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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P0.05). 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.