|
|
|
| Clinical effect of Jianpi Qutan Huashi Huayu Decoction combined with intensive lifestyle intervention in the treatment of patients with abdominal obesity and the impact on glucose and lipid metabolism |
| HUANG Weizhen PENG Juan▲ WU Chunyu |
| Department of Blood Transfusion,Xinyu Hospital of Traditional Chinese Medicine,Jiangxi Province,Xinyu 338025,China |
|
|
|
|
Abstract Objective To observe the clinical effect of Jianpi Qutan Huashi Huayu Decoction combined with intensive lifestyle intervention in the treatment of patients with abdominal obesity,and the impact on glucose and lipid metabolism.Methods A total of 200 patients with abdominal obesity who were admitted to Xinyu Hospital of Traditional Chinese Medicine from January 2021 to June 2023were selected as the study objects.They were divided into a control group and an observation group according to the order of treatment,with 100 cases in each group.The control group was given intensive lifestyle intervention.On this basis,the observation group was treated with Jianpi Qutan Huashi Huayu Decoction.The two groups of patients were followed up for 3 months,and the effective rate was evaluated.Changes in waist circumference(WC),body mass index (BMI),total cholesterol (TC),triglyceride (TG),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol (HDL-C),glycosylated hemoglobin (HbA1c)and fasting blood glucose were compared between the two groups.Results After treatment,the total effective rate in the observation group was 80.00%,higher than 64.00%in the control group,and the difference was statistically significant (P＜0.05).After treatment,WC and BMI in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).After treatment,the levels of TC,TG,LDL-C,HbA1c and fasting blood glucose in the observation group were lower than those in control group,and the differences were statistically significant(P＜0.05).Conclusion Jianpi Qutan Huashi Huayu Decoction combined with intensive lifestyle interventionis effective in the treatment of abdominal obesity,which can decrease BMI and WC,and correct abnormal glucose and lipid metabolism.
|
|
|
|
|
|
| [1] |
陈晓萌，王莉莉.“阳化气”理论在腹型肥胖中的临床应用[J].浙江临床医学，2021，23（12）：1822-1823.
|
| [2] |
陈佩琴，周泽文，莫秋燕，等.广西壮族人群腹型肥胖流行情况及其影响因素分析[J].广西医科大学学报，2021，38（2）：388-392.
|
| [3] |
韩仲慧，王存川，高丽莲，等.中医技术配合运动饮食治疗肥胖症与代谢综合征研究进展[J].中华肥胖与代谢病电子杂志，2021，7（2）：121-125.
|
| [4] |
龙振江，韦力，韦宝堂.腹型肥胖与女性脆性骨折发生风险的相关性[J].广西医学，2021，43（4）：430-433.
|
| [5] |
李道兴.18-69 岁成年社区居民肥胖率现况调查分析[J].世界最新医学信息文摘，2020，20（4）：258-259.
|
| [6] |
迪拉热·阿布来，邓德强.2 型糖尿病合并肥胖（糖胖病）的中西医研究进展概述[J].新疆中医药，2020，38（1）：89-93.
|
| [7] |
韩洁，孙茜，张伟，等.利拉鲁肽对腹型肥胖2 型糖尿病患者内脏脂肪面积的影响[J].四川医学，2020，41（8）：854-858.
|
| [8] |
李瑞麟，程亚卉，孙春萍，等.达格列净联合利拉鲁肽对肥胖型T2DM 患者的血糖控制、胰岛素功能的影响及安全性分析[J].现代生物医学进展，2023，23（13）：2541-2545.
|
| [9] |
赵明，姚璠，阮征，等.腹型肥胖人群的中医干预技术研究[J].吉林中医药，2022，42（12）：1370-1372.
|
| [10] |
韦敏，陈梅，闫冰冰，等.雄激素水平对肥胖或超重多囊卵巢综合征患者行饮食控制+运动的体重综合管理的效果的影响[J].广西医学，2021，43（16）：1949-1953.
|
| [11] |
中华医学会内分泌学分会肥胖学组.中国成人肥胖症防治专家共识[J].中华内分泌代谢杂志，2011，27（9）：711-717.
|
| [12] |
国家中医药管理局.中医病证诊断疗效标准[M].南京：南京大学出版社，1994.
|
| [13] |
张莹.生活方式干预助力2 型糖尿病预防与缓解[J].医学综述，2020，26（21）：4161-4164.
|
| [14] |
金熠婷，王丽华，陈霞，等.中医治疗单纯性肥胖随机对照试验疗效标准使用现状分析[J].中华中医药学刊，2019，37（3）：606-610.
|
| [15] |
张国玉，燕树勋.从“五经”讨论腹型肥胖的病因病机[J].中医临床研究，2020，12（8）：18-21.
|
| [16] |
张凤杰，曹亮，吴含，等.神阙贴敷消脂瘦身方治疗肥胖症[J].长春中医药大学学报，2023，39（8）：898-901.
|
| [17] |
岑园园，张嘉殷，陈泽林，等.拔罐之推拿罐干预单纯性腹型肥胖的临床研究[J].中医学报，2022，37（6）：1311-1315.
|
| [18] |
杜立娟，吴倩，倪青.半夏泻心汤对糖尿病小鼠糖脂代谢及胰岛素分泌的影响[J].北京中医药，2021，40（3）：246-249.
|
| [19] |
马兴婷，张慧田.健脾祛湿方对腹泻型肠易激综合征患者肠道微生态系统的影响[J].中国中西医结合消化杂志，2021，29（6）：416-420.
|
| [20] |
刘娟，张茜，郭琳娜.营养膳食联合等长抗阻运动对妊娠期糖尿病合并高脂血症患者糖脂代谢水平和血清脂肪因子的影响[J].中国药物与临床，2021，21（24）：4086-4088.
|
|
|
|
