中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2014年
13期
1022-1024
,共3页
单纯性肥胖%心理疗法%综合干预措施%中医针灸%疗效%儿童
單純性肥胖%心理療法%綜閤榦預措施%中醫針灸%療效%兒童
단순성비반%심리요법%종합간예조시%중의침구%료효%인동
Simple obesity%Psychotherapy%Comprehensive interventions%Acupuncture%Efficacy%Child
目的 比较基于心理疗法的综合干预措施和中医针灸治疗儿童单纯性肥胖的临床效果.方法 156例单纯性肥胖症患儿分为综合干预治疗组和针灸疗法组,综合干预治疗组在常规治疗方法的基础上采取基于心理疗法的综合干预措施,针灸疗法组在常规治疗方法的基础上采取针灸穴位治疗.记录2组患儿退出治疗情况,比较2组患儿治疗前和治疗2个月时血清瘦素水平,根据体质量变化情况进行疗效判定,调查患儿家长对治疗过程和治疗效果的满意度.结果 综合干预治疗组患儿依从性良好(91.0％),显著高于针灸疗法组(79.5％) (x2 =4.131,P=0.042);治疗2个月时,综合干预治疗组男性和女性患儿血清瘦素水平均低于针灸疗法组(P均＜0.05),综合干预治疗组患儿总有效率为91.5％,高于针灸疗法组(79.0％)(x2=4.235,P=0.040);综合干预治疗组患儿家长总满意度为94.4％,高于针灸疗法组(82.3％)(x2=4.849,P=0.028).结论 基于心理疗法的综合干预措施对儿童单纯性肥胖治疗效果较好,有助于提高患儿治疗依从性,提高患儿家长对治疗过程和治疗效果的满意度.
目的 比較基于心理療法的綜閤榦預措施和中醫針灸治療兒童單純性肥胖的臨床效果.方法 156例單純性肥胖癥患兒分為綜閤榦預治療組和針灸療法組,綜閤榦預治療組在常規治療方法的基礎上採取基于心理療法的綜閤榦預措施,針灸療法組在常規治療方法的基礎上採取針灸穴位治療.記錄2組患兒退齣治療情況,比較2組患兒治療前和治療2箇月時血清瘦素水平,根據體質量變化情況進行療效判定,調查患兒傢長對治療過程和治療效果的滿意度.結果 綜閤榦預治療組患兒依從性良好(91.0％),顯著高于針灸療法組(79.5％) (x2 =4.131,P=0.042);治療2箇月時,綜閤榦預治療組男性和女性患兒血清瘦素水平均低于針灸療法組(P均＜0.05),綜閤榦預治療組患兒總有效率為91.5％,高于針灸療法組(79.0％)(x2=4.235,P=0.040);綜閤榦預治療組患兒傢長總滿意度為94.4％,高于針灸療法組(82.3％)(x2=4.849,P=0.028).結論 基于心理療法的綜閤榦預措施對兒童單純性肥胖治療效果較好,有助于提高患兒治療依從性,提高患兒傢長對治療過程和治療效果的滿意度.
목적 비교기우심리요법적종합간예조시화중의침구치료인동단순성비반적림상효과.방법 156례단순성비반증환인분위종합간예치료조화침구요법조,종합간예치료조재상규치료방법적기출상채취기우심리요법적종합간예조시,침구요법조재상규치료방법적기출상채취침구혈위치료.기록2조환인퇴출치료정황,비교2조환인치료전화치료2개월시혈청수소수평,근거체질량변화정황진행료효판정,조사환인가장대치료과정화치료효과적만의도.결과 종합간예치료조환인의종성량호(91.0％),현저고우침구요법조(79.5％) (x2 =4.131,P=0.042);치료2개월시,종합간예치료조남성화녀성환인혈청수소수평균저우침구요법조(P균＜0.05),종합간예치료조환인총유효솔위91.5％,고우침구요법조(79.0％)(x2=4.235,P=0.040);종합간예치료조환인가장총만의도위94.4％,고우침구요법조(82.3％)(x2=4.849,P=0.028).결론 기우심리요법적종합간예조시대인동단순성비반치료효과교호,유조우제고환인치료의종성,제고환인가장대치료과정화치료효과적만의도.
Objective To investigate the efficacy of treatment of children with simple obesity by using comprehensive interventions based on psychotherapy and acupuncture.Methods One hundred and fifty-six cases of simple obesity treated in pediatric clinic were randomly divided into comprehensive intervention group and acupuncture therapy group.Cases in comprehensive intervention group took comprehensive interventions based on psychotherapy,which was on the basis of conventional treatment.Cases in acupuncture therapy group took acupuncture treatment,which was on the basis of conventional treatment.Both groups of exiting cases were recorded.The serum leptin levels of the children between 2 groups were compared before and after treatment.The efficacy was determined based on the circumstances of quality change.The satisfaction of parents in the treatment process and the therapeutic effect were surveyed.Results The good compliance in the comprehensive intervention group was 91.0％,which was significantly higher than that in the acupuncture therapy group(79.5％,x2 =4.131,P =0.042).After 2 months treatment,the serum leptin levels of the male and female in comprehensive group were all lower than those in the acupuncture group(all P ＜ 0.05).The total efficiency of comprehensive intervention group was 91.5％,which was higher than that in the acupuncture therapy group(79.0％,x2 =4.235,P =0.040).The total satisfaction of parents in comprehensive intervention group was 94.4％,which was higher than that in the acupuncture therapy group(82.3 ％,x2 =4.849,P =0.028).Conclusions The therapeutic effect of comprehensive interventions based on psychotherapy for children with simple obesity is better.It helps to improve the compliance of children,and to improve the satisfaction of parents in the treatment process and therapeutic effect.
