|
|
Influence of cognitive behavioral therapy intervention combined with yin and yang regulating moxibustion on menopausal obese patients |
HUANG Bei ZHANG Lihua WANG Yun LIU Zhi LUO Xiang LI Caihong ZHOU Zhongyu▲ |
Department of Acupuncture and Moxibustion, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province, Wuhan 430060, China
|
|
|
Abstract 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.
|
|
|
|
|
[1] 黄蓓,周仲瑜,王芸,等.阴阳调理灸联合认知行为疗法对绝经后肥胖患者的干预效果[J].中国临床护理,2021, 13(4):224-226.
[2] 曾晶晶,项凤梅,平倩,等.中药内调外灸干预单纯性肥胖临床观察[J].江西中医药,2022,53(472):39-41.
[3] 周仲瑜,王佳捷.阴阳调理灸在更年期肥胖女性中的临床应用[J].皮肤科学通报,2019,36(2):225-230.
[4] 万红,燕树勋,闫诏,等.穴位埋线治疗胃热湿阻型单纯性肥胖:随机对照研究[J].中国针灸,2022,42(2):137- 142.
[5] 邓茹,雷正权,王东,等.穴位埋线结合脐灸治疗单纯性腹性肥胖[J].吉林中医药,2021,41(3):391-395.
[6] 刘姿瑶.五行药灸罐疗法治疗痰湿质腹型肥胖临床研究[J].辽宁中医药大学学报,2021,23(9):24-27.
[7] 陈华,邱东升,李晓霞,等.灸盒结合穴位埋线治疗脾虚湿阻型单纯性肥胖的临床观察[J].广西中医药大学学报,2021,24(3):22-25.
[8] 王庆军.督灸防治痰湿体质单纯性肥胖的疗效与机制研究[J].光明中医,2020,35(4):553-556.
[9] 梁莹,苏同生.更年期肥胖的发病机理及艾灸治疗的效应机制探析[J].辽宁中医药大学学报,2022,24(12):205-208.
[10] 吴斌.围绝经期女性腹型肥胖对心血管疾病发病的影响[J].中国妇幼保健,2021,36(14):3366-3369.
[11] 中华医学会内分泌学分会,中华中医药学会糖尿病分会,中国医师协会外科医师分会肥胖和糖尿病外科医师委员会,等.基于临床的肥胖症多学科诊疗共识(2021年版)[J].中华内分泌代谢杂志,2021,37(11):959-972.
[12] 邵蕊,张永强.围绝经期女性脑血管疾病的危险因素及与腹型肥胖的相关性分析[J].中国妇幼保健,2020,35(22):4291-4294.
[13] 刘四军,周成成,林秋姗,等.《中医体质分类与判定表》的简化研究[J].广州中医药大学学报,2021,38(8):1734-1739.
[14] Franz MJ,Boucher JL,Rutten-Ramos S,et al. Lifestyle weight-loss intervention outcomes inoverweight and obese adults with type 2 diabetes:a systematic review and meta- analyses of randomized clinical trials [J]. J Acad Nutr Diet,2015,115(9):1447-1463.
[15] 玄淑兴,张振国,贾守强.基于定量CT分析不同年龄、生理时期女性腰椎骨密度与腹部脂肪的相关性[J].放射学实践,2021,36(5):642-647.
[16] 吴立,崔艳丽,路丽,等.女性代谢异常与围绝经期的关系探讨[J].中国药物与临床,2021,21(3):420-422.
[17] 冯小静,汪晨扬,伍静.雌激素及其膜性受体G蛋白偶联雌激素受体在糖脂代谢中的研究进展[J].中华老年医学杂志,2021,40(3):393-396.
[18] 范肃,张振宇,潘珺俊,等.针灸拔罐综合疗法治疗脾虚湿阻型单纯性肥胖的临床研究[J].中国中医基础医学杂志,2020,26(1):88-90,93.
[19] 秦涛,刘安祥,张骏.肥胖与缺血性卒中相关性研究进展[J].海南医学,2020,31(16):2126-2128.
[20] 朱梦梦,王立鑫,封若雨,等.脾虚湿阻型单纯性肥胖小鼠模型的构建及评价[J].中国中医基础医学杂志,2021, 27(2):247-250,328.
[21] 王玉琳,刘金盛,杨添淞,等.穴位埋线疗法治疗腹型肥胖伴轻度认知功能障碍的临床研究[J].广州中医药大学报,2021,38(2):311-316.
[22] 谭凡,王静,裴之俊,等.围绝经期妇女骨折风险与内脏脂肪量的相关性研究[J].中国骨质疏松杂志,2020,26(5):659-662.
[23] 王文炎,陈瑞,梁凤霞.针灸治疗胰岛素抵抗性肥胖腧穴配伍的思考与探讨[J].中国医药导报,2021,18(28):129-132.
[24] 李琳,赵伟,张晓庆.自拟降脂减肥方联合穴位埋线对脾虚湿瘀型肥胖患者的治疗效果[J].中国医药科学,2023, 13(11):96-99.
[25] 王友发,孙明晓,薛宏,等.《中国肥胖预防和控制蓝皮书》解读及中国肥胖预防控制措施建议[J].中华预防医学杂志,2019,53(9):875-884.
[26] 徐春花,何卓俊,曾立,等.肥胖的发病机制以及药物治疗研究概况[J].中国疗养医学,2021,30(2):131-135.
[27] 郑洁,贾碎林,方春霞,等.更年期女性情绪障碍心理社会因素调查及两者相关性研究[J].中国妇幼保健,2021, 36(17):3905-3908. |
|
|
|