy; Diet behavior ;  Obesity;  Obesity-related indicators;  Long-term efficacy; TCM syndrome scores
分类号:
R723.14
文献标志码:
A
摘要:
摘 要 目的：观察穴位埋线对胃肠实热型肥胖患者饮食行为变化的影响，探讨肥胖与饮食行为之间的相关性，为穴位埋线治疗胃肠实热型肥胖提供临床依据。方法：按随机数字表法将60例患者分为观察组与对照组，分别在治疗前和治疗后观察两组患者的肥胖相关指标、长期疗效及中医症候积分，并于治疗结束后进行临床疗效评定。结果：观察组治疗后三因素饮食问卷、外界刺激性饮食得分均降低，抑制性饮食得分升高（均P<0.05），情绪性进食得分虽降低，但与治疗前比较无统计学意义（P>0.05），对照组治疗后各饮食行为数据变化差异均无统计学意义（均P>0.05）；观察组总有效率高于对照组，且在肥胖相关指标、长期疗效及中医症候积分方面具有明显的疗效（P>0.05）。结论：饮食行为与肥胖之间存在确切的相关性，穴位埋线疗法可以通过改善患者的多种饮食行为，达到有效减肥的目的。
Abstract:
Abstract Objective: Observing the effect of catgut embedding at acupoints on the changes of dietary behavioral of obese patients with gastrointestinal excess-heat type, in the meantime, exploring the correlation between obesity and dietary behavior, so as to provide reliable clinical basis for catgut embedding at acupoints in the treatment of obese patients with gastrointestinal excess-heat type. Methods: According to the random number table method, 60 patients were divided into observation group and control group. Separately, before and after treatment, the scores of obesity-related indicators, long-term efficacy and TCM syndrome scores were observed in the two groups. Then these indicators were used to evaluate the clinical efficacy after treatment. Results: After treatment, the three factors of dietary questionnaire and external irritant diet score decreased (P<0.05), and the inhibitory diet score increased in observation group (P<0.05). Although the emotional eating score decreased, there was no significant difference between before and after treatment (P>0.05). The data showed that there was no significant difference in the changes of dietary behavior data between before and after treatment in control group (P>0.05). At the end of treatment, the total effective rate of the observation group was higher than that of the control group, and there were significant changes in obesity-related indicators, long-term efficacy and TCM syndrome scores. Conclusion: There is a definite correlation between dietary behavior and obesity. Acupoint catgut embedding therapy can effectively reduce weight by improving patients' dietary behavior.

参考文献/References:

[1] WHO.Obesity and overweight: fact sheet World Health Organization\[EB/OL\]. http:/Avww.who .int/mediacentre/factsheets/fs311/en/，2015-12-20.
[2] 中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南［M］.北京：人民卫生出版社，2006:8-9.
[3] 国家食品药品监督管理总局.中药新药临床研究指导原则\[S\].北京:中国医药科技出版社，2002:5-10.
[4] 任媛媛.速刺穴位埋线临床应用体会 [J].陕西中医，2014，35(2) : 223-224.
[5] French SA， Mitchell NR， Wolfson J，et al.Questionnaire and laboratory measures of eating behavior.Associations with energy intake and BMI in a community sample of working adults [J].Appetite，2014，72:50-58.
[6] Van Strien T，Frijters JER，Staveran WA ，et al.The predictive-validity of the Dutch_x0007_restrained Eating [J]. Disorders，1986，4:747-755.
[7] 娄玉方,张雅珍,谭馨梅.针刺在减肥作用中的临床研究 [J].上海针灸杂志，2001,20(2):12.
[8] 严卫青.大学生饮食行为与肥胖关系分析 [J]. 中国学校卫生，2008，29(12) : 1075-1078.
[9] 高雨虹.排针剌对胃肠实热型单纯性肥胖病患者局部减肥的疗效观察[D].南京中医药大学，2014.
[10] 陈丽姝，王大伟，赵永华. 穴位埋线治疗肥胖作用机制探讨 [J]. 中国针灸，2018,38(3):319-323.
[11] 彭淑珍.针刺结合推拿治疗单纯性肥胖症胃肠腑热型临床研究[D].广州中医药大学，2010.
[12] 钱 鑫.针刺内庭穴对胃肠实热型单纯性肥胖患者食欲调节作用的疗效观[D].广州中医药大学，2011.

备注/Memo

备注/Memo:
*西安市卫生健康委员会科研课题（J20171009）
更新日期/Last Update: 2019-05-07