| ObjectiveTo apply supplement kidney and soothe the liver medicated diet porridge intervention perimenopausal women obesity,observe two groups of patients before and after the intervention of the improvement of obesity corresponding index(body weight,BMl,waist circumference,etc.),TCM syndrome integral,the nutrient supply ratio of the three major production capacities,the energy ratio of three meals and the quality of life and analyze,in comprehensive evaluation of the effect of supplement kidney and soothe the liver me dic ated diet porridge,which provide a reference for the clinical die tary care of this disease,and further lay a theoretical foundation to the research of medicinal food mechanism MethodsIn this study,72 cases of perimenopausal obese patients who met the standard of intake and discharge were enrolled in the treatment center and gynecological outpatient department of a level-3A hospital in Heilongjiang Province from June 2020 to December 2020,and they were randomly divided into treatment group and control group,each of the 36 cases in each group.In the control group,both online and offline nutrition and health education were conducted.Self-made popular science videos about perimenopausal knowledge were published online,and face-to-face personalized nutrition guidance was given to patients offline.On the basis of control group,the intervention group took self-designed tonifying kidney and soothing liver medicinal die porridge.By consulting ancient books,consulting experts and combining with the pre-test results,we have formulated the ingredients,dosage,method of taking medicine,course of treatment and cooking,etc.Herbal food porridge was taken as the breakfast staple food,once every 2 days,200～300ml each time,for 8 consecutive weeks.Application weight,BMl,waist circumference and other obesity indicators to evaluate patients;the use of liver-kidney Yin deficiency syndrome score in the evaluation of patients with syndromes;the use of menopausal quality of life scale(MENQOL)evaluate the quality of life of patients;the nutrient supply ratio of the three major production capacities and the energ y ratio of three meals were evaluated by dietary evaluation table.At the same time,evaluate the effective ness and safety of medicated diet. ResultsA total of 72 cases were included in this study,and a total of 66 cases completed thewholestudy with com plete data collection,including 33 cases in the experimental group (3 cases of shedding) and 33 cases in the control group (3 cases of shedding).1.Obesity-related indicators:①Comparison between groups:After the intervention,there was no significant difference in the decline of waist-to-hip ratio between the two groups(P>0.05),and the improvement of the other three indicators was significantly different(P<0.05).②The results of intra-group comparison showed that there was no significant difference in the obesity indexes of the intervention group except the waist-hip ratio,but there were significant differences in the improvement of the three indexes of body weight,BMI and waist circumference(P<0.01).There were no significant differences in obesity indexes in the control group before and after intervention(P>0.05).2.TCM syndrome scores:①between groups:after intervention, there was a significant difference in liver-kidney Yin deficiency scores between thetwo groups(P<0.01);②Comparison of intra-group results:in the intervention group,the scores of liver and kidney Yin deficiency syndrome before and after intervention were significantly different(P<0.01).The difference between the control group before and after intervention was not significant(P>0.05).3.Perimenopausal quality of life:①Comparison between groups:After the intervention,the improvement of the four dimensions of the evaluation scale was very significant between the two groups of patients(P<0.01).②Intra-group comparison:The improvement of each dimension of the menopausal quality of life scale in the intervention group was significantly different(P<0.01);the score of the control group was not significantly different before and after the intervention(P>0.05).4.Dietary evaluation:(1)the nutrient supply ratio of the three major production capacities:①between groups compare results show:after the intervention,intervention group and control group of protein energy ratio,fat energy ratio and carbohydrate energy ratio than more significant difference.(P<0.05)②intra-group comparison result display:in the group of the intervention group improved 3 indicators have obvious difference(P<0.01),the control group for fat energy ratio than improve meaningful,proteins,carbohydrates improvement is not obvious(P>0.05).(2)The energy supply ratio of three meals:①The results of comparison between the two groups showed that there was significant difference between breakfast after intervention(P<0.01),but there was no difference between lunch and dinner.②The results of intra-group compari son showed that there were significant differences in the improvement of three indexes in the intervention group before and after intervention(P<0.05),and there were significant differences in the improvement of lunch and dinner ratio in the control group(P<0.01),while there was no significant difference in the improvement of breakfast ratio(P>0.05).5.Efficacy and safety evaluation:The total effective rate of the intervention group was 93.94%,and that of the control group was 27.27%.Patients did not experience any adverse reactions during the trial.Conclusion1.The kidney-nourishing and liver-soothing medicinal diet porridge in this study can reduce the body weight,BMI,waist circumference and other indicators of perimenopausal obese patients,and effectively improve their obesity status;2.The kidney-nourishing and liver-soothing medicinal diet porridge in this study can reduce the syndrome score of patients with liver-kidney Yin deficiency and effectively improve the TCM syndromes;3.The kidney-nourishing and liver-soothing medicinal diet porridge in this study can improve the life quality of perimenopausal obese patients;4.This study through reasonable health education and taking kidney-nourishing and liver-soothing medicinal diet porridge,the energy supply ratio of nutrients in three production capacities and energy supply ratio of three meals of patients can be adjusted to a reasonable category,and their nutritional status can be standardized. |
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