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中药隔物灸联合生活方式干预治疗单纯性肥胖症的比较效果:一项随机对照试验的研究方案

Comparative effectiveness of herb-partitioned moxibustion plus lifestyle modification treatment for patients with simple obesity: A study protocol for a randomized controlled trial.

作者信息

Wang Li-Hua, Lv Si-Ying, Liu Yi-Ran, Chen Xia, Wang Jia-Jie, Huang Wei, Zhou Zhong-Yu

机构信息

College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine/Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture and Moxibustion.

Department of Acupuncture, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China.

出版信息

Medicine (Baltimore). 2021 Jan 22;100(3):e23758. doi: 10.1097/MD.0000000000023758.

Abstract

INTRODUCTION

Obesity is a global public health issue, which results in many health complications. Moxibustion may serve as an alternative management for simple obesity, where pharmacological therapy is always difficult to be accepted by the majority of obese patients based on its safety. However, the effects of herb-partitioned moxibustion as obesity intervention have not been confirmed. This study is designed as a single-blinded, 3-dummy randomized controlled trial to evaluate the efficacy and safety of herb-partitioned moxibustion plus lifestyle modification treatment in patients with simple obesity.

METHODS AND ANALYSIS

This study will be a randomized, controlled trial conducted from April, 2019 to April, 2021 that includes 108 participants who have simple obesity and meet the eligibility criteria. The participants will be randomly divided into 3 treatment groups: heat application group, medicated plaster group, or herb-partitioned moxibustion group. Each treatment will last 4 weeks. The primary outcomes will be the clinical effectiveness. The secondary outcome measures include participants' obesity-related indicators, the IWQOL-Lite scale, and the syndrome score of Traditional Chinese Medicine. Adverse events will be recorded during the intervention period.

ETHICS AND DISSEMINATION

Ethical approval of this study was granted by the Ethics Committee of Hubei Provincial Hospital of Traditional Chinese Medicine on 15 November 2018 (Ethics Reference No: HBZY2018-C24-01). Written informed consents will be provided by all participants before they were enrolled in this study.

TRIAL REGISTRATION NUMBER

NCT04606680.

摘要

引言

肥胖是一个全球性的公共卫生问题,会引发许多健康并发症。艾灸可作为单纯性肥胖的一种替代治疗方法,因为基于安全性考虑,大多数肥胖患者往往难以接受药物治疗。然而,隔药饼灸作为肥胖干预措施的效果尚未得到证实。本研究设计为一项单盲、三模拟随机对照试验,以评估隔药饼灸联合生活方式干预治疗单纯性肥胖患者的疗效和安全性。

方法与分析

本研究将是一项于2019年4月至2021年4月进行的随机对照试验,纳入108例符合入选标准的单纯性肥胖患者。参与者将被随机分为3个治疗组:热熨组、膏药组或隔药饼灸组。每个治疗疗程持续4周。主要结局指标为临床疗效。次要结局指标包括参与者的肥胖相关指标、IWQOL-Lite量表以及中医证候评分。干预期间将记录不良事件。

伦理与传播

本研究于2018年11月15日获得湖北省中医院伦理委员会的伦理批准(伦理批准号:HBZY2018-C24-01)。所有参与者在纳入本研究前均将提供书面知情同意书。

试验注册号

NCT04606680。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d953/7837822/f2f5930efad4/medi-100-e23758-g001.jpg

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