摘要
Objective To observe the effects of acupoint thread-embedding therapy and low-carbohydrate diet therapy on obese patients with food addiction.Methods Sixty-five eligible patients were randomized into a thread-embedding group of 33 cases and a diet group of 32 cases to respectively receive 12-week treatment.Before treatment,after treatment and at 6-month follow-up,the two groups were observed and compared in terms of body mass(BM),waist circumference(WC),hip circumference(HC),waist-to-hip ratio(WHR),body mass index(BMI),body fat rate(BFR),basal metabolic rate(BMR)and Yale food addiction scale version 2.0(YFAS 2.0).Results At the end of treatment,there were no significant differences in the general efficacy,and the improvements in BM,BMI,WC,HC,WHR and BFR between the thread-embedding group and diet group(all P>0.05).At follow-up,the thread-embedding group showed more significant improvements in all the aforementioned indicators compared with the diet group except HC(all P<0.05).At the end of treatment and follow-up,BMR and YFSA 2.0 had more significant improvements in the thread-embedding group than in the diet group(all P<0.05).Conclusion Acupoint thread-embedding therapy can produce significant efficacy in treating obese patients with food addiction;it can improve the food addiction state and work better in maintaining the efficacy compared with low-carbohydrate diet therapy.
目的:观察穴位埋线疗法及低碳水饮食疗法对食物成瘾性肥胖患者的影响.方法:将符合纳入标准的65例患者随机分为埋线组33例及饮食组32例,分别治疗12周.于治疗前、疗程结束时、随访6个月时比较两组患者体质量(BM)、腰围(WC)、臀围(HC)、腰臀比(WHR)、身体质量指数(BMI)、体脂率(BFR)、基础代谢率(BMR)以及耶鲁食物成瘾量表2.0(YFAS2.0)评分的变化.结果:疗程结束时,埋线组与饮食组在总体疗效、BM、BMI、WC、HC、WHR和BFR改善方面的差异无统计学意义(均P>0.05);随访时埋线组除HC外,以上其他指标的改善情况均优于饮食组(均P<0.05);疗程结束时和随访时,埋线组BMR和YFSA2.0评分均较饮食组改善明显(均P<0.05).结论:穴位埋线疗法对食物成瘾性肥胖患者疗效明显,并能改善患者食物成瘾状态,维持疗效的作用优于低碳水饮食疗法.
作者
Ji Ling-ling
Ouyang Ba-si
Shen Jie
Luo Ying
Jiang Ya-wen
Ai Bing-wei
Hong Jue
吉玲玲;欧阳八四;沈洁;罗莹;蒋亚文;艾炳蔚;洪珏(译)(Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine,Suzhou 215000,China;Suzhou Academy ofWumen Chinese Medicine,Suzhou 215000,China;Nanjing University of Chinese Medicine,Nanjing 210000,China;Jiangsu Province Hospital of Chinese Medicine,Nanjing 210000,China;不详)
基金
江苏省中医药管理局,No.YB2017005.
作者简介
Ji Ling-ling,PhD.attending physician of traditional Chinese medicine;Corresponding Author:Ai Bing-wei,post-doctor,doctoral supervisor,chief physician of traditional Chinese medicine.E-mail:aibingwei@163.com。
