双能X线吸收测量法在单纯性肥胖症减肥效果监测中应用.docVIP

双能X线吸收测量法在单纯性肥胖症减肥效果监测中应用 　　[摘要] 目的 研究运用双能X线吸收测量法（DEXA）测量肥胖症患者减肥效果，为减肥治疗提供科学客观的评价指标。 方法 选取2014年8月～2015年6月佛山市中医院就诊的80例单纯性肥胖症患者为研究对象，按照性别不同，将患者分为男性组（45例）和女性组（35例）。分别采用DEXA对两组患者减肥治疗前后进行全身组织成分含量测定，包括体内脂肪含量（BF%）、脂肪量指数（FMI）及腹部内脏脂肪量面积（VAT）；检测比较两组治疗前后体重指数（BMI）、低密度脂蛋白-胆固醇（LDL-C）、三酰甘油（TG）、总胆固醇（TC）情况；分析BF%、FMI、VAT与BMI及LDL-C、TG、TC的变化量与VAT的相关性。 结果 两组患者治疗后的BF%、FMI、VAT及BMI均较治疗前明显降低（P 0.05或P 0.01），且变动方向与BMI相一致；治疗前后两组患者的BF%、FMI、VAT均与BMI呈显著正相关（P 0.01）；治疗后两组患者的LDL-C、TG、TC与治疗前比较，均明显降低（P 0.05或P 0.01），且两组LDL-C、TG、TC的变化量与VAT的变化量均呈显著正相关（P 0.01）。 结论 DEXA法测定的指标与BMI的评价一致性较好，可作为监测肥胖症减肥效果的评价指标，尤其是VAT。 　　[关键词] 肥胖；体重指数；脂肪量指数；腹部内脏脂肪面积；双能X线吸收测量法 　　[中图分类号] R323.3 [文献标识码] A [文章编号] 1673-7210（2016）01（b）-0113-04 　　[Abstract] Objective To study on the observe reduce weight of simple obesitys with dual energy X-ray absorptiometry method （DEXA）， pvovide scientific and obiective evaluating indicator for cure of obesitys. Methods 80 cases of simple obesitys patients as research subjects were selected from august 2014 to June 2015 in the Traditional Chinese Medicine Hospital of Foshan City. Patients were divided into male group （45 cases） and female group （35 cases） according to gender， and the ingredients of full body were measured by DEXA before and after treatment， including the body fat content （BF%）， fat mass index （FMI） and visceral fat area （VAT）； the BMI， LDL-C， TG， TC of patients in two groups were also detected and compared before and after treatment； the correlation between BF%， FMI， VAT and BMI， the variable quantity of TC， TG， LDL-C and variable quantity of VAT were analyzed. Results After treatment， BF%， FMI， VAT and BMI of two groups were significantly lower than before treatment （P 0.05 or P 0.01）， and the change direction of these indexes were coincided with BMI. The BF%， FMI and VAT of two groups were significantly correlated with BMI before and after treatment （P 0.01）. LDL-C， TG， TC of two groups after treatment were significantly lower than before treatment （P 0.05 or P 0.