摘要目的 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.

abstractsObjective 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.