摘要
目的探讨阴阳调理灸联合有氧运动对老年单纯性肥胖的治疗效果。方法选取2022年8月至2023年7月于河南省漯河市医学高等专科学校第三附属医院内分泌科就诊的106例单纯性肥胖患者为研究对象。将患者按照随机数字表分为对照组和观察组,每组各53例。对照组给予有氧运动干预,观察组给予阴阳调和灸联合有氧运动。两组均干预12周,比较两组治疗前后肥胖指标[体质量、腰围、体质指数(BMI)、体脂百分比(F%)]、血清淋巴管功能相关因子[血管内皮生长因子C(VEGF-C)、delta样配体4(DLL4)及肾上腺髓质素(ADM)],并比较两组临床疗效及治疗前后痰湿体质量表转化分。结果与治疗前相比,两组患者治疗后肥胖指标均下降(P<0.05),且观察组患者低于对照组(P<0.05)。与治疗前相比,两组患者治疗后血清肠淋巴管功能相关因子VEGF-C、DLL4及ADM水平均下降(P<0.05),且观察组患者低于对照组(P<0.05)。观察组总有效率高于对照组(94.34%VS 81.13%,P<0.05)。与治疗前相比,两组患者治疗后痰湿体质量表转化分均下降(P<0.05),且观察组低于对照组(P<0.05)。结论对单纯性肥胖患者在有氧运动基础上联合阴阳调和灸可进一步改善肥胖指标及肠淋巴管功能相关因子水平,具有较好的临床效果,其患者痰湿偏颇体质得到显著改善。
Objective To investigate the effects of Yin-Yang conditioning moxibustion combined with aerobic exercise on elderly patients with simple obesity.Methods A total of 106 elderly patients with simple obesity who were treated in the Endocrinology Department of the Third Affiliated Hospital of Luohe Medical College in Henan Province from August 2022 to July 2023 were selected as the research objects.The patients were randomly divided into control group and observation group,with 53 cases in each group.Aerobic exercise intervention was applied to all patients,and the Yin-Yang conditioning moxibustion was additionally applied to patients of observation group.Interventions last for 12 weeks.The obesity indexes,including the body mass,waist circumference,body mass index(BMI)and body fat percentage(F%)were compared.Serum lymphatic function indexes,including vascular endothelial growth factor C(VEGF-C),delta-like ligand 4(DLL4)and adrenomedullin(ADM)before and after treatment were compared between the two groups.The clinical efficacy and the conversion score of phlegm-dampness body mass table before and after treatment were compared between the two groups.Results After treatment,the obesity indexes of the two groups significantly decreased(P<0.05),which were significantly lower in the observation group than those of control group(P<0.05).After treatment,serum lymphatic function indexes,including VEGF-C,DLL4 and ADM in both groups significantly decreased(P<0.05),which were significantly lower in the observation group than those of control group(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group(94.34%VS 81.13%,P<0.05).After treatment,the conversion scores of phlegm-dampness body mass table in both groups significantly decreased(P<0.05),which were significantly lower in the observation group than those of control group(P<0.05).Conclusion On the basis of aerobic exercise,the combination of Yin-Yang conditioning moxibustion can further improve the obesity index and intestinal lymphatic function elderly in patients with simple obesity,which has a good therapeutic efficacy and clinical effect on alleviating the phlegm dampness constitution.
作者
王旭红
牛丹妹
杨万芳
杨常青
WANG Xu-hong;NIU Dan-mei;YANG Wan-fang;YANG Chang-qing
出处
《中国疗养医学》
2024年第2期67-70,共4页
Chinese Journal of Convalescent Medicine
基金
校级科技创新项目立项目(2022KJYB26)。
关键词
单纯性肥胖
阴阳调理灸
有氧运动
肥胖指标
Simple obesity
Yin-Yang conditioning moxibustion
Aerobic exercise
Obesity indicators
作者简介
通信作者:杨常青,lhwx9@126.com。
